Inspection Reports for
Huntington Terrace North Senior Apartments

18700 Florida St, Huntington Beach, CA 92648, CA, 92648

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 1.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2020
2021
2022
2023
2024
2025
2026

Occupancy

Latest occupancy rate 94% occupied

Based on a December 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

63% 72% 81% 90% 99% 108% Nov 2020 Jun 2022 Apr 2024 Jul 2025 Aug 2025 Nov 2025 Dec 2025

Inspection Report

Complaint Investigation
Capacity: 185 Deficiencies: 0 Date: Jan 9, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility did not allow resident visitation.

Complaint Details
The complaint alleged that the facility did not allow resident visitation. The allegation was investigated and found unsubstantiated due to conflicting evidence and lack of preponderance of proof.
Findings
The investigation found conflicting information regarding the allegation. Interviews with residents and staff did not conclusively prove or refute the claim that visitation was denied. Therefore, the allegation was deemed unsubstantiated and no citations were issued.

Report Facts
Facility capacity: 185

Employees mentioned
NameTitleContext
Alvaro Ramirez Jr.Licensing Program AnalystConducted the complaint investigation visit
Timarie BreslinBusiness Office ManagerMet with the Licensing Program Analyst during the investigation
Mike MarionAdministratorFacility administrator named in the report
Sheila SantosSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Capacity: 185 Deficiencies: 0 Date: Jan 9, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility did not allow resident visitation.

Complaint Details
The complaint alleged that the facility did not allow resident visitation. The allegation was investigated and found unsubstantiated due to conflicting information and lack of evidence to prove or refute the claim.
Findings
The investigation found conflicting information regarding the allegation. Interviews with residents and staff revealed no clear evidence that visitation was denied. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 185

Employees mentioned
NameTitleContext
Alvaro Ramirez Jr.Licensing Program AnalystConducted the complaint investigation visit
Timarie BreslinBusiness Office ManagerMet with the Licensing Program Analyst during the investigation
Mike MarionAdministratorFacility administrator named in the report
Sheila SantosSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Dec 22, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on July 29, 2024, regarding a bed bug infestation and vermin presence at the facility.

Complaint Details
The complaint alleged that the facility had a bed bug infestation and was not maintained free of vermin. The investigation was unsubstantiated due to conflicting information and lack of evidence to prove or refute the allegations.
Findings
The investigation found conflicting information with no preponderance of evidence to substantiate the allegations of bed bug infestation or vermin presence. Interviews with residents and staff, as well as pest control service records, did not confirm the allegations. No citations were issued.

Report Facts
Capacity: 185 Census: 173

Employees mentioned
NameTitleContext
Alvaro Ramirez Jr.Licensing Program AnalystConducted the complaint investigation and unannounced visit
Timarie BreslinBusiness Office ManagerMet with the Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Dec 22, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on July 29, 2024, regarding a bed bug infestation and vermin presence at the facility.

Complaint Details
The complaint alleged bed bug infestation and failure to maintain the facility free of vermin. The investigation included interviews with residents and staff, review of pest control service summaries, and facility tours. The complaint was unsubstantiated.
Findings
The investigation found conflicting information from interviews and pest control reports, with no evidence of bed bug infestation or vermin observed during visits. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 185 Census: 173

Employees mentioned
NameTitleContext
Alvaro Ramirez Jr.Licensing Program AnalystConducted the complaint investigation visit and delivered findings
Timarie BreslinBusiness Office ManagerMet with the Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Dec 2, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on July 31, 2024, alleging that staff threatened to evict a resident and that a resident's signature was forged on a document.

Complaint Details
The complaint involved two allegations: 1) Staff threatened to evict a resident in care, which was deemed unsubstantiated; 2) Resident's signature was forged on a document, which was deemed unfounded. The investigation included interviews with residents, staff, and witnesses, and review of multiple documents. The Registered Nurse involved was a third-party contractor. The resident's Level of Care changes were documented without forged signatures.
Findings
The investigation found the allegation that staff threatened to evict a resident to be unsubstantiated due to lack of preponderance of evidence, and the allegation that a resident's signature was forged was deemed unfounded after review of records and interviews.

Report Facts
Capacity: 185 Census: 173

Employees mentioned
NameTitleContext
Jessica ChoLicensing Program AnalystConducted the complaint investigation
Gregory CaseAdministratorFacility administrator mentioned in report
Mike MarionExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Timarie MorrisseyBusiness Office ManagerMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Dec 2, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on July 31, 2024, alleging that staff threatened to evict a resident and that a resident's signature was forged on a document.

Complaint Details
The complaint involved two allegations: 1) Staff threatened to evict a resident in care, which was deemed unsubstantiated as the RN explained eviction could result from policy violations but did not issue threats. 2) Resident's signature was forged on a document, which was found unfounded as records showed no forged signatures and the resident refused to sign updated assessments.
Findings
The investigation found the allegation that staff threatened to evict a resident to be unsubstantiated due to lack of preponderance of evidence, and the allegation that a resident's signature was forged was deemed unfounded after review of records and interviews.

Report Facts
Capacity: 185 Census: 173

Employees mentioned
NameTitleContext
Jessica ChoLicensing Program AnalystConducted the complaint investigation
Mike MarionExecutive DirectorMet with during the investigation and exit interview
Timarie MorrisseyBusiness Office ManagerMet with during the investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 1 Date: Dec 2, 2025

Visit Reason
An unannounced visit was conducted by Licensing Program Analyst Jessica Cho for the purpose of issuing a deficiency related to a complaint investigation control number 22-AS-20240731232601.

Complaint Details
The visit was complaint-related under control number 22-AS-20240731232601. The complaint was substantiated as the facility changed Resident #1's level of care without their consent, posing a potential risk to health, safety, and personal rights.
Findings
The investigation revealed that the facility failed to enable Resident #1 to make informed decisions regarding their level of care, providing care levels that the resident had not consented to, resulting in a cited deficiency.

Deficiencies (1)
Failure to enable Resident #1 to make informed decisions and choices regarding their level of care, providing care without resident consent.
Report Facts
Deficiencies cited: 1 Census: 173 Total Capacity: 185

Employees mentioned
NameTitleContext
Mike MarionExecutive DirectorMet with Licensing Program Analyst during inspection and exit interview
Jessica ChoLicensing Program AnalystConducted the unannounced complaint investigation visit
Lourdes MontoyaLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Nov 24, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2022-01-05 concerning roaches in resident rooms, patio moisture issues, lack of driver and van, communication difficulties with the Administrator, and problematic smoke alarms.

Complaint Details
The complaint investigation was unannounced and based on multiple allegations including roaches in rooms, patio moisture, lack of driver and van, communication issues with Administrator, and problematic smoke alarms. All allegations were deemed unsubstantiated after interviews, observations, and record reviews.
Findings
The investigation found no preponderance of evidence to substantiate any of the allegations. Roach issues were reported by some residents but pest control records showed regular treatment. Patio moisture was attributed to rain. The facility had a driver and van available. Communication difficulties with the Administrator and smoke alarm problems were not substantiated based on interviews and records.

Report Facts
Capacity: 185 Census: 173 Staff interviewed: 5 Residents interviewed: 10 Pest control invoices: 35 Staff interviewed: 6 Residents interviewed: 10 Mileage log visits: 8 Days without driver: 2 Staff interviewed: 5 Residents interviewed: 10 Staff interviewed: 5 Residents interviewed: 10

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and authored the report
Timarie MorriseyBusiness Office ManagerFacility representative met during investigation and exit interview
Gregory CaseAdministratorNamed in communication difficulty allegation and record review
Lourdes MontoyaSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Nov 24, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2022-01-05 regarding roaches in residents' rooms, patio moisture issues, lack of driver and van, communication difficulties with the Administrator, and problematic smoke alarms.

Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Jenifer Tirre. The allegations included roaches in residents' rooms, patio moisture accumulation, absence of driver and van for over a year, difficulty communicating with the Administrator, and problematic smoke alarms. Each allegation was investigated through interviews, observations, and record reviews and all were found unsubstantiated.
Findings
The investigation included staff and resident interviews, record reviews, and observations. All allegations were deemed unsubstantiated due to lack of preponderance of evidence, with pest control records showing regular treatment, no ongoing patio water issues beyond rain, transportation and driver availability confirmed, mixed but mostly positive communication feedback about the Administrator, and no problematic smoke alarm issues observed.

Report Facts
Capacity: 185 Census: 173 Staff interviewed: 5 Residents interviewed: 10 Pest control service dates: 34 Transportation log visits: 8 Transportation log no driver days: 2 Staff interviewed regarding driver: 6 Residents interviewed regarding driver: 10 Staff interviewed regarding Administrator communication: 5 Residents interviewed regarding Administrator communication: 10 Staff interviewed regarding smoke alarms: 5 Residents interviewed regarding smoke alarms: 10

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation
Timarie MorriseyBusiness Office ManagerMet with Licensing Program Analyst during investigation and exit interview
Gregory CaseAdministratorSubject of communication difficulty allegation; had a Team Member Action Plan dated 3/25/2022 and separated from facility on 5/3/2022
Lourdes MontoyaSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 1 Date: Nov 24, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/30/2021 regarding lack of care and supervision, failure to assess resident for change in condition, failure to provide timely medical attention, and failure to develop a fall prevention plan.

Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Jenifer Tirre. The complaint control number is 22-AS-20210730142004. The allegations included lack of care and supervision, failure to assess resident for change in condition, failure to provide timely medical attention, and failure to develop a fall prevention plan. The first three allegations were unsubstantiated, and the last was substantiated.
Findings
The investigation found the allegations of lack of care and supervision, failure to assess resident for change in condition, and failure to provide timely medical attention to be unsubstantiated due to insufficient evidence. However, the allegation that the facility failed to develop a fall prevention plan was substantiated, with evidence showing the resident had a history of falls and no updated care plan was provided after incidents.

Deficiencies (1)
Facility failed in providing a Needs and Service Care Plan for Resident 1 along with fall prevention plan, posing a potential health and safety risk to residents in care.
Report Facts
Team members: 111 Caregivers: 25 Medication Technicians: 12 Deficiency due date: 2025

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and unannounced visit
Timarie MorriseyBusiness Office ManagerMet with Licensing Program Analyst during investigation and exit interview
Gregory CaseAdministratorFacility administrator named in report
Lourdes MontoyaSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Nov 18, 2025

Visit Reason
The inspection visit was an unannounced complaint investigation triggered by allegations received on 01/15/2021 concerning resident care level, unauthorized camera placement, and administrator behavior.

Complaint Details
The complaint investigation addressed three allegations: 1) Resident requires a higher level of care, 2) Responsible party placed a camera in resident's room, and 3) Administrator is rude to residents and staff. All allegations were investigated through interviews, record reviews, and observations and were found unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate the allegations that a resident required a higher level of care, that a responsible party placed a camera in a resident's room, and that the administrator was rude to residents and staff. All allegations were deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 185 Census: 173

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and unannounced visit
Mike MarionExecutive DirectorMet with during the investigation and exit interview

Inspection Report

Complaint Investigation
Census: 173 Capacity: 185 Deficiencies: 0 Date: Nov 18, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 01/15/2021 concerning a resident requiring a higher level of care, a responsible party placing a camera in a resident's room, and the administrator being rude to residents and staff.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included a resident needing a higher level of care, a responsible party placing a camera in a resident's room without proper waivers or signage, and the administrator being rude to residents and staff. Interviews and record reviews did not provide sufficient evidence to prove any violations occurred.
Findings
The investigation included interviews and record reviews and found insufficient evidence to substantiate any of the allegations. All three allegations—resident requiring higher level of care, unauthorized camera placement, and administrator rudeness—were deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 185 Census: 173 Complaint received date: Jan 15, 2021

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and unannounced visit
Mike MarionExecutive DirectorFacility representative met during investigation and exit interview
Linda HilesAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 172 Capacity: 185 Deficiencies: 0 Date: Oct 22, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained a fall while in care.

Complaint Details
The complaint alleged that a resident sustained a fall while in care. The investigation found conflicting witness statements and record reviews, including a witnessed fall caused by seizure and subsequent hospital transport. The allegation was unsubstantiated due to insufficient evidence.
Findings
The investigation included interviews and record reviews and revealed conflicting reports regarding the resident's fall. Due to lack of preponderance of evidence, the allegation was deemed unsubstantiated.

Report Facts
Capacity: 185 Census: 172

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and made the unannounced visit
Mike MarionFacility representative met during the investigation and exit interview
Gregory CaseAdministratorFacility administrator named in the report
Lourdes MontoyaLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 170 Capacity: 185 Deficiencies: 0 Date: Oct 3, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-08-12 regarding facility repair issues, staff verbal harassment of a resident, and safety concerns for residents.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included facility not in good repair, staff verbally harassing a resident, and unsafe environment for residents. Interviews with residents, staff, and administrators, as well as observations, did not provide sufficient evidence to substantiate the allegations.
Findings
The investigation found no substantiated evidence for the allegations. The facility was found to be in good repair with no water leaks or door malfunctions, no staff verbal harassment was witnessed or reported by residents or staff, and the facility was deemed to provide a safe environment with properly functioning doors and no unauthorized entries.

Report Facts
Residents interviewed: 7 Staff interviewed: 5 Residents reporting no issues: 6 Residents reporting issues: 1

Employees mentioned
NameTitleContext
Joseph AlejandreLicensing Program AnalystConducted the complaint investigation and unannounced visit
Mike MarionAdministratorMet with Licensing Program Analyst during investigation and provided statements
Sheila SantosSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 170 Capacity: 185 Deficiencies: 0 Date: Oct 3, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-08-12 regarding facility repair issues, staff verbal harassment of a resident, and safety concerns for residents.

Complaint Details
The complaint investigation addressed three allegations: 1) Facility not in good repair, including issues with an exit door, laundry room leak, and torn carpet; 2) Staff verbally harassing a resident; 3) Facility not providing a safe environment due to an allegedly unsecured door allowing unauthorized entry. All allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found all allegations unsubstantiated based on interviews and observations. The facility was found to be in good repair with no water leaks or door malfunctions, no evidence of staff verbally harassing residents, and no proof that the facility failed to provide a safe environment.

Report Facts
Residents interviewed: 7 Staff interviewed: 5 Capacity: 185 Census: 170

Employees mentioned
NameTitleContext
Joseph AlejandreLicensing Program AnalystConducted the complaint investigation and unannounced visit
Mike MarionAdministratorFacility administrator interviewed during the investigation
Sheila SantosSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Complaint Investigation
Census: 170 Capacity: 185 Deficiencies: 0 Date: Oct 3, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation of unlawful eviction received on 2025-07-22.

Complaint Details
The complaint alleged unlawful eviction. The investigation found the eviction notice lawful but later rescinded by the facility. Resident 1 is no longer required to leave. The allegation was deemed unfounded.
Findings
The investigation found that the facility served Resident 1 an eviction notice for violating the Admission Agreement. The eviction notice was lawful and contained all required information. The facility later rescinded the eviction notice and informed Resident 1, who acknowledged the rescission. The allegation of unlawful eviction was deemed unfounded.

Report Facts
Capacity: 185 Census: 170 Dates of eviction incidents: Incidents occurred on June 25, 2025 and July 1, 2025

Employees mentioned
NameTitleContext
Joseph AlejandreLicensing Program AnalystConducted the complaint investigation and delivered findings
Mike MarionExecutive DirectorMet with Licensing Program Analyst during the investigation
Gregory CaseAdministratorVerified incidents related to eviction notice
Sheila SantosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 167 Capacity: 185 Deficiencies: 2 Date: Aug 28, 2025

Visit Reason
The inspection was an unannounced case management visit conducted during the investigation of complaint #22-AS-20250722122317 regarding a resident (R2) coughing and hacking in the dining room disturbing others and incidents of resident yelling not reported to the Agency.

Complaint Details
The complaint investigation revealed that R2 was coughing and hacking in the dining room since January 2025, disturbing other residents. The resident council reported this issue multiple times to the Executive Director, who took no action. Two incidents of resident yelling on June 25, 2025 and July 8, 2025 were verified but not reported to the Agency, violating reporting regulations.
Findings
The facility failed to address the issue of R2 coughing and hacking in the dining room, violating the personal rights of other residents. Additionally, two incidents involving a resident yelling at another resident and a staff member were verified but not reported to the Agency, violating reporting requirements.

Deficiencies (2)
Failure to provide safe, healthful and comfortable accommodations, furnishings and equipment as evidenced by the facility not addressing the issue of R2 coughing and hacking disturbing other residents.
Failure to report incidents involving resident yelling that threatened the welfare, safety or health of residents to the licensing agency.
Report Facts
Residents reporting issue: 8 Staff reporting issue: 5 Incidents verified: 2 Residents interviewed: 8 Staff interviewed: 5

Employees mentioned
NameTitleContext
Mike MarionExecutive DirectorMet during inspection and verified incidents and reports
Joseph AlejandreLicensing Program AnalystConducted the unannounced case management visit and investigation
Sheila SantosLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 167 Capacity: 185 Deficiencies: 2 Date: Aug 28, 2025

Visit Reason
The inspection was an unannounced case management visit conducted to investigate complaint #22-AS-20250722122317 regarding a resident (R2) coughing and hacking in the dining room disturbing other residents, and incidents involving a resident yelling at another resident and a staff member that were not reported to the Agency.

Complaint Details
The complaint investigation substantiated that Resident R2 was coughing and hacking in the dining room since January 2025, disturbing other residents. It was also substantiated that two incidents of resident yelling occurred on June 25 and July 8, 2025, which were not reported to the Agency as required.
Findings
The facility failed to address the issue of R2 coughing and hacking in the dining room, violating the personal rights of other residents. Additionally, two incidents of resident yelling were verified but not reported to the Agency, posing potential health, safety, and personal rights risks.

Deficiencies (2)
Failure to provide safe, healthful and comfortable accommodations, furnishings and equipment as evidenced by the facility not addressing R2 coughing and hacking during mealtimes disturbing other residents since January 2025.
Failure to report incidents involving resident yelling on June 25, 2025 and July 8, 2025 to the licensing agency, posing a potential health, safety and personal rights risk to residents.
Report Facts
Residents reporting issue: 8 Staff reporting issue: 5 Incidents not reported: 2 Plan of Correction Due Date: 1 Plan of Correction Due Date: 10

Employees mentioned
NameTitleContext
Mike MarionExecutive DirectorMet with Licensing Program Analyst and verified reports of resident coughing and incidents
Joseph AlejandreLicensing Program AnalystConducted unannounced case management visit and investigation
Sheila SantosLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection

Inspection Report

Census: 167 Capacity: 185 Deficiencies: 0 Date: Aug 26, 2025

Visit Reason
An unannounced visit was conducted by Licensing Program Analyst Michael Tea to perform a health and safety check and to follow up on a death report for Resident 1 dated August 20, 2025.

Findings
The Licensing Program Analyst toured the facility, conducted a health and safety check on all residents, and observed no health and safety issues. Pertinent resident documentation was reviewed and a questionable death report was completed.

Employees mentioned
NameTitleContext
Michael TeaLicensing Program AnalystConducted the unannounced health and safety visit and follow-up on death report.
Mike MarionExecutive DirectorMet with Licensing Program Analyst during the visit and participated in exit interview.

Inspection Report

Annual Inspection
Census: 166 Capacity: 185 Deficiencies: 0 Date: Jul 21, 2025

Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements.

Findings
The facility was found to be in compliance with all applicable regulations, with no deficiencies cited. The environment was safe, well-maintained, and residents' files were complete.

Report Facts
Fire extinguishers checked: 11 Hot water temperature range: 113.8 Hot water temperature range: 115.5 Ambulatory residents licensed: 30 Non-ambulatory residents licensed: 155 Bedridden residents licensed: 15 Hospice waiver residents: 30 Emergency drill date: Jun 25, 2025

Employees mentioned
NameTitleContext
Samer HaddadinLicensing Program AnalystConducted the inspection and authored the report.
Mike MarionExecutive DirectorFacility representative who met with the Licensing Program Analyst during the inspection.

Inspection Report

Complaint Investigation
Census: 166 Capacity: 185 Deficiencies: 0 Date: Jul 14, 2025

Visit Reason
The visit was conducted to deliver amended complaint investigation findings related to Complaint Control No 22-AS-20250703124044 for a complaint investigation visit dated July 8, 2025.

Complaint Details
The visit was related to complaint investigation findings for Complaint Control No 22-AS-20250703124044. The findings were amended and delivered during this unannounced visit.
Findings
The report documents the delivery of amended complaint investigation findings to the facility's Executive Director. An exit interview was conducted and a copy of the report was provided at the end of the visit.

Employees mentioned
NameTitleContext
Mike MarionExecutive DirectorMet with during the visit and involved in the exit interview and delivery of complaint investigation findings.
Eboni BentleyLicensing Program AnalystArrived at the facility to deliver amended complaint investigation findings.
Jessica ChoLicensing Program AnalystArrived at the facility to deliver amended complaint investigation findings.

Inspection Report

Complaint Investigation
Census: 166 Capacity: 185 Deficiencies: 0 Date: Jul 8, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not providing adequate food service to residents.

Complaint Details
The complaint alleged that staff were not providing adequate food service to residents. The investigation found no evidence to substantiate this allegation, and it was deemed unsubstantiated.
Findings
Based on observations of meal service, interviews with residents and staff, review of menus, and a kitchen tour, the investigation found that residents were provided with adequate, nutritious meals with alternative options available. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Resident count during inspection: 166 Facility capacity: 185 Number of residents interviewed: 16 Number of staff interviewed: 3

Employees mentioned
NameTitleContext
Eboni BentleyLicensing Program AnalystConducted the complaint investigation
Jessica ChoLicensing Program AnalystAssisted in conducting the complaint investigation
Mike MarionExecutive DirectorMet with investigators during the inspection and exit interview
TiMarie MorrisseyBusiness Office ManagerMet with investigators during the inspection and exit interview
Kathy OfeguedeDining SupervisorProvided kitchen tour during the investigation

Inspection Report

Annual Inspection
Census: 165 Capacity: 185 Deficiencies: 0 Date: Feb 24, 2025

Visit Reason
The inspection was an unannounced required annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.

Findings
The facility was found to be in compliance with no deficiencies noted. Observations included proper infection control practices, adequate food and emergency supplies, operational safety equipment, and complete resident and staff files.

Report Facts
Fire extinguishers observed: 10 Hospice residents present: 12 Residents reviewed: 17 Staff files reviewed: 10

Employees mentioned
NameTitleContext
Mike MarionAdministrator / Executive DirectorPresent during inspection and exit interview
Jenifer TirreLicensing Program AnalystConducted the inspection
Edward KimLicensing Program AnalystConducted the inspection
Susan PetersonDirector of SalesAccompanied LPAs during physical plant tour

Inspection Report

Census: 160 Capacity: 185 Deficiencies: 0 Date: Oct 1, 2024

Visit Reason
The visit was an unannounced case management visit to discuss a self-reported incident sent to the Orange County Adult and Senior Care Regional Office on September 30, 2024, and to gather related information and documents.

Findings
No deficiencies were observed during the visit. The Licensing Program Analyst conducted interviews and reviewed records related to the incident involving Resident 1.

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the unannounced case management visit and interviews related to the incident.
Timarie MorrisseyBusiness Office ManagerMet with Licensing Program Analyst to discuss the incident and provide records.

Inspection Report

Complaint Investigation
Census: 166 Capacity: 185 Deficiencies: 0 Date: Aug 26, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations including staff speaking inappropriately towards a resident, non-compliance with infection control practices, and staff behavior preventing a resident from sleeping.

Complaint Details
The complaint investigation was unsubstantiated as there was insufficient evidence to prove or refute the allegations regarding staff behavior, infection control compliance, and disturbance preventing resident sleep.
Findings
The investigation found no substantiated evidence to support the allegations. Interviews with residents and staff, record reviews, and observations indicated that the allegations could not be proven or refuted, resulting in an unsubstantiated determination.

Report Facts
Residents tested positive for COVID-19: 15 Total census: 166 Total capacity: 185 Percentage threshold for outbreak: 20

Employees mentioned
NameTitleContext
Ruth MartinezLicensing Program AnalystConducted the complaint investigation and authored the report
Armando J LuceroLicensing Program ManagerOversaw the complaint investigation
Gregory CaseAdministratorFacility administrator named in the report
Timarie MorrisseyBusiness Office ManagerMet with Licensing Program Analyst during investigation
Morgan WareExecutive Director SpecialistMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 154 Capacity: 185 Deficiencies: 0 Date: Apr 26, 2024

Visit Reason
Unannounced visit to investigate a complaint alleging that staff does not ensure reporting requirements are met for residents in care.

Complaint Details
Complaint was unsubstantiated; investigation found no sufficient evidence to prove the alleged violations occurred.
Findings
The investigation included record reviews and staff interviews, revealing that the facility uses multiple methods to communicate changes in residents' conditions and incidents, including a messaging program and end-of-day reports. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 185 Census: 154

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and unannounced visit
Zehra SyedExecutive DirectorMet with Licensing Program Analyst during investigation
Gregory CaseAdministratorNamed as facility administrator
Luz AdamsLicensing Program ManagerOversaw licensing program related to the investigation

Inspection Report

Complaint Investigation
Census: 146 Capacity: 185 Deficiencies: 0 Date: Dec 13, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2020-12-16 regarding staff failing to meet residents' needs, untimely response to resident calls, insufficient staffing, improper medication dispensing, and personal rights violations.

Complaint Details
The complaint involved multiple allegations including failure to meet resident needs, delayed response to calls, insufficient staffing, medication dispensing issues, and personal rights violations. Interviews with residents and staff revealed mixed perceptions, and documentation review showed no conclusive evidence to support the allegations. The complaint was ultimately unsubstantiated.
Findings
The investigation included interviews with residents and staff and review of documentation. Conflicting reports were found, and although some allegations may have occurred, there was no preponderance of evidence to substantiate the claims. Therefore, all allegations were deemed unsubstantiated.

Report Facts
Resident daily status checks: 12 Facility capacity: 185 Resident census: 146 Staff response time: 10 Staff response time range: 15

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and authored the report
Zehra SyedAdministratorMet with Licensing Program Analyst to discuss findings
Linda HilesAdministratorNamed as facility administrator in report header
Luz AdamsLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Capacity: 185 Deficiencies: 0 Date: Oct 27, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not seek medical attention for a resident in a timely manner and did not ensure the resident's dietary needs were met.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to seek timely medical attention and failure to meet dietary needs for Resident 1 (R1). The investigation included interviews with staff, residents, witnesses, and review of documentation. Despite some concerns, evidence did not prove violations occurred.
Findings
The investigation found that although the resident was hospitalized with a stroke and dehydration and required special dietary needs, staff were communicating with the resident's approved doctor and following physician orders. It was unclear if timely services were sought, and the resident's refusal to eat complicated assessment of dietary needs. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 185

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and inspection
Zehra SyedAdministratorMet with Licensing Program Analyst during the investigation

Inspection Report

Complaint Investigation
Census: 146 Capacity: 185 Deficiencies: 1 Date: Jul 11, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to an allegation that staff denied a hospice visit for a resident.

Complaint Details
The complaint was substantiated. The allegation was that staff denied hospice visit for a resident. The investigation confirmed the denial occurred initially but was later resolved after intervention by the resident's doctor.
Findings
The investigation found that on 3/5/22, a hospice nurse's attempted visit was initially denied due to verification of visitation rights amid a pending lawsuit. However, records show the hospice nurse and resident's doctor did visit on that day, and the hospice made an initial visit three days later. The allegation was substantiated as the facility failed to honor the resident's choice of hospice agency, posing an immediate health and safety risk.

Deficiencies (1)
Facility failed resident's choice of hospice company was denied access, violating residents' rights to select their own healthcare providers.
Report Facts
Census: 146 Total Capacity: 185 Plan of Correction Due Date: Jul 12, 2023 Hospice Nurse Visit Duration (minutes): 95 Doctor Visit Duration (hours): 2

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and authored the report
Luz AdamsLicensing Program ManagerOversaw the complaint investigation and signed the report
Gregory CaseAdministratorFormer Administrator interviewed regarding the incident
Natasha O'SullivanBusiness Office ManagerMet with investigators during the visit
Alysia NoriegaDirector of WellnessMet with investigators during the visit

Inspection Report

Complaint Investigation
Census: 146 Capacity: 185 Deficiencies: 0 Date: Jul 11, 2023

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility failed to provide records to an attorney.

Complaint Details
The complaint alleged the facility failed to provide records to a family attorney. The investigation revealed the facility did submit the requested documents, and the allegation was unsubstantiated.
Findings
The investigation found that the facility did receive the records request and sent the requested documents to the law firm, which confirmed receipt. Therefore, the allegation was deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 185 Census: 146

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation
Luz AdamsLicensing Program ManagerOversaw the complaint investigation
Gregory CaseAdministratorConfirmed facility sent records during investigation
Natasha O'SullivanBusiness DirectorMet with investigators during the visit
Alysia NoriegaHealth Services DirectorMet with investigators during the visit

Inspection Report

Annual Inspection
Census: 143 Capacity: 185 Deficiencies: 0 Date: Jul 26, 2022

Visit Reason
Licensing Program Analyst Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit.

Findings
The facility was toured and observed to be in compliance with department regulations including proper COVID signage, operating smoke detectors, fire extinguishers, emergency supplies, and secured medication storage. No deficiencies were noted during the visit.

Report Facts
Units: 155 Fire extinguishers observed: 16 Resident medication files reviewed: 5 Medication supply days: 30 Resident files reviewed: 5

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the unannounced annual inspection visit
Zehra SyedAdministratorMet with Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 139 Capacity: 185 Deficiencies: 0 Date: Jun 15, 2022

Visit Reason
The Licensing Program Analyst made an unannounced visit to serve an Amended Report from a complaint investigation with control number 22-AS-20210602084614.

Complaint Details
Visit was related to serving an Amended Report from complaint investigation Control number 22-AS-20210602084614.
Findings
The Amended Report from the complaint investigation was served to the facility, and an exit interview was conducted with the Administrator. A copy of the report was left with the facility.

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the unannounced visit and served the Amended Report.
Zehra SyedAdministratorMet with Licensing Program Analyst during the visit and participated in exit interview.

Inspection Report

Complaint Investigation
Census: 137 Capacity: 185 Deficiencies: 1 Date: Apr 5, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2021-06-02 alleging that residents were forced to eat in their rooms.

Complaint Details
The complaint alleging residents were forced to eat in their rooms was substantiated based on the preponderance of evidence. The investigation found that on May 27, 2021, residents were instructed to eat in their rooms due to the dining room being reserved for a public event.
Findings
The investigation substantiated the allegation that on May 27, 2021, residents were instructed to eat in their rooms due to the dining room being reserved for a public Commence Mixer event. This was found to violate residents' personal rights under California Code of Regulations.

Deficiencies (1)
Facility closed dining hall to residents for marketing function, posing a potential personal rights risk to persons in care.
Report Facts
Capacity: 185 Census: 137 Deficiency count: 1 Plan of Correction Due Date: Apr 6, 2022

Employees mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the unannounced complaint investigation visit
Gregory CaseAdministratorFacility administrator involved in investigation and exit interview
Norman WoodridgeLicensing Program AnalystConducted an earlier unannounced visit related to the complaint
Alisa OrtizLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 139 Capacity: 185 Deficiencies: 0 Date: Mar 17, 2022

Visit Reason
The visit was an unannounced complaint investigation regarding an allegation that the facility was not following the admission agreement, specifically concerning transportation for group outings and recreational outings.

Complaint Details
The complaint alleged that the facility was not following the admission agreement related to transportation for group and recreational outings. The allegation was found unsubstantiated after investigation.
Findings
The investigation reviewed admissions agreements, resident handbook, employment ads, and transportation logs. It was found that transportation was provided as indicated in the logs, though group outings may have been put on hold due to COVID-related staffing issues. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 185 Census: 139

Employees mentioned
NameTitleContext
Ruth MartinezLicensing Program AnalystConducted the complaint investigation and delivered findings
Gregory CaseAdministratorMet with Licensing Program Analyst during the investigation

Inspection Report

Annual Inspection
Census: 132 Capacity: 185 Deficiencies: 0 Date: Jul 23, 2021

Visit Reason
Licensing Program Analyst Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit.

Findings
The facility was found to be in compliance with no deficiencies noted. Observations included proper COVID signage, adequate supplies, current resident files, and functional safety equipment.

Report Facts
Residents medications supply: 30 Residents medications observed: 6

Employees mentioned
NameTitleContext
Gregory CaseAdministratorMet with Licensing Program Analyst during inspection and participated in exit interview.
Jenifer TirreLicensing Program AnalystConducted the unannounced annual inspection visit.

Inspection Report

Complaint Investigation
Census: 155 Capacity: 185 Deficiencies: 2 Date: Nov 4, 2020

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-06-22 regarding multiple allegations including lack of fall prevention, inadequate nail care, unkempt clothing, and unexplained bruising of a resident.

Complaint Details
The complaint investigation was substantiated for allegations related to fall prevention and nail care. The allegation regarding unkempt clothing was unsubstantiated, and the allegation of unexplained bruising was unfounded.
Findings
The investigation substantiated that the facility failed to implement a fall prevention plan and did not provide adequate nail care for a resident, partly due to COVID-19 disruptions. The allegation of unkempt clothing was unsubstantiated, and the allegation of unexplained bruising was unfounded, with bruising explained by a fall and an incident involving another resident.

Deficiencies (2)
Failure to ensure an annual medical assessment and reappraisal for dementia care needs, resulting in no fall prevention plan for resident R1 despite frequent falls.
Failure to develop and implement a plan for incidental medical and dental care, specifically failure to assist resident R1 with nail hygiene.
Report Facts
Number of falls: 9 Facility capacity: 185 Census: 155

Employees mentioned
NameTitleContext
Michelle ReedLicensing Program AnalystConducted the complaint investigation visit.
Linda HilesAdministratorFacility administrator involved in interviews and exit interview.

Report

November 24, 2025

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