Inspection Reports for Columns Care Home
17332 Laurie Ln, Tustin, CA 92780, USA, CA, 92780
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Dec 20, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced visit for the purpose of conducting a required annual inspection.
Findings
The facility appeared clean, safe, and sanitary with all required elements present in residents' rooms. No deficiencies were noted during the inspection, and all safety equipment and documentation were up to date.
Report Facts
Hot water temperature: 106.1
Fire extinguisher last serviced: Oct 9, 2024
Fire drill last conducted: Nov 6, 2024
Administrator certificate expiration: Aug 28, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Catherine HSI | Administrator | Met with Licensing Program Analyst during inspection |
| Samer Haddadin | Licensing Program Analyst | Conducted the inspection |
| Alisa Ortiz | Licensing Program Manager | Named in report |
Inspection Report
Original Licensing
Census: 5
Capacity: 6
Deficiencies: 0
Nov 30, 2023
Visit Reason
The inspection was conducted as a pre-licensing visit to evaluate the facility for initial licensing as a Residential Care Facility for the Elderly (RCFE) with a capacity of 6 residents.
Findings
The facility was found to have appropriate furnishings, safety measures, and operational equipment. Minor maintenance issues such as a slightly rusted exit gate latch were noted but planned to be addressed. Fire clearance was approved, and emergency and safety equipment were operational.
Report Facts
Facility capacity: 6
Census: 5
Hot water temperature: 109.4
Hot water temperature: 107
Food supply duration: 2
Food supply duration: 7
Fire clearance date: May 23, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Hsi | Administrator | Designated Administrator met during the inspection and responsible for facility operations |
| Dwayne Mason Jr. | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Sep 28, 2023
Visit Reason
The visit was an office type, unannounced evaluation conducted via phone call to complete Component II (COMP II) of the licensing process for the facility.
Findings
The applicant and administrator successfully completed COMP II by phone, demonstrating understanding of Title 22 regulations including facility operation, staff qualifications, program policies, grievances, physical plant, and application document requirements. No deficiencies or violations were noted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Hsi | Administrator | Participated in COMP II and confirmed understanding of Title 22 |
| Darla Neeley | Licensing Program Manager | Named as Licensing Program Manager on report |
| Gina Baldwin | Licensing Program Analyst | Named as Licensing Program Analyst and signed report |
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