Inspection Reports for
Atria Newport Beach
393 Hospital Rd, Newport Beach, CA 92663, United States, CA, 92663
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
1.9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
86% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 168
Capacity: 195
Deficiencies: 1
Date: Mar 18, 2026
Visit Reason
An unannounced case management visit was conducted to investigate complaint control number #22-AS-20250902095612 regarding emergency personnel not being given necessary documentation for Resident #1 until they were leaving the facility to transport the resident to the hospital.
Complaint Details
Complaint control number #22-AS-20250902095612 was investigated and substantiated by findings that emergency personnel were not given necessary documentation for Resident #1 until they were leaving the facility to transport the resident to the hospital.
Findings
The investigation revealed that 2 of 5 staff confirmed emergency services were not provided necessary documentation until leaving the facility with Resident #1, posing a potential health, safety, or personal rights risk. A deficiency was cited under California Code of Regulations 87469(c)(1).
Deficiencies (1)
Failure to immediately present advance directive and/or resuscitative measures form to emergency medical personnel as required.
Report Facts
Staff interviewed: 5
Staff confirming deficiency: 2
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Keys | Administrator | Met with Licensing Program Analyst during the visit and discussed the purpose of the visit |
| Hanna Gough | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 164
Capacity: 195
Deficiencies: 0
Date: Jan 12, 2026
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to assess compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was found to be in full compliance with no deficiencies cited. Observations included clean and hazard-free resident apartments, operational safety equipment, adequate emergency supplies, and proper documentation in resident and staff files.
Report Facts
Licensed capacity: 195
Current census: 164
Fire inspection date: Jul 9, 2025
Emergency disaster drill date: Dec 12, 2025
Hot water temperature range: 111.9-116.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Keys | Executive Director | Present during inspection and assisted Licensing Program Analysts |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection |
| William Vanegas | Licensing Program Analyst | Conducted the inspection |
| Sheila Santos | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 164
Capacity: 195
Deficiencies: 2
Date: Sep 9, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were unaware of residents' Portable Medical Orders.
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.
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.
Deficiencies (2)
Failure to immediately telephone 9-1-1 and present the advance directive and/or request regarding resuscitative measures form to emergency medical personnel.
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.
Report Facts
Staff present during incidents: 3
Staff delayed documentation: 2
Staff performing chest compressions: 1
Facility capacity: 195
Resident census: 164
Plan 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. |
Inspection Report
Complaint Investigation
Census: 164
Capacity: 195
Deficiencies: 2
Date: Sep 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were unaware of residents' Portable Medical Orders.
Complaint Details
The complaint alleged that staff were unaware of residents' Portable Medical Orders. The investigation substantiated the allegation based on observations, interviews, and record review, finding delays in providing emergency personnel with necessary documentation and failure to follow DNR directives.
Findings
The investigation found that staff delayed providing emergency personnel with necessary documentation for Resident #1, who had a POLST and DNR in place. One staff member performed chest compressions despite the DNR until emergency personnel informed them of the directives. The allegations were substantiated.
Deficiencies (2)
Failure to immediately telephone 9-1-1 and present the advance directive and/or request regarding resuscitative measures form to emergency medical personnel, resulting in delayed documentation being given to emergency services.
Failure to provide medical care in a manner that respects the resident's dignity, evidenced by staff performing chest compressions on a resident with a DNR and not stopping until informed by emergency personnel.
Report Facts
Staff present during incidents: 3
Staff interviewed: 5
Deficiencies cited: 2
Plan of Correction due date: Oct 7, 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 plan of correction |
| Hanna Gough | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 157
Capacity: 195
Deficiencies: 1
Date: Jan 31, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not prevent a resident from exiting the facility alone.
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.
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.
Deficiencies (1)
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.
Report Facts
Civil Penalty: 500
Capacity: 195
Census: 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. |
Inspection Report
Complaint Investigation
Census: 157
Capacity: 195
Deficiencies: 1
Date: Jan 31, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on January 22, 2025, regarding staff not preventing a resident from exiting the facility alone and a resident being issued an unlawful eviction.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not prevent the resident from exiting the facility alone. The allegation that the resident was issued an unlawful eviction was unfounded.
Findings
The complaint that staff did not prevent a resident from exiting the facility alone was substantiated, with evidence showing the resident exited through a delayed egress door and was found at a local elementary school. An immediate $500 civil penalty was issued. The allegation that the resident was issued an unlawful eviction was found to be unfounded, with no eviction notice on record and the resident requiring 1:1 caregiver supervision for safety.
Deficiencies (1)
Basic services requirement was not met as resident exited the Memory Care through a delayed egress door, left the facility unassisted and was found at a local elementary school, posing an immediate health, safety or personal rights risk.
Report Facts
Civil Penalty Amount: 500
Deficiency Count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Brian Keys | Executive Director | Facility representative met during the investigation and exit interview. |
Inspection Report
Annual Inspection
Census: 157
Capacity: 195
Deficiencies: 0
Date: Jan 27, 2025
Visit Reason
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: 15
Staff files reviewed: 5
Resident files reviewed: 16
Average call system response time (minutes): 4
Days supply of perishable food: 2
Days supply of non-perishable food: 7
Hot water temperature range (degrees Fahrenheit): 107.2
Hot water temperature range (degrees Fahrenheit): 115.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Keys | Executive Director | Met with Licensing Program Analysts during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted inspection and signed report |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Follow-Up
Census: 158
Capacity: 195
Deficiencies: 1
Date: Dec 12, 2024
Visit Reason
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.
Deficiencies (1)
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.
Report Facts
Hours of private caregiver supervision provided: 72
Census: 158
Total capacity: 195
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced visit and evaluation |
| Brian Keys | Executive Director | Facility representative met during the visit |
| Sheila Santos | Licensing Program Manager | Supervisor overseeing the evaluation |
Inspection Report
Follow-Up
Census: 158
Capacity: 195
Deficiencies: 1
Date: Dec 12, 2024
Visit Reason
An unannounced visit was conducted to follow up on an incident report submitted by the facility regarding a resident who left the community unassisted on December 10, 2024.
Findings
The investigation confirmed that the resident was unsupervised for approximately two and a half hours outside the facility, constituting a failure to provide necessary care and supervision. A type A deficiency was cited, and corrective actions including private caregiver supervision and staff training were implemented.
Deficiencies (1)
Failure to provide care and supervision as necessary to meet the client's needs, resulting in a resident leaving the premises unassisted and unsupervised for approximately 2.5 hours.
Report Facts
Hours of private caregiver supervision provided: 72
Census: 158
Total Capacity: 195
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Keys | Executive Director | Met with during the inspection. |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Sheila Santos | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 195
Deficiencies: 0
Date: Jul 22, 2024
Visit Reason
An unannounced complaint investigation visit was conducted regarding an allegation that the facility did not ensure resident's safety.
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.
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.
Report Facts
Capacity: 195
Census: 135
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation |
| Brian Keys | Administrator | Facility administrator met during the investigation |
| Lourdes Montoya | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 135
Capacity: 195
Deficiencies: 0
Date: Jul 22, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the facility did not ensure a resident's safety.
Complaint Details
Complaint allegation: Facility did not ensure resident's safety. The allegation was unsubstantiated after investigation.
Findings
The investigation found that six of seven individuals interviewed were unable to corroborate the complaint allegation. The resident was served two glasses of wine before being assessed and sent to the hospital for intoxication. The allegation was deemed unsubstantiated due to insufficient evidence to prove or refute the claim.
Report Facts
Capacity: 195
Census: 135
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation |
| Brian Keys | Administrator | Facility administrator met during the investigation |
| Lourdes Montoya | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 132
Capacity: 195
Deficiencies: 0
Date: Apr 23, 2024
Visit Reason
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: 10
Resident files reviewed: 12
Staff files reviewed: 10
Medication administration records reviewed: 6
Hot water temperature range (°F): 111.5-119.3
Fire drill date: Mar 29, 2024
Fire 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 |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and signed the report |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 132
Capacity: 195
Deficiencies: 0
Date: Apr 23, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced required annual inspection of the facility to assess compliance with regulatory standards.
Findings
The facility was found to be clean, organized, and compliant with all regulatory requirements. No deficiencies were cited during this inspection. Staff files, resident files, medication administration, and safety systems were all reviewed with no discrepancies observed.
Report Facts
Resident rooms inspected: 10
Staff files reviewed: 10
Resident files reviewed: 12
Medication administration records reviewed: 6
Facility capacity: 195
Facility census: 132
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Keys | Executive Director | Met with Licensing Program Analysts during inspection |
Inspection Report
Complaint Investigation
Census: 134
Capacity: 195
Deficiencies: 1
Date: Feb 15, 2024
Visit Reason
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.
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.
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.
Deficiencies (1)
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.
Report Facts
Census: 134
Total Capacity: 195
Staff Training Hours: 12.5
Dementia Training Hours: 4
Plan 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 |
Inspection Report
Complaint Investigation
Census: 134
Capacity: 195
Deficiencies: 1
Date: Feb 15, 2024
Visit Reason
An unannounced complaint investigation 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.
Complaint Details
The complaint investigation was substantiated for the allegation that staff were not properly trained on caregiver duties. Other allegations regarding staff not meeting resident needs, staff sleeping on resident's couch, and medication administration were unsubstantiated.
Findings
The investigation substantiated that one staff member did not have the required annual training hours. The allegations regarding staff not meeting resident's needs, staff sleeping on resident's couch, and medication administration were found to be unsubstantiated. A deficiency was cited for failure to maintain verification of required staff training in personnel records.
Deficiencies (1)
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, posing a potential health and safety risk to residents.
Report Facts
Census: 134
Total Capacity: 195
Staff Training Hours: 12.5
Dementia Training Hours: 4
Plan 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 |
| Dori Redman | Administrator | Facility administrator at time of inspection |
| Brian Keys | Met with during the inspection | |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 3
Capacity: 195
Deficiencies: 0
Date: Jun 16, 2023
Visit Reason
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
Census: 3
Capacity: 195
Deficiencies: 0
Date: Jun 16, 2023
Visit Reason
The visit was an unannounced case management visit to review operations of the newly renovated North Building of the facility.
Findings
The Memory Care Director confirmed three residents had moved in the day before, all in memory care. Residents were observed engaging in activities and meals were 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; no deficiencies observed. |
| Kyle Coleman | Memory Care Director | Met with Licensing Program Analyst and confirmed resident move-in and operations. |
Inspection Report
Original Licensing
Census: 86
Capacity: 195
Deficiencies: 0
Date: Jun 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.
Report Facts
Apartments in Assisted Living: 41
Apartments in Memory Care: 42
Food supply duration: 3
Food supply duration: 7
Facility capacity: 195
Bedridden residents allowed: 10
Facility census: 86
Average staff response time: 7.5
Fridge temperature: 33
Freezer temperature: -8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Keys | Executive Director | Met during inspection and participated in exit interview |
| Sarah Laloyan | Senior Vice President of Operations | Met during inspection |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection visit |
| Sheila Santos | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 86
Capacity: 195
Deficiencies: 0
Date: Jun 9, 2023
Visit Reason
The visit was a scheduled pre-licensing inspection for the newly renovated North Building of the facility to evaluate its readiness for inclusion into the license and operation.
Findings
The North Building was found 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.
Report Facts
Capacity: 195
Census: 86
Food supply days: 3
Food supply days: 7
Average staff response time: 7.5
Fridge temperature: 33
Freezer temperature: -8
Number of apartments: 41
Number of apartments: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brian Keys | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the pre-licensing inspection visit |
| Sheila Santos | Supervisor | Supervisor overseeing the licensing evaluation |
| Sarah Laloyan | Senior Vice President of Operations | Met with Licensing Program Analyst during inspection |
Inspection Report
Capacity: 195
Deficiencies: 0
Date: May 12, 2023
Visit Reason
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 |
Document
Capacity: 195
Deficiencies: 0
Date: May 12, 2023
Visit Reason
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 collected a $25 check payable to the Department. No deficiencies or violations were noted in the report.
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 staff who greeted the Licensing Program Analyst and granted entry |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 195
Deficiencies: 1
Date: Apr 26, 2022
Visit Reason
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.
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.
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.
Deficiencies (1)
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.
Report Facts
Capacity: 195
Census: 77
Deficiency Type B: 1
Plan 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 |
| Alisa Ortiz | Licensing Program Manager | Supervisor overseeing the investigation |
| George Gonzalez | Facility representative met during the visit |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 195
Deficiencies: 0
Date: Apr 26, 2022
Visit Reason
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.
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.
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.
Report Facts
Capacity: 195
Census: 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 |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 195
Deficiencies: 1
Date: Apr 26, 2022
Visit Reason
An unannounced case management visit was conducted in conjunction with complaint investigation 22-AS-20211122170311 regarding a video camera installed in a resident's room without proper signage.
Complaint Details
Complaint investigation 22-AS-20211122170311 was substantiated based on the finding of an unmarked video camera in Resident 1's room.
Findings
The facility was found to have violated privacy regulations as a ring video camera was installed in Resident 1's room by family without signage alerting video recording, posing a potential health and safety risk. The licensee posted a sign during the visit, clearing the deficiency.
Deficiencies (1)
Failure to ensure Resident 1 was provided a reasonable level of privacy due to a ring video camera installed in the resident's room without signage alerting video recording.
Report Facts
Capacity: 195
Census: 77
Plan of Correction Due Date: May 3, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and complaint investigation |
| Alisa Ortiz | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 195
Deficiencies: 0
Date: Apr 26, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation of neglect/lack of care and supervision resulting in client on client sexual assault.
Complaint Details
The complaint alleged neglect and lack of supervision resulting in client on client sexual assault. The allegation was investigated and found unsubstantiated based on video evidence, interviews, and police involvement.
Findings
The investigation included interviews, review of video surveillance, and physician reports. The video showed interactions between two residents that appeared consensual. The allegation was deemed unsubstantiated due to lack of sufficient evidence to prove the violation occurred.
Report Facts
Capacity: 195
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| George Gonzalez | Administrator | Facility administrator who granted entry and participated in the investigation |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
| Kelly Maslin | Detective | Newport Beach Detective who interviewed residents and reviewed the case |
Inspection Report
Annual Inspection
Census: 69
Capacity: 195
Deficiencies: 0
Date: Feb 17, 2022
Visit Reason
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 |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection visit |
| Andrea Mendivil | Licensing Program Analyst | Conducted the inspection visit |
| Alisa Ortiz | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 195
Deficiencies: 0
Date: Feb 17, 2022
Visit Reason
Unannounced case management visit to follow up on an incident report dated 02/07/2022 involving inappropriate touching between residents.
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.
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.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Annual Inspection
Census: 69
Capacity: 195
Deficiencies: 0
Date: Feb 17, 2022
Visit Reason
An unannounced required annual visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, sanitary, and well-maintained with all required elements in resident rooms and emergency supplies. No deficiencies were noted during the visit.
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 facility tour |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection visit |
| Andrea Mendivil | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Follow-Up
Census: 69
Capacity: 195
Deficiencies: 0
Date: Feb 17, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report dated 02/07/2022 involving an allegation of inappropriate touching between residents.
Findings
The facility investigated the incident and contacted police. Both residents involved appeared well cared for with no injuries or health and safety concerns noted. No deficiencies were found during the visit.
Report Facts
Incident report date: Feb 7, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Andrea Mendivil | Licensing Program Analyst | Conducted the unannounced case management visit |
| George Gonzalez | Facility representative met during the visit | |
| Dori Redman | Administrator | Facility administrator |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 195
Deficiencies: 0
Date: Nov 24, 2021
Visit Reason
Unannounced health and safety case management visit conducted in conjunction with complaint visit 22-AS-20211122170311.
Complaint Details
Visit was conducted in conjunction with complaint visit 22-AS-20211122170311. No violations were found during this complaint-related visit.
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.
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
Complaint Investigation
Census: 59
Capacity: 195
Deficiencies: 0
Date: Nov 24, 2021
Visit Reason
Unannounced health and safety case management visit conducted in conjunction with complaint visit 22-AS-20211122170311 to assess facility conditions and resident well-being.
Complaint Details
Visit was conducted in conjunction with complaint visit 22-AS-20211122170311; no violations or deficiencies were found during this complaint-related visit.
Findings
The facility appeared clean and sanitary, adhering to Covid-19 guidelines. Residents observed appeared happy and well taken care of. No health or safety violations were noted during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dori Redman | Digital Innovation Director | Met with Licensing Program Analyst during the visit and discussed visit reason and camera guidelines. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced health and safety case management visit. |
Inspection Report
Original Licensing
Capacity: 195
Deficiencies: 0
Date: Jan 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: 195
Rooms: 85
Water Temperature Range: 112.6-117.1
Fire 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 Licensing
Capacity: 195
Deficiencies: 0
Date: Dec 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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