Inspection Reports for
Crescent Landing at Garden Grove Memory Care
11848 Valley View Street, Garden Grove, CA 92845, CA, 92845
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
74% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 53
Capacity: 72
Deficiencies: 3
Date: Sep 26, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations including failure to safeguard resident's belongings, failure to respond to call system, inadequate care and supervision, and other resident care concerns.
Complaint Details
Complaint investigation was substantiated for failure to safeguard resident belongings and failure to respond to call system. Other allegations such as failure to report medical condition changes, inadequate assistance with meals, socializing instead of providing care, improper laundry, lack of staff training, lack of supervision, failure to address hygiene and incontinence needs, failure to assist with phone calls, hydration issues, and inadequate care and supervision were unsubstantiated. An allegation regarding bedridden residents developing bed sores was unfounded.
Findings
The investigation substantiated some allegations such as failure to safeguard resident's personal belongings and failure to respond to the emergency call system, posing health and safety risks. Other allegations related to resident care, assistance with meals, personal hygiene, and supervision were found unsubstantiated or unfounded based on staff interviews, observations, and documentation review.
Deficiencies (3)
Failed to ensure residents were provided care and supervision; emergency cord pulled with no response posing immediate health and safety risk.
Facility not clean, safe, sanitary, and in good repair; emergency call button not working properly posing potential health and safety risk.
Failed to ensure resident's personal rights were met; resident's clothing items missing occasionally and private toiletries sporadically used.
Report Facts
Capacity: 72
Census: 53
Deficiencies cited: 3
Plan of Correction Due Dates: Type A deficiency due 2025-09-27; Type B deficiencies due 2025-10-10
Average emergency response time: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Kyle Coleman | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 53
Capacity: 72
Deficiencies: 1
Date: Jun 18, 2025
Visit Reason
The visit was an unannounced Annual Required inspection conducted by Licensing Program Analyst Kimberly Lyman to evaluate compliance with licensing requirements at Ivy Terrace at Garden Grove.
Findings
The facility was found to be clean, safe, and sanitary with no health or safety concerns observed. However, a deficiency was cited for failure to maintain proof of required annual staff training in personnel records for three out of three staff files reviewed.
Deficiencies (1)
Licensees shall maintain in the personnel records verification of required staff training and orientation. Three out of three staff files did not contain proof of required annual training.
Report Facts
Capacity: 72
Census: 53
Hospice waiver capacity: 12
Hospice residents: 6
Staff files without proof of training: 3
POC Due Date: Jul 2, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kyle Coleman | Administrator | Facility administrator present during inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 53
Capacity: 72
Deficiencies: 1
Date: Jun 18, 2025
Visit Reason
The visit was an unannounced annual required inspection to evaluate compliance with licensing requirements at Ivy Terrace at Garden Grove.
Findings
The facility was found to be clean, safe, and sanitary with no health or safety concerns observed. However, a deficiency was cited for failure to maintain proof of required annual staff training in personnel records for three out of three staff files reviewed.
Deficiencies (1)
Licensees shall maintain in the personnel records verification of required staff training and orientation. Three out of three staff files did not contain proof of required annual training.
Report Facts
Capacity: 72
Census: 53
Hospice residents: 6
Hospice waiver capacity: 12
Staff files without proof of training: 3
POC due date: Jul 2, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kyle Coleman | Administrator | Facility administrator present during inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and cited deficiency |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 72
Deficiencies: 1
Date: Apr 23, 2025
Visit Reason
An unannounced case management visit was conducted to follow up on incident reports received by the department regarding a resident who was missing from the facility and a witnessed fall incident.
Complaint Details
The visit was complaint-related, following incident reports dated 04/11/2025 and 04/13/2025 involving Resident 1 who was missing from the facility and had a witnessed fall. The resident has Mild Cognitive Impairment and is not allowed to leave unassisted. The complaint was substantiated by the findings.
Findings
The facility failed to ensure adequate care and supervision as a resident eloped from the facility through an exit gate not normally used by staff, posing an immediate health and safety risk. The resident was found outside the community without injury. A deficiency was cited based on these observations.
Deficiencies (1)
Failure to ensure care and supervision was provided to Resident 1 who eloped out of the facility and was located outside the community, posing an immediate health and safety risk.
Report Facts
Capacity: 72
Census: 51
Plan of Correction Due Date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Kyle Coleman | Administrator/Director | Facility representative met during the inspection |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 72
Deficiencies: 1
Date: Apr 23, 2025
Visit Reason
Unannounced case management visit to follow up on incident reports received by the department regarding a resident eloping from the facility and a witnessed fall.
Complaint Details
Visit was complaint-related following incident reports of Resident 1 missing from the facility on 04/11/2025 and a witnessed fall on 04/13/2025. Resident diagnosed with Mild Cognitive Impairment and not allowed to leave unassisted. Facility investigation confirmed elopement through an exit gate used during construction and not normally used by staff.
Findings
The facility failed to ensure adequate care and supervision as Resident 1 eloped out of the facility through an improperly secured exit gate and was found outside the community. The resident was assessed without injury but this posed an immediate health and safety risk. A deficiency was cited accordingly.
Deficiencies (1)
Licensee failed to ensure care and supervision was provided to Resident 1 who eloped out of the facility and was located outside the community, posing an immediate health and safety risk.
Report Facts
Facility capacity: 72
Resident census: 51
Deficiency count: 1
Elopement duration: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Kyle Coleman | Administrator | Facility representative met during the inspection |
| Alisa Ortiz | Licensing Program Manager | Named in relation to deficiency and plan of correction oversight |
Inspection Report
Annual Inspection
Census: 54
Capacity: 72
Deficiencies: 0
Date: Dec 12, 2024
Visit Reason
The inspection was an unannounced 1-year annual inspection visit conducted to evaluate compliance with licensing requirements at Crescent Landing at Garden Grove Memory Care Facility.
Findings
The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All safety equipment, infection control practices, and resident records reviewed were compliant with regulations, and no citations were issued.
Report Facts
Resident service records reviewed: 5
Resident medication records reviewed: 5
Staff files reviewed: 3
Fire extinguishers: 10
Carbon monoxide detectors: 10
Smoke detectors: 50
Licensed capacity: 72
Current census: 54
Annual Licensing Fee: 1
Policy coverage amount: 1000000
Policy coverage aggregate: 3000000
Policy period start: May 1, 2024
Policy period end: May 1, 2025
PPE supply: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kyle Coleman | Administrator | Met with Licensing Program Analyst during inspection and responsible for facility operations |
| Jose Calderon | Licensing Program Analyst | Conducted the inspection visit and evaluation |
| Ulysses Coronel | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 54
Capacity: 72
Deficiencies: 0
Date: Dec 12, 2024
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements at Crescent Landing at Garden Grove Memory Care Facility.
Findings
The inspection found the facility to be clean, well-maintained, and in compliance with all applicable regulations including Title 22. No deficiencies or citations were issued, and infection control practices were observed to be adequate.
Report Facts
Resident service records reviewed: 5
Resident medication records reviewed: 5
Staff files reviewed: 3
Fire extinguishers: 10
Carbon monoxide detectors: 10
Smoke detectors: 50
Resident bedrooms: 36
Resident bathrooms: 36
Common bathrooms: 6
PPE supply: 30
Commercial General Liability coverage: 1000000
Commercial General Liability coverage: 3000000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Calderon | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Kyle Coleman | Administrator | Facility administrator who met with the Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 72
Deficiencies: 0
Date: Oct 15, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that facility staff were not meeting clients' dietary needs, not properly addressing pest infestation, and not maintaining a comfortable temperature for residents.
Complaint Details
The complaint investigation was initiated based on allegations received on 10/07/2024. After interviews, observations, and record reviews, the allegations were found to be false or without reasonable basis and thus unfounded.
Findings
The investigation found that the resident with a dietary order for double portions was receiving them and had alternative meal choices. The facility temperature was within regulatory limits, and no evidence of pest infestation was observed. The allegations were deemed unfounded.
Report Facts
Facility capacity: 72
Census: 51
Facility temperature: 72
Facility temperature: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
| Darlene Lopez | Administrator | Facility administrator mentioned in report |
| Kyle Coleman | Met with during the investigation |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 72
Deficiencies: 0
Date: Oct 15, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that facility staff were not meeting clients' dietary needs, not properly addressing pest infestation, and not maintaining a comfortable temperature for residents.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or lacked a reasonable basis.
Findings
The investigation found that the resident with a double portion order was receiving it and had meal choices available. The facility temperature was within regulatory limits, and no evidence of pest infestation was observed. The allegations were deemed unfounded based on interviews, observations, and documentation review.
Report Facts
Capacity: 72
Census: 51
Temperature: 72
Temperature: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Darlene Lopez | Administrator | Facility administrator providing information during investigation |
| Kyle Coleman | Met with Licensing Program Analyst during the visit | |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 72
Deficiencies: 0
Date: Sep 17, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not provide transportation to a resident, mishandled resident medications, and that a resident did not receive medication as prescribed.
Complaint Details
The complaint investigation was initiated based on allegations of transportation denial, medication mishandling, and failure to administer prescribed medication. After review of records, interviews, and medication audit, the allegations were found to be unfounded.
Findings
The investigation found that the resident's medications were administered per physician orders and that the facility denied transportation requests unrelated to health appointments. The allegations were deemed unfounded, meaning they were false or without reasonable basis.
Report Facts
Facility capacity: 72
Resident census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 72
Deficiencies: 0
Date: Sep 17, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff did not provide transportation to a resident, mishandled resident medications, and that a resident did not receive medication as prescribed.
Complaint Details
The complaint investigation was initiated based on allegations regarding transportation, medication mishandling, and medication administration. The allegations were found to be unfounded after review of documentation, interviews, and medication audits.
Findings
The investigation found that the resident's medications were administered per physician orders and that the facility denied transportation requests unrelated to health appointments. The allegations were deemed unfounded, meaning they were false or without reasonable basis.
Report Facts
Facility capacity: 72
Census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 72
Deficiencies: 0
Date: Mar 11, 2024
Visit Reason
Unannounced visit to investigate complaints alleging lack of supervision resulting in multiple falls and a hip fracture of a resident.
Complaint Details
The complaint involved allegations of lack of supervision resulting in multiple falls and a hip fracture of resident R1. The investigation reviewed medical records, hospice notes, and facility measures. Resident R1 was identified as a high fall risk and measures such as alarms and low beds were authorized. The resident eventually passed away due to complications unrelated to supervision. The allegations were found unsubstantiated.
Findings
The investigation found that the facility had assessed and addressed the resident's fall risk with vigilance measures and hospice assistance. The allegations were determined to be unsubstantiated due to insufficient evidence to prove or refute the claims.
Report Facts
Facility capacity: 72
Resident census: 45
Complaint receipt date: Dec 12, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Darlene Lopez | Executive Director | Facility administrator met during investigation |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 72
Deficiencies: 0
Date: Mar 11, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to deliver findings related to allegations of lack of supervision resulting in a resident sustaining multiple falls and a hip fracture.
Complaint Details
The complaint involved allegations of lack of supervision resulting in a resident sustaining multiple falls and a hip fracture. The investigation found these allegations unsubstantiated.
Findings
Based on records reviewed, the facility staff had assessed and addressed the resident's fall risk with vigilance measures and hospice professional assistance. The allegations were found to be unsubstantiated due to insufficient evidence to prove or refute the alleged violations.
Report Facts
Facility capacity: 72
Census: 45
Complaint control number: 22-AS-20231212161617
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Darlene Lopez | Executive Director | Facility administrator met during the investigation |
Inspection Report
Original Licensing
Census: 43
Capacity: 72
Deficiencies: 2
Date: Jan 10, 2023
Visit Reason
Licensing Program Analyst Kimberly Lyman made an announced visit to conduct a pre-licensing inspection for Crescent Landing at Garden Grove Memory Care facility.
Findings
The facility was observed to have adequate structure, common areas, resident rooms, bathrooms, emergency supplies, and medication storage. Minor deficiencies were noted including the 'Let Us No' poster not being regulation size and the absence of a posted menu. The facility is ready to be licensed.
Deficiencies (2)
"Let Us No" poster is not regulation size; please post 20" X 26".
Facility does not have a menu posted; please post menu.
Report Facts
Capacity: 72
Census: 43
Approved residents: 38
Approved residents: 34
Water temperature range: 112.6
Water temperature range: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jesus Soto Flores | Executive Director | Met with Licensing Program Analyst during pre-licensing inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Alisa Ortiz | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Original Licensing
Census: 43
Capacity: 72
Deficiencies: 2
Date: Jan 10, 2023
Visit Reason
Licensing Program Analyst Kimberly Lyman made an announced visit to conduct a pre-licensing inspection for Crescent Landing at Garden Grove Memory Care facility.
Findings
The facility was toured and observed to have adequate structure, common areas, resident rooms, bathrooms, emergency supplies, and medication storage. Minor issues noted included a non-regulation size 'Let Us No' poster and absence of a posted menu. The facility is ready to be licensed.
Deficiencies (2)
The 'Let Us No' poster is not regulation size; please post 20" X 26".
Facility does not have a menu posted; please post menu.
Report Facts
Capacity: 72
Census: 43
Fire Clearance Approval: 38
Fire Clearance Approval: 34
Water Temperature: 112.6
Water Temperature: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jesus Soto Flores | Executive Director | Met with Licensing Program Analyst during pre-licensing inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on report |
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