Inspection Reports for Capriana
460 La Floresta Dr, Brea, CA 92823, United States, CA, 92823
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with routine annual and complaint investigations consistently showing compliance and proper care. Several complaint investigations were unsubstantiated, including allegations of lack of supervision and unexplained injuries. The most recent report from October 3, 2025, cited a serious deficiency involving a resident elopement that posed an immediate health and safety risk, resulting in immediate civil penalties. Prior to this, inspections showed no deficiencies, indicating a generally good compliance record until the recent incident. Other issues noted in past reports were minor or unsubstantiated, with no fines or enforcement actions listed before the latest penalty.
Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Capacity: 200
Deficiencies: 1
Oct 3, 2025
Visit Reason
The visit was a Case Management - Deficiency Visit conducted due to a Special Incident Report regarding an elopement incident involving resident R1 on September 26, 2025.
Findings
The facility failed to provide required care and supervision when resident R1 was unaccounted for from approximately 6:40 p.m. to 7:15 p.m. and was later located off premises by law enforcement. This failure posed an immediate health and safety risk to the resident. Deficiencies were cited under Title 22, Division 6 of the California Code of Regulations, and immediate civil penalties were assessed.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure required care and supervision when resident R1 was unaccounted for from approximately 6:40 p.m. to 7:15 p.m. on 9/26/2025, resulting in an immediate health and safety risk. | Type A |
Report Facts
Capacity: 200
Deficiency POC Due Date: Oct 6, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samer Haddadin | Licensing Program Analyst | Conducted the Case Management - Deficiency Visit |
| Tonya Reynolds | Executive Director | Facility Executive Director who granted entry and was involved in the visit |
| Marisa Zamudio | Memory Care Director | Met with Licensing Program Analyst during the visit and was provided copies of the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 200
Deficiencies: 0
Sep 19, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were not supervising residents, resulting in resident-on-resident incidents.
Findings
The investigation included review of incident reports, resident records, staff and resident interviews, and facility observations. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation was found to be unsubstantiated.
Complaint Details
The complaint alleged that staff were not supervising residents, resulting in resident-on-resident incidents. The investigation included review of Unusual Incident Reports, resident documentation, interviews with residents and staff, and observations. One resident confirmed the allegation while five denied it. Staff confirmed inappropriate behavior by one resident and the presence of a 24-hour personal companion. The allegation was ultimately unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 200
Resident census: 142
Incident date: May 5, 2025
Incident report submission date: May 6, 2025
Personal companion start date: May 6, 2025
Care plan update date: May 13, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Tonya Reynolds | Executive Director | Facility administrator involved in the investigation |
| Marisa Zamudio | Memory Care Director | Facility staff member involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 200
Deficiencies: 0
Sep 19, 2025
Visit Reason
An unannounced complaint investigation was conducted following an allegation that a resident sustained unexplained injuries while in care.
Findings
The investigation included review of resident records, interviews with staff, residents, and witnesses, and examination of incident documentation. Despite some witnesses confirming the allegation, there was insufficient evidence to substantiate the claim, and the allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that Resident #1 sustained unexplained injuries while in care. The investigation involved interviews with five witnesses (three confirmed, two denied the allegation), four residents (all confirmed quality care), and six staff members (all denied the allegation). The resident had a swollen right hand and scratches under both eyes reported on July 28, 2025. Medical assessments and hospital visits were conducted. The resident moved out on August 5, 2025. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 200
Census: 142
Date complaint received: 8132025
Date of incident: 7282025
Number of witnesses interviewed: 5
Number of residents interviewed: 4
Number of staff interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Tonya Reynolds | Executive Director | Facility representative met during investigation and exit interview |
| Marisa Zamudio | Memory Care Director | Met with Licensing Program Analyst during investigation |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 137
Capacity: 200
Deficiencies: 0
Jul 29, 2025
Visit Reason
An unannounced Case Management visit was conducted to follow-up on Unusual Incident Reports received regarding Resident #1's multiple falls and subsequent hospitalizations.
Findings
The facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations with no deficiencies cited during this visit. Resident #1 had multiple falls resulting in injuries, but the facility had taken appropriate actions including hiring a private caregiver and initiating hospice services.
Report Facts
Capacity: 200
Census: 137
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marisa Hernandez | Memory Care Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 137
Capacity: 200
Deficiencies: 0
Jun 30, 2025
Visit Reason
An unannounced annual required evaluation inspection was conducted to assess compliance with licensing requirements.
Findings
The facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations with no deficiencies cited. The inspection included physical plant checks, medication storage review, staff training records, and resident interviews.
Report Facts
Fire clearance capacity: 173
Hospice waiver capacity: 20
Hot water temperature range: 110.8-118.9
Staff training records reviewed: 6
Resident records reviewed: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with Licensing Program Analysts during inspection and participated in exit interview |
| Samer Haddadin | Licensing Program Analyst | Conducted the inspection visit |
| Rose Ruppert | Licensing Program Analyst | Conducted the inspection visit and signed the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 200
Deficiencies: 0
May 28, 2025
Visit Reason
An unannounced visit was conducted regarding an incident involving inappropriate behavior between two residents that occurred on May 23, 2025.
Findings
The facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations, with no deficiencies cited during this visit.
Complaint Details
The incident was unwitnessed; one resident verbally reported the event to the Memory Care Director the following day, and a report was submitted to the Licensing Regional Office on May 24, 2025.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marisa Hernandez | Memory Care Director | Met with Licensing Program Analyst during the visit and involved in incident reporting and exit interview. |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
Inspection Report
Complaint Investigation
Census: 141
Capacity: 200
Deficiencies: 0
May 9, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that a resident was left on the floor for an extended period of time after an unwitnessed fall, attributed to lack of supervision.
Findings
The investigation included staff interviews, facility tour, and medical record review. The allegation was found to be unsubstantiated as evidence showed the resident was found within 15 to 20 minutes after a family visit ended, and medical evaluation showed no acute injury. No deficiencies were cited.
Complaint Details
The complaint alleged that due to lack of supervision, a resident was left on the floor for an extended period following an unwitnessed fall. The allegation was investigated through interviews, medical record review, and facility observation and was found to be unsubstantiated.
Report Facts
Capacity: 200
Census: 141
Time elapsed: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samer Haddadin | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Tonya Reynolds | Executive Director | Facility administrator informed of the visit and participated in exit interview |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Follow-Up
Census: 94
Capacity: 200
Deficiencies: 0
Oct 4, 2024
Visit Reason
The visit was an unannounced case management follow-up regarding a Death Report and Incident Report received by the licensing office on October 4, 2024.
Findings
The Licensing Program Analyst reviewed Resident #1's identification, physician's report, needs and services plan, progress notes, and staffing schedule related to the incident. Discussions were held with the Health Services Director regarding the incident and its chronology.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ashley Lee | Business Office Director | Met with during the inspection and participated in the exit interview. |
| Lizette Flores | Health Services Director | Spoke regarding the incident and the chronological order of events. |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Annual Inspection
Census: 151
Capacity: 200
Deficiencies: 0
Jul 31, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of the Capriana facility.
Findings
The facility was found to be clean, organized, and compliant with all regulatory requirements. No deficiencies were cited during this visit after reviewing resident and staff files, inspecting rooms, and verifying safety equipment and emergency procedures.
Report Facts
Resident files reviewed: 10
Staff files reviewed: 7
Facility capacity: 200
Current census: 151
Non-ambulatory capacity: 173
Bedridden capacity: 10
Hospice waiver capacity: 20
Hot water temperature range: 105.0 to 116.6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with Licensing Program Analyst during inspection and involved in facility tour |
| Joseph Alejandre | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Census: 155
Capacity: 200
Deficiencies: 0
Feb 8, 2023
Visit Reason
Licensing Program Analyst Lydia Martinez visited the facility to conduct a Pre-Licensing evaluation as the facility is undergoing a Change of Ownership and applying for a Residential Care For the Elderly (RCFE) license.
Findings
The Pre-Licensing evaluation found the facility to be in compliance with no deficiencies. All elements verified by the Licensing Program Analyst appear to meet regulatory requirements, and the facility is ready to be licensed pending final review and approval.
Report Facts
Residents in care: 155
Total licensed capacity: 200
Fire clearance capacity: 183
Resident units in main building: 79
Capacity of dementia unit: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Administrator | Facility Administrator met during the Pre-Licensing evaluation |
| Lydia Martinez | Licensing Program Analyst | Conducted the Pre-Licensing evaluation |
| Armando J Lucero | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 150
Capacity: 200
Deficiencies: 0
Jan 13, 2023
Visit Reason
The visit was an office evaluation related to a Change of Ownership application for the facility.
Findings
The applicant and administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Administrator | Participated in COMP II interview and confirmed understanding of regulations. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on report. |
| Bethany Hunter | Licensing Program Analyst | Conducted COMP II interview and confirmed understanding of regulations. |
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