Inspection Reports for
Fullerton Villa
2441 W. ORANGETHORPE AVE., FULLERTON, CA, 92833
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
85% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 168
Capacity: 197
Deficiencies: 0
Date: Feb 18, 2026
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff administered medication to a resident without proper consent.
Complaint Details
The complaint alleged that staff administered medication to Resident #1 without proper consent. The investigation concluded the allegation was unfounded based on review of records and staff interview.
Findings
The investigation found that the facility administered medication to the resident in accordance with prescribed orders and there was no requirement to obtain consent from the resident's responsible party. The complaint was determined to be unfounded.
Report Facts
Capacity: 197
Census: 168
Estimated Days of Completion: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jae Wan Rim | Administrator | Present and assisted during the complaint investigation visit |
| Brandon Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Sheila Santos | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 197
Deficiencies: 0
Date: Dec 12, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations including lack of care and supervision resulting in resident decline, failure to notify responsible party of resident's condition change, denial of resident's right to reject medical care, failure to provide three meals a day, and failure to provide basic hygiene items.
Complaint Details
The complaint investigation was triggered by multiple allegations regarding resident care and rights. After interviews, record reviews, and observations, the allegations were found to be unsubstantiated and unfounded.
Findings
The investigation found that the allegations were unsubstantiated and deemed unfounded. Interviews with residents and staff, record reviews, and observations indicated that residents' needs were being met, including meals, medication management, hygiene, and care. The facility provided hygiene supplies and assisted residents as needed.
Report Facts
Facility Capacity: 197
Resident Weight Loss: 14
Resident Weight Records: 94
Resident Weight Records: 80
Resident Weight Records: 85.7
Meal Consumption: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jae Wan Rim | Administrator | Facility administrator involved in observations and interviews |
| Alisa Ortiz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 164
Capacity: 197
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
The inspection was conducted as a Case Management - Incident visit following a self-reported Death Report for Resident #1 received by the Orange County Regional Office.
Complaint Details
The visit was triggered by a complaint related to a self-reported Death Report for Resident #1. The complaint is currently under further investigation with no substantiation or deficiencies cited at this time.
Findings
The facility was observed to be clear of any hazards with no health or safety concerns noted. Due to insufficient information, further investigation is required and no deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jae Wan Rim | Administrator | Present and assisted during the inspection; involved in exit interview. |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection visit. |
| Sheila Santos | Licensing Program Manager | Named in report header. |
Inspection Report
Complaint Investigation
Capacity: 197
Deficiencies: 0
Date: Oct 23, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations including failure to issue a refund after a resident moved out, failure to provide a healthful environment resulting in hospitalization, and insufficient staff to ensure adequate care and supervision.
Complaint Details
The complaint investigation addressed three allegations: failure to issue a refund after a resident moved out, failure to provide a healthful environment resulting in hospitalization, and insufficient staffing to ensure adequate care and supervision. The first two allegations were deemed unfounded, and the third was unsubstantiated.
Findings
The investigation found the allegation regarding failure to issue a refund was unfounded based on the admission agreement and notice requirements. The allegation of failure to provide a healthful environment was also unfounded as the facility was observed to be clean and residents reported their needs were met. The allegation of insufficient staff was unsubstantiated due to adequate staffing levels and immediate response to call buttons.
Report Facts
Total Capacity: 197
Staffing Levels: 10
Staffing Levels: 8
Staffing Levels: 3
Med Techs: 2
Nursing Staff: 2
Additional Care Givers: 5
Deep Cleaning: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the complaint investigation |
| Darlene Lindley | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 152
Capacity: 197
Deficiencies: 0
Date: Sep 23, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not responding to residents' calls and not providing assistance to a resident when brushing teeth.
Complaint Details
The complaint involved allegations that staff did not respond to residents' calls and failed to assist a resident with brushing teeth. Interviews with residents and staff indicated that residents generally received assistance, and staff helped with brushing teeth without forcing residents. The allegations were deemed unsubstantiated.
Findings
The investigation included interviews with residents and staff, a facility tour, and file review. The allegations were found to be unsubstantiated due to lack of sufficient evidence to prove or refute the claims.
Report Facts
Facility Capacity: 197
Resident Census: 152
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Martinez | Licensing Program Analyst | Conducted the complaint investigation |
| Jae Wan Rim | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Follow-Up
Census: 153
Capacity: 197
Deficiencies: 0
Date: Sep 12, 2025
Visit Reason
The visit was an unannounced Case Management follow-up inspection triggered by a self-reported Unusual Incident/Injury Report regarding a resident's unwitnessed fall and hospitalization.
Findings
No deficiencies were cited during the inspection based on the information gathered. The Licensing Program Analyst conducted a tour, reviewed documents, and interviewed staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jae Wan Rim | Administrator | Present and assisted during the inspection. |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection and staff interview. |
| Sheila Santos | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 152
Capacity: 197
Deficiencies: 0
Date: Aug 29, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to assess compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The environment, safety systems, medication storage, and resident files were all observed to meet required standards.
Report Facts
Hospice waiver capacity: 25
Fire extinguisher service date: Dec 19, 2024
Most recent fire inspection date: Aug 19, 2025
Last emergency disaster drill date: Jul 28, 2025
Hot water temperature range: 106.8-116
Resident files reviewed: 15
Staff files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jae Wan Rim | Administrator | Administrator present during inspection and assisted Licensing Program Analyst |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 167
Capacity: 197
Deficiencies: 1
Date: Sep 20, 2024
Visit Reason
Licensing Program Analyst Lydia Martinez conducted an unannounced Required - 1 Year inspection to evaluate compliance with regulatory standards at Fullerton Villa facility.
Findings
The facility was found to be operating within capacity with residents observed to be clean, content, and well cared for. The facility was clean, in good repair, and maintained safety features including fire inspection compliance. However, a deficiency was cited for pre-pouring medication more than 24 hours in advance, posing a health and safety risk.
Deficiencies (1)
CCR 87465(h)(5) requires each resident's medication to be stored in its originally received container. Medication was pre-poured from original containers more than 24 hours in advance (3 days), posing an immediate health and safety risk.
Report Facts
Residents' medication pre-poured duration: 3
Resident files reviewed: 16
Staff files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jae Wan Rim | Administrator | Met with Licensing Program Analyst during inspection and named in medication deficiency finding. |
| Lydia Martinez | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Lourdes Montoya | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Census: 172
Capacity: 197
Deficiencies: 0
Date: Aug 21, 2024
Visit Reason
The visit was conducted as a Case Management evaluation in conjunction with a complaint visit to conduct a Health and Safety evaluation.
Findings
Residents appeared safe with no imminent health and safety hazards observed. The facility was clean, well-maintained, and food supply was adequate. No deficiencies were issued during this visit, only an advisory note.
Inspection Report
Complaint Investigation
Census: 172
Capacity: 197
Deficiencies: 0
Date: Feb 15, 2024
Visit Reason
The visit was an unannounced 10-day follow-up inspection related to complaint control #22-AS-20240207092654.
Complaint Details
The visit was conducted as a follow-up on a complaint. The Assistant Administrator acknowledged understanding of reporting requirements and informed the licensing agency during the visit.
Findings
An open ceiling with a trash bin placed due to a leaking ceiling was observed in the Activity room. The issue was identified as a plumbing problem, and the maintenance director is working on repairs.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jae-Wan Rim | Assistant Administrator | Met during inspection and verified issue with leaking ceiling. |
Inspection Report
Follow-Up
Census: 172
Capacity: 197
Deficiencies: 1
Date: Feb 12, 2024
Visit Reason
An unannounced case management inspection was conducted to follow up on an incident report regarding a resident elopement from the facility.
Complaint Details
The visit was triggered by an incident report received on 02/05/2024 regarding a resident elopement on 02/03/2024. The complaint was substantiated as staff did not adequately supervise the resident.
Findings
The facility failed to adequately supervise a resident with dementia and wandering behavior, resulting in the resident leaving the facility unsupervised. A deficiency was cited for failure to assume responsibility for the resident's care and supervision.
Deficiencies (1)
HSC 1569.2(c): The facility did not assume responsibility for a resident's wandering behavior, resulting in elopement and posing an immediate safety risk to persons in care.
Report Facts
Census: 172
Total Capacity: 197
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jae Wan Rim | Assistant Administrator | Interviewed during the inspection and provided information about the resident supervision and plan of correction. |
| Claudia Gutierrez | Licensing Program Analyst | Conducted the unannounced case management inspection and authored the report. |
Inspection Report
Complaint Investigation
Census: 173
Capacity: 197
Deficiencies: 0
Date: Dec 13, 2023
Visit Reason
The visit was an unannounced complaint investigation to determine if the facility was not following a resident's admission agreement regarding a parking fee.
Complaint Details
The complaint alleged the facility was not following the resident's admission agreement related to a parking fee. The complaint was investigated and found to be unfounded.
Findings
The investigation found that the parking fee was waived as per the facility's letter and confirmed by resident and staff statements. The allegation that the facility did not follow the resident's admission agreement was deemed unfounded.
Report Facts
Capacity: 197
Census: 173
Parking fee amount: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Cho | Licensing Program Analyst | Conducted the complaint investigation |
| Darlene Lindley | Administrator | Facility administrator involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 174
Capacity: 197
Deficiencies: 0
Date: Dec 12, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not prevent the spread of scabies.
Complaint Details
The complaint alleged that the facility did not prevent the spread of scabies. The investigation included interviews with staff and residents and a review of treatment and isolation procedures. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
Interviews with staff and residents confirmed that residents had scabies and were treated promptly with prescribed cream, isolated, and rooms sanitized. The investigation found insufficient evidence to substantiate the allegation; therefore, the complaint was deemed unsubstantiated.
Report Facts
Capacity: 197
Census: 174
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation |
| Darlene Lindley | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 174
Capacity: 197
Deficiencies: 1
Date: Dec 12, 2023
Visit Reason
The visit was a case management inspection conducted as a follow-up to information discovered during the investigation of complaint control #22-AS-20200814090028 regarding a scabies outbreak in 2020.
Complaint Details
The visit was triggered by a complaint investigation into complaint control #22-AS-20200814090028. The scabies outbreak was substantiated based on staff and resident interviews and review of incident reports.
Findings
The facility had an outbreak of scabies in 2020 which was confirmed by staff and a resident. The outbreak was not reported to the Department as required, resulting in deficiencies being cited.
Deficiencies (1)
CCR 87211(a)(2) requires reporting epidemic outbreaks within 24 hours to the licensing agency. The facility failed to report the 2020 scabies outbreak as required.
Report Facts
Census: 174
Total Capacity: 197
Plan of Correction Due Date: Dec 19, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Darlene Lindley | Administrator | Named in relation to the deficiency and plan of correction |
| Jerome Haley | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Luz Adams | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 174
Capacity: 197
Deficiencies: 0
Date: Dec 11, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2020-10-06 regarding alleged resident injuries from a fall and staff threatening eviction.
Complaint Details
The complaint involved allegations that a resident sustained injuries from a fall and that staff threatened the resident with eviction. The investigation was unable to substantiate these allegations.
Findings
The investigation found that the resident had a history of falls and dementia, with no evidence to substantiate the allegations of injury or eviction threats. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 197
Census: 174
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Darlene Lindley | Facility Administrator | Met during investigation and mentioned in findings |
| Jae Rim | Assistant Administrator | Met during investigation and mentioned in findings and exit interview |
| Celine De Perio | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 174
Capacity: 197
Deficiencies: 0
Date: Dec 11, 2023
Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that staff were not giving a resident PRN medication.
Complaint Details
The complaint alleged staff were not giving a resident PRN medication. The allegation was investigated and deemed unfounded based on facility records and interviews.
Findings
The investigation found that the allegation was unfounded. Facility records showed the resident was prescribed PRN medications but orders were received to hold the medication. The resident no longer resides at the facility and could not be reached for interview.
Report Facts
Capacity: 197
Census: 174
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Darlene Lindley | Administrator | Facility administrator met with the evaluator during the investigation |
Inspection Report
Complaint Investigation
Census: 181
Capacity: 197
Deficiencies: 2
Date: Oct 18, 2023
Visit Reason
The visit was an unannounced complaint investigation initiated due to multiple allegations concerning resident care and staff actions at Fullerton Villa.
Complaint Details
The complaint investigation was triggered by allegations including neglect causing a fracture, unmet laundry needs, failure to safeguard clothing, failure to feed and properly dress the resident, and failure to notify the authorized representative and seek medical attention. Most allegations were unsubstantiated except for the failure to notify the authorized representative timely and failure to seek medical attention, which were substantiated.
Findings
The investigation found most allegations unsubstantiated due to insufficient evidence, except for two allegations related to failure to notify the resident's authorized representative of a fracture in a timely manner and failure to seek medical attention promptly, which were substantiated.
Deficiencies (2)
CCR 87705(b)(1) Care of Persons with Dementia: The facility failed to notify the resident’s authorized representative of the fracture within a timely manner, notifying them nine days after receiving the x-ray results.
CCR 87446 Observation of the Resident: The facility failed to seek medical attention in a timely manner after discovering the x-ray results nine days later, posing immediate health, safety, and personal rights risks.
Report Facts
Capacity: 197
Census: 181
Weight loss: 10
Days delay: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Darlene Lindley | Administrator | Met during investigation and named in findings |
| Jessica Cho | Licensing Program Analyst | Conducted complaint investigation |
| Kimberly Lyman | Licensing Program Analyst | Initiated complaint investigation |
| Staff #1 | Responsible for processing medical records; failed to see x-ray results timely |
Inspection Report
Census: 174
Capacity: 197
Deficiencies: 0
Date: Nov 14, 2022
Visit Reason
The visit was an unannounced case management visit to deliver an amended version of a prior Complaint Investigation Report and to obtain updated documentation regarding staff association and hospice admission agreements.
Findings
The amended report clarified allegations and removed unrelated items. Staff association statuses were updated and verified, and missing hospice admission agreements for residents were provided and completed.
Inspection Report
Complaint Investigation
Census: 167
Capacity: 197
Deficiencies: 1
Date: Oct 28, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that the facility charged residents in excess and accepted residents for hospice care who did not meet eligibility for a hospice care plan.
Complaint Details
The complaint investigation was triggered by allegations that the facility charged residents in excess and accepted residents for hospice care who did not meet eligibility. Both allegations were found to be unfounded.
Findings
The investigation found the allegations to be unfounded. Records showed admission agreements and rates consistent with approved rates, and hospice records met eligibility criteria except one missing plan of care, for which a Technical Advisory was issued.
Deficiencies (1)
Hospice records for one resident were missing the required plan of care. A Technical Advisory was issued to the licensee regarding this issue.
Report Facts
Capacity: 197
Census: 167
Residents in Assisted Living Waiver Program: 84
Residents on hospice care: 13
Authorized hospice capacity: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation |
| Darlene Lindley | Administrator | Facility administrator who met with the Licensing Program Analyst |
Inspection Report
Census: 167
Capacity: 197
Deficiencies: 0
Date: Oct 28, 2022
Visit Reason
The visit was an unannounced case management inspection conducted by a Licensing Program Analyst to review facility compliance and staff background clearance.
Findings
All staff were found to be background cleared except for two staff members whose association status in Guardian needs updating. A Technical Advisory regarding this requirement was issued during the visit.
Inspection Report
Annual Inspection
Census: 163
Capacity: 197
Deficiencies: 0
Date: Sep 30, 2022
Visit Reason
The visit was an unannounced Required 1 Year inspection focusing primarily on Infection Control at the Fullerton Villa facility.
Findings
No deficiencies were cited during this inspection. The facility met regulatory requirements including infection control, safety equipment, emergency preparedness, and medication security. Advisory notes were issued for minor issues such as updating emergency plans and cleaning bathrooms.
Report Facts
Hospice residents: 11
Resident bedrooms inspected: 20
Hot water temperature range: 100
Hot water temperature range: 122.5
Fire extinguisher inspection date: Dec 1, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Cho | Licensing Program Analyst | Conducted the inspection and authored the report |
| Darlene Lindley | Administrator | Facility administrator present during inspection |
| Rodrigo Bartolome | Maintenance Staff | Conducted monthly inspection of safety equipment |
Inspection Report
Complaint Investigation
Census: 124
Capacity: 197
Deficiencies: 0
Date: Jul 7, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were not meeting resident needs resulting in a resident being hospitalized.
Complaint Details
Allegation was that staff were not meeting resident needs resulting in hospitalization. The allegation was found to be unfounded based on interviews and medical record review.
Findings
The investigation found no corroboration that the resident was admitted to the hospital due to being malnourished or dehydrated. The allegation was deemed unfounded after review of medical records, interviews, and documentation.
Report Facts
Capacity: 197
Census: 124
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lydia Martinez | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Darlene Lindley | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 123
Capacity: 197
Deficiencies: 0
Date: Jun 2, 2021
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation of lack of supervision resulting in a resident threatening another resident.
Complaint Details
The complaint alleged lack of supervision resulting in a resident threatening another resident. The allegation was investigated and found to be unfounded.
Findings
The investigation found that staff responded appropriately by relocating the resident who threatened another resident, and no further incidents occurred. The allegation was deemed unfounded as it was false or without reasonable basis.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Darlene Lindley | Administrator | Named in investigation findings and exit interview. |
| Lydia Martinez | Licensing Program Analyst | Conducted the complaint investigation. |
Inspection Report
Complaint Investigation
Census: 121
Capacity: 197
Deficiencies: 0
Date: Apr 28, 2021
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation of unlawful eviction received on 2020-07-06.
Complaint Details
The complaint alleged unlawful eviction. The investigation included interviews with staff, a resident, and a witness, and review of the facility's COVID-19 Shelter in Place Policy and resident's physician report. The allegation was found to be unfounded and the complaint was dismissed.
Findings
The investigation found that the facility did not issue an eviction notice to the resident. The allegation of unlawful eviction was deemed unfounded based on interviews and document review.
Report Facts
Capacity: 197
Census: 121
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lydia Martinez | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Darlene Lindley | Administrator | Facility administrator involved in the investigation and interview |
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