Most inspections found no deficiencies, showing the facility generally maintained a clean and well-organized environment with proper safety systems and staff training. However, several complaint investigations were substantiated, including incidents where staff failed to prevent a resident from leaving the facility unsupervised, resulting in a $500 fine in January 2025, and where emergency personnel were delayed in receiving a resident’s advance directives in September 2025. Other issues involved staff training recordkeeping and a privacy violation related to an unauthorized video camera, but these were isolated and less severe. The most recent report from September 9, 2025, did cite deficiencies related to emergency response and resident dignity. While some concerns have arisen, recent annual inspections have been clean, indicating some improvement in overall compliance.
Deficiencies (last 6 years)
Deficiencies (over 6 years)1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/year
Deficiencies per year
43210
2020
2021
2022
2023
2024
2025
Census
Latest occupancy rate84% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
The visit was an unannounced complaint investigation triggered by an allegation that staff were unaware of residents' Portable Medical Orders.
Findings
The investigation found that Resident #1 had a valid POLST and DNR orders on file, but staff delayed providing emergency personnel with necessary documentation due to a printer issue. One staff member performed chest compressions on the resident despite the DNR until emergency personnel informed them of the directives. The allegations were substantiated.
Complaint Details
The complaint alleged that staff were unaware of residents' Portable Medical Orders. The investigation substantiated the complaint based on observations, interviews, and record review.
Severity Breakdown
Type B: 2
Deficiencies (2)
Description
Severity
Failure to immediately telephone 9-1-1 and present the advance directive and/or request regarding resuscitative measures form to emergency medical personnel.
Type B
Failure to provide medical or nonmedical care to the resident in a manner that does not unduly demean the resident’s dignity, including performing chest compressions on a resident with a DNR.
Type B
Report Facts
Staff present during incidents: 3Staff delayed documentation: 2Staff performing chest compressions: 1Facility capacity: 195Resident census: 164Plan of Correction due date: 2025
Employees Mentioned
Name
Title
Context
Brian Keys
Executive Director
Met with Licensing Program Analyst and discussed the purpose of the visit; named in findings related to facility policies and corrective actions.
Hanna Gough
Licensing Program Analyst
Conducted the complaint investigation and authored the report.
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not prevent a resident from exiting the facility alone.
Findings
The complaint alleging that staff did not prevent a resident from exiting the facility alone was substantiated. The resident exited through a delayed egress door and was found at a local elementary school. An immediate $500 civil penalty was issued. Another complaint alleging unlawful eviction of the resident was investigated and found to be unfounded.
Complaint Details
The complaint was substantiated regarding staff failing to prevent a resident with Alzheimer's dementia and wandering behavior from exiting the facility alone. The resident was found outside the facility at a local elementary school. The allegation of unlawful eviction was investigated and found to be unfounded.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Basic services shall at a minimum include care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by the resident exiting the Memory Care through a delayed egress door, leaving the facility unassisted and being found at a local elementary school, posing an immediate health, safety, or personal rights risk.
Type A
Report Facts
Civil Penalty: 500Capacity: 195Census: 157
Employees Mentioned
Name
Title
Context
Brian Keys
Executive Director
Met with Licensing Program Analysts during the investigation and exit interview.
Alvaro Ramirez Jr.
Licensing Program Analyst
Conducted the complaint investigation and signed the report.
Sheila Santos
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation.
Licensing Program Analysts conducted an unannounced visit to perform the required annual inspection of the facility.
Findings
The facility was found to be clean, organized, and well-maintained with no deficiencies cited. All resident rooms inspected had required furnishings and operational bathrooms. Safety systems and emergency equipment were operational and up to date. Staff files and resident records were reviewed with no discrepancies observed.
Report Facts
Resident rooms inspected: 15Staff files reviewed: 5Resident files reviewed: 16Average call system response time (minutes): 4Days supply of perishable food: 2Days supply of non-perishable food: 7Hot water temperature range (degrees Fahrenheit): 107.2Hot water temperature range (degrees Fahrenheit): 115.5
Employees Mentioned
Name
Title
Context
Brian Keys
Executive Director
Met with Licensing Program Analysts during inspection
The visit was an unannounced follow-up to an incident report submitted by the facility regarding a resident who left the community unassisted on December 10, 2024.
Findings
The investigation confirmed that resident R1, assessed as unable to leave unsupervised, was unsupervised for approximately two and a half hours outside the facility, constituting an immediate risk. The facility has since provided 72 hours of private caregiver supervision and updated staff training on elopement prevention.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to provide care and supervision as necessary to meet the client's needs, resulting in resident R1 being unsupervised outside the facility for approximately 2.5 hours.
Type A
Report Facts
Hours of private caregiver supervision provided: 72Census: 158Total capacity: 195
An unannounced complaint investigation visit was conducted regarding an allegation that the facility did not ensure resident's safety.
Findings
The investigation included interviews and observations but found insufficient evidence to substantiate the allegation. The resident was served alcohol before being assessed and sent to the hospital, but the complaint was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged the facility did not ensure resident's safety. The allegation was unsubstantiated after investigation, as six of seven interviewed individuals could not corroborate the complaint.
Report Facts
Capacity: 195Census: 135
Employees Mentioned
Name
Title
Context
Jerome Haley
Licensing Program Analyst
Conducted the complaint investigation
Brian Keys
Administrator
Facility administrator met during the investigation
Licensing Program Analysts conducted an unannounced required annual inspection of the facility consisting of Assisted Living and Memory Care buildings.
Findings
The facility was found to be clean, organized, and compliant with no deficiencies cited. All resident rooms and bathrooms were clean and operational, medications were secured, and staff files met training requirements.
Report Facts
Resident rooms inspected: 10Resident files reviewed: 12Staff files reviewed: 10Medication administration records reviewed: 6Hot water temperature range (°F): 111.5-119.3Fire drill date: Mar 29, 2024Fire alarm and life safety system inspection date: Jul 7, 2023
Employees Mentioned
Name
Title
Context
Brian Keys
Executive Director
Met with Licensing Program Analysts during the inspection
An unannounced complaint investigation visit was conducted in response to allegations including staff not properly trained on caregiver duties, facility staff not meeting resident's needs, staff sleeping on resident's couch, and improper medication administration.
Findings
The investigation substantiated the allegation that one staff member did not have the required training hours. Another allegation regarding staff sleeping in a resident's room was substantiated with documentation of termination. Allegations related to medication administration and staff meeting resident needs were found unsubstantiated based on record reviews and interviews.
Complaint Details
The complaint investigation was substantiated for staff training deficiencies and staff sleeping in a resident's room. The allegations regarding medication administration and staff meeting resident needs were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not being met as evidenced by failure to ensure verification of staff records are in the file.
Type B
Report Facts
Census: 134Total Capacity: 195Staff Training Hours: 12.5Dementia Training Hours: 4Plan of Correction Due Date: Feb 29, 2024
Employees Mentioned
Name
Title
Context
Kimberly Lyman
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Alisa Ortiz
Licensing Program Manager
Oversaw the complaint investigation
Dori Redman
Administrator
Facility administrator at time of inspection
Brian Keys
Met with Licensing Program Analyst during inspection
The Licensing Program Analyst conducted an unannounced case management visit regarding operations of the newly renovated North Building of the facility.
Findings
The visit found that three residents had moved into the memory care unit on the first floor, with no residents yet on the second floor for assisted living. Residents were observed engaging in activities and meals were being delivered from the main building. No deficiencies were observed during the visit.
Employees Mentioned
Name
Title
Context
Brian Keys
Executive Director
Arrived during the visit and mentioned in the report.
Kyle Coleman
Memory Care Director
Met with Licensing Program Analyst and provided information about residents and operations.
Claudia Gutierrez
Licensing Program Analyst
Conducted the unannounced visit and authored the report.
Inspection Report Original LicensingCensus: 86Capacity: 195Deficiencies: 0Jun 9, 2023
Visit Reason
The visit was conducted as a pre-licensing inspection for the newly renovated North Building of the facility.
Findings
The facility's North Building was observed to be ready for operation with all infection control measures in place, fully operational safety systems, adequate food supply, and appropriate accommodations for assisted living and memory care residents. A Temporary Certificate of Occupation was delivered during the visit.
The visit was an unannounced case management visit to collect payment of the Department fee related to requesting an updated fire clearance ahead of the pre-licensing visit for the facility's soon-to-be-completed North building.
Findings
The Licensing Program Analyst was granted entry and collected a $25 check payable to the Department. An exit interview was conducted and a copy of the report was emailed to the facility manager.
Report Facts
Payment amount: 25
Employees Mentioned
Name
Title
Context
Kevin Saborit-Guasch
Licensing Program Analyst
Conducted the unannounced visit and collected payment
Sofiane Lahouasnia
Facility representative who granted entry and facilitated payment
An unannounced case management visit was conducted in conjunction with complaint investigation 22-AS-20211122170311 regarding a privacy concern involving a video camera installed in a resident's room.
Findings
The investigation revealed that Resident 1 had a ring video camera installed by family in the resident's room without signage notifying video recording, violating privacy rights and posing a potential health and safety risk.
Complaint Details
The visit was complaint-related, investigating a privacy violation involving a video camera in Resident 1's room. The complaint was substantiated by observations and interviews.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Licensee failed to ensure Resident 1 was provided a reasonable level of privacy due to a family-installed ring video camera in the resident's room without signage alerting video recording.
Type B
Report Facts
Capacity: 195Census: 77Deficiency Type B: 1Plan of Correction Due Date: May 3, 2022
Employees Mentioned
Name
Title
Context
Kimberly Lyman
Licensing Program Analyst
Conducted the complaint investigation and authored the report
An unannounced complaint investigation was conducted in response to an allegation of neglect/lack of care and supervision resulting in client on client sexual assault.
Findings
The investigation, including interviews, video surveillance, and physician reports, found that the interaction between the two residents appeared consensual. The allegation was deemed unsubstantiated due to insufficient evidence to prove the violation occurred.
Complaint Details
The complaint alleged neglect/lack of care and supervision resulting in client on client sexual assault. The allegation was unsubstantiated after review of video surveillance, interviews with residents and law enforcement, and physician reports.
Report Facts
Capacity: 195Census: 77
Employees Mentioned
Name
Title
Context
Kimberly Lyman
Licensing Program Analyst
Conducted the complaint investigation and authored the report
George Gonzalez
Facility Administrator who granted entry and participated in the investigation
Alisa Ortiz
Licensing Program Manager
Named as Licensing Program Manager on the report
Kelly Maslin
Newport Beach Detective
Interviewed residents and provided law enforcement perspective
Licensing Program Analysts conducted an unannounced visit for the purpose of conducting a required annual visit.
Findings
The facility appeared clean and sanitary with all required elements in resident rooms and restrooms. Residents appeared happy and well taken care of. No deficiencies were noted during the visit. The facility has approved mitigation plans and follows COVID-19 protocols including vaccination and testing plans.
Report Facts
Residents on hospice care: 3
Employees Mentioned
Name
Title
Context
Dorice Redman
Administrator
Named as facility administrator with current certificate
George Gonzalez
Executive Director
Met with Licensing Program Analysts during the visit
Unannounced case management visit to follow up on an incident report dated 02/07/2022 involving inappropriate touching between residents.
Findings
The facility investigated the incident and contacted police. Both residents appeared well cared for, and no health or safety concerns were noted. No deficiencies were found during the visit.
Complaint Details
Incident report indicated Resident 1 was touched inappropriately on the hand by Resident 2. Resident 1 had no injuries. Facility investigated and contacted Newport Beach Police.
Unannounced health and safety case management visit conducted in conjunction with complaint visit 22-AS-20211122170311.
Findings
No health or safety violations were noted during the visit. The facility appeared clean and sanitary, residents were observed to be happy and well taken care of, and Covid-19 guidelines were being followed.
Complaint Details
Visit was conducted in conjunction with complaint visit 22-AS-20211122170311. No violations were found during this complaint-related visit.
Employees Mentioned
Name
Title
Context
Kimberly Lyman
Licensing Program Analyst
Conducted the unannounced health and safety case management visit.
Dori Redman
Digital Innovation Director
Met with Licensing Program Analyst to discuss the reason for the visit and guidelines pertaining to cameras in resident rooms.
Benjamin Rodny
Administrator
Facility administrator named in the report header.
Inspection Report Original LicensingCapacity: 195Deficiencies: 0Jan 21, 2021
Visit Reason
The visit was a prelicensing inspection conducted via FaceTime due to COVID-19 precautions to evaluate the facility's readiness to operate as a Residential Facility for the Elderly with a capacity of 195 non-ambulatory residents.
Findings
The facility was found to be newly renovated and compliant with COVID-19 precautions, with adequate common areas, resident rooms, emergency supplies, and safety equipment. The facility was deemed ready to be licensed, with no deficiencies noted.
Report Facts
Capacity: 195Rooms: 85Water Temperature Range: 112.6-117.1Fire Clearance Date: Jan 13, 2021
Employees Mentioned
Name
Title
Context
Benjamin Rodny
Executive Director
Met with Licensing Program Analyst during prelicensing visit and participated in facility tour
Kimberly Lyman
Licensing Program Analyst
Conducted prelicensing visit and facility evaluation
Jordan Pope
Project Manager
Participated in facility tour via FaceTime
Sarah Laloyan
Senior Vice President
Participated in facility tour via FaceTime
Dori Redman
Digital Innovation Director
Participated in facility tour via FaceTime
George Gonzalez
Assistant Executive Director
Participated in facility tour via FaceTime
Inspection Report Original LicensingCapacity: 195Deficiencies: 0Dec 10, 2020
Visit Reason
Initial licensing evaluation visit for a Residential Care Facility for the Elderly without delayed egress or dementia care.
Findings
The applicant and administrator participated in a comprehensive licensing interview (COMP II) confirming understanding of Title 22 regulations and facility operation requirements. The application documents and qualifications were reviewed and verified with no deficiencies noted.
Employees Mentioned
Name
Title
Context
George Gonzalez
Administrator
Named as facility administrator during licensing evaluation.
Benjamin Rodny
Met with during the visit.
Jude De La Concepcion
Licensing Program Manager
Named as Licensing Program Manager.
Bethany Hunter
Licensing Program Analyst
Named as Licensing Program Analyst conducting the evaluation.
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