Inspection Reports for
Capriana
460 La Floresta Dr, Brea, CA 92823, United States, CA, 92823
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
69% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 138
Capacity: 200
Deficiencies: 0
Date: Jan 30, 2026
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff did not ensure a resident was hydrated or assisted with feeding.
Complaint Details
The complaint alleged staff failed to ensure resident hydration and feeding assistance. Interviews with staff, residents, and a witness were conducted. The resident's medical records and care plans were reviewed. The allegations were found unsubstantiated.
Findings
Based on record review, observations, and interviews, the allegations that staff did not ensure resident hydration and feeding assistance were unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 200
Census: 138
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with Licensing Program Analyst during investigation and participated in exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation visit |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 143
Capacity: 200
Deficiencies: 0
Date: Jan 26, 2026
Visit Reason
An unannounced Case Management visit was conducted to follow-up on an Unusual Incident Report received on January 24, 2026, regarding a resident's fall incident.
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.
Report Facts
Resident medical assessment dates: Last two medical assessments dated November 18, 2025 and January 31, 2023
Incident date: Resident fall occurred on January 21, 2026 at approximately 5:30am
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with Licensing Program Analyst during the visit and involved in exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Alisa Ortiz | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 145
Capacity: 200
Deficiencies: 0
Date: Jan 6, 2026
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff were not ensuring accurate information on resident's physician's orders for medication.
Complaint Details
The complaint alleging inaccurate information on resident's physician's medication orders was investigated and found to be unfounded.
Findings
The investigation found that the medication record discrepancy was due to the use of an outside pharmacy and the in-house pharmacy's medication input process. Staff and witness interviews confirmed the licensee was complying with regulations. The allegation was determined to be unfounded.
Report Facts
Capacity: 200
Census: 145
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met during investigation and exit interview |
| Lizette Flores | Health Services Director | Met during investigation and exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 200
Deficiencies: 0
Date: Dec 17, 2025
Visit Reason
An unannounced complaint investigation was conducted following an allegation that staff neglected a resident and left them in the room.
Complaint Details
The complaint alleged that staff neglected Resident #1 by leaving them in the room during carpet cleaning with an industrial fan and strong odors present. Interviews with residents, witnesses, and staff, as well as review of work orders and safety data sheets, were conducted. The allegation was found unsubstantiated.
Findings
The investigation found the allegation unsubstantiated based on record review, observations, and interviews. Staff were observed to have checked on the resident multiple times, provided a blanket when the resident appeared cold, and used an industrial fan to dry the carpet. There was insufficient evidence to prove the alleged neglect occurred.
Report Facts
Capacity: 200
Census: 142
Visit start time: 14
Visit end time: 15.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 200
Deficiencies: 0
Date: Dec 17, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including inappropriate staff interactions with a resident, medication mismanagement, unauthorized access to a resident's cellphone, and failure to report resident incidents.
Complaint Details
The complaint investigation was triggered by allegations that staff engaged in inappropriate interactions with a resident, mismanaged medication, accessed a resident's cellphone without authorization, and failed to report resident incidents. Interviews with residents, staff, and witnesses, as well as record reviews, led to the conclusion that these allegations were unsubstantiated.
Findings
Based on observations, record reviews, and interviews, all allegations were found to be unsubstantiated due to lack of sufficient evidence. Some witnesses confirmed unauthorized cellphone access, but overall evidence did not prove violations occurred.
Report Facts
Capacity: 200
Census: 142
Number of residents interviewed: 6
Number of staff interviewed: 6
Number of witnesses interviewed: 5
Date of staff in-service training: May 29, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation visit |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Capacity: 200
Deficiencies: 1
Date: Oct 3, 2025
Visit Reason
A Case Management - Deficiency visit was conducted following a Special Incident Report regarding an elopement incident where a resident (R1) was missing from the facility and later found off premises by law enforcement.
Findings
The facility failed to ensure adequate care and supervision when R1 was unaccounted for from approximately 6:40 p.m. to 7:15 p.m. on 9/26/2025, posing an immediate health and safety risk. Deficiencies were cited under Title 22, Division 6 of the California Code of Regulations, and immediate civil penalties were assessed.
Deficiencies (1)
Failure to ensure required care and supervision when R1 was unaccounted for from approximately 6:40 p.m. to 7:15 p.m. on 9/26/2025 and was later located off premises by law enforcement, posing an immediate health and safety risk.
Report Facts
Capacity: 200
Deficiency POC Due Date: Oct 6, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Named in relation to granting entry into the facility during the inspection |
| Marisa Zamudio | Memory Care Director | Met with Licensing Program Analyst during the visit and received copies of the report |
| Samer Haddadin | Licensing Program Analyst | Conducted the Case Management - Deficiency visit and authored the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Capacity: 200
Deficiencies: 1
Date: 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.
Deficiencies (1)
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.
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
Date: Sep 19, 2025
Visit Reason
An unannounced complaint investigation was conducted due to allegations that staff were not supervising residents, resulting in resident-on-resident incidents.
Complaint Details
The complaint alleged inadequate staff supervision leading to resident-on-resident incidents. The investigation found no preponderance of evidence to prove the violation occurred, resulting in an unsubstantiated finding.
Findings
The investigation included review of incident reports, resident records, staff and resident interviews, and facility observations. Although the allegation may have occurred, there was insufficient evidence to substantiate the claim, and the complaint was determined to be unsubstantiated.
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
Individualized Service Plan update date: May 13, 2025
Number of residents interviewed: 6
Number of staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation |
| Tonya Reynolds | Executive Director | Facility administrator involved in investigation |
| Marisa Zamudio | Memory Care Director | Facility staff involved in investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 200
Deficiencies: 0
Date: Sep 19, 2025
Visit Reason
An unannounced complaint investigation was conducted following an allegation that a resident sustained unexplained injuries while in care.
Complaint Details
The complaint alleged that Resident #1 sustained unexplained injuries while in care. The resident had a swollen right hand and scratches under both eyes reported on July 28, 2025. Despite some witnesses confirming the allegation, the investigation found no preponderance of evidence to prove the violation occurred. The resident moved out on August 5, 2025.
Findings
The investigation included review of documentation, interviews with staff, residents, and witnesses, and a facility internal investigation. Although some witnesses confirmed the allegation, there was insufficient evidence to substantiate the claim. The allegation was determined to be unsubstantiated.
Report Facts
Facility capacity: 200
Resident census: 142
Number of witnesses interviewed: 5
Number of residents interviewed: 4
Number of staff interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the complaint investigation |
| Marisa Zamudio | Memory Care Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 142
Capacity: 200
Deficiencies: 0
Date: 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.
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.
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.
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
Date: Sep 19, 2025
Visit Reason
An unannounced complaint investigation was conducted following an allegation that a resident sustained unexplained injuries while in care.
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.
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.
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
Census: 137
Capacity: 200
Deficiencies: 0
Date: Jul 29, 2025
Visit Reason
An unannounced Case Management visit was conducted to follow-up on Unusual Incident Reports received by the Regional Office concerning Resident #1's multiple falls and change in condition.
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 experienced several falls resulting in injuries and subsequent hospice care, but the facility's care and documentation were appropriate.
Report Facts
Facility capacity: 200
Census: 137
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisa Hernandez | Memory Care Director | Met with Licensing Program Analyst during the 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 the report |
Inspection Report
Follow-Up
Census: 137
Capacity: 200
Deficiencies: 0
Date: 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
Date: Jun 30, 2025
Visit Reason
An unannounced annual required evaluation inspection was conducted to assess compliance with licensing requirements for the facility.
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 drill date: Jun 3, 2025
Hot water temperature range: 110.8 to 118.9
Fire extinguisher service date: Mar 27, 2025
Smoke and carbon monoxide detector test date: Mar 1, 2025
Staff training records reviewed: 6
Resident records reviewed: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Executive Director | Met with LPAs during inspection and participated in exit interview |
Inspection Report
Annual Inspection
Census: 137
Capacity: 200
Deficiencies: 0
Date: 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
Date: 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.
Complaint Details
The visit was triggered by a complaint about an unwitnessed incident of inappropriate behavior between two residents. A report was submitted to the Licensing Regional Office on May 24, 2025.
Findings
Based on observations during the visit, the facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations, with no deficiencies cited on this date.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Marisa Hernandez | Memory Care Director | Met with during the inspection and involved in discussing the incident. |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced visit and inspection. |
| Tonya Reynolds | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 200
Deficiencies: 0
Date: 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.
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.
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.
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
Date: 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.
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 found to be unsubstantiated based on staff interviews, medical record reviews, and discharge paperwork from UCI Medical Center.
Findings
The investigation found that the resident was discovered on the floor approximately 15 to 20 minutes after a family visit ended, with no evidence of lack of supervision. Medical records and staff interviews supported that the allegation was unsubstantiated. No deficiencies were cited during the visit.
Report Facts
Capacity: 200
Census: 141
Time elapsed after visitation: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Samer Haddadin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Tonya Reynolds | Executive Director | Facility administrator informed of the visit and participated in exit interview |
Inspection Report
Complaint Investigation
Census: 141
Capacity: 200
Deficiencies: 0
Date: 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.
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.
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.
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
Date: Oct 4, 2024
Visit Reason
The visit was an unannounced case management follow-up regarding a Death Report received by the licensing office.
Findings
The Licensing Program Analyst reviewed Resident #1's identification and medical documentation and spoke with the Health Services Director about the incident. An exit interview was conducted with the Business Office Director and a copy of the report was provided.
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 | Spoken with regarding the incident and chronological order of events. |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Follow-Up
Census: 94
Capacity: 200
Deficiencies: 0
Date: 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
Date: 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 regulations. No deficiencies were cited. Safety features such as fire extinguishers, emergency evacuation chairs, and delayed egress doors were operational. Resident and staff files were reviewed with no discrepancies observed.
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
Rooms inspected: 10
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 |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection |
| Sheila Santos | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 151
Capacity: 200
Deficiencies: 0
Date: 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
Date: 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 facility was toured including the main building, individual homes, and a dementia care unit. All safety and regulatory requirements were met, including fire safety, emergency call systems, and secure windows. The facility has no deficiencies and is ready to be licensed pending final review and approval.
Report Facts
Fire Clearance capacity: 183
Resident units in main building: 79
Capacity of dementia care unit: 55
Community designed capacity: 140
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Reynolds | Administrator | Facility Administrator present during the visit and involved in Component III completion |
| Lydia Martinez | Licensing Program Analyst | Conducted the Pre-Licensing evaluation |
| Armando J Lucero | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Original Licensing
Census: 155
Capacity: 200
Deficiencies: 0
Date: 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
Date: Jan 13, 2023
Visit Reason
The visit was conducted as an office evaluation related to a Change of Ownership application for the facility.
Findings
The applicant/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 | Applicant/administrator who participated in the COMP II interview. |
| Bethany Hunter | Licensing Evaluator | Evaluator who conducted the licensing evaluation. |
| Jude De La Concepcion | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Census: 150
Capacity: 200
Deficiencies: 0
Date: 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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