Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
88% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
63% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Annual Inspection
Census: 76
Capacity: 120
Deficiencies: 0
Date: Nov 25, 2025
Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The physical plant, medication management, fire safety systems, and emergency supplies were all observed to be adequate and well maintained.
Report Facts
Residents receiving hospice care: 4
Residents on medication management: 43
Rooms visited: 9
Medication carts: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Alvarado | Executive Director | Facility administrator present during inspection |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 120
Deficiencies: 0
Date: Jul 17, 2025
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff were not criminally record cleared.
Complaint Details
The complaint alleged that staff were not criminally record cleared. The allegation was investigated and found to be unfounded.
Findings
The investigation found that all 16 staff members observed and reviewed were background cleared and associated with the facility. The allegation was deemed unfounded as there was no evidence supporting it.
Report Facts
Staff observed: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| David Alvarado | Executive Director | Met with Licensing Program Analyst during the investigation |
| Sheila Santos | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 120
Deficiencies: 0
Date: Jul 17, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 07/16/2025 alleging that staff were not criminally record cleared.
Complaint Details
The complaint alleged that staff were not criminally record cleared. The investigation determined the allegation was unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that all 16 staff members present were background cleared and associated with the facility. Interviews and staff roster review confirmed compliance. The allegation was deemed unfounded.
Report Facts
Staff members observed: 16
Staff members interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Alvarado | Executive Director | Met with Licensing Program Analyst and provided information regarding staff background clearance |
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 120
Deficiencies: 0
Date: Apr 9, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not ensure residents' lights worked properly, medications were not properly managed, and residents' rooms were not set up safely.
Complaint Details
The complaint investigation was triggered by allegations regarding lighting, medication management, and room safety. The lighting and medication allegations were found to be unfounded, meaning false or without reasonable basis. The room setup allegation was unsubstantiated, meaning there was no preponderance of evidence to prove the violation occurred.
Findings
All allegations were investigated and determined to be either unfounded or unsubstantiated. The lighting allegation was unfounded as the resident's room had adequate lighting. The medication management allegation was unfounded after review of medication records and staff interviews. The room setup allegation was unsubstantiated due to conflicting information and lack of evidence of a violation.
Report Facts
Capacity: 120
Census: 73
Medication records reviewed: 7
Staff interviewed: 4
Residents interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| David Alvarado | Administrator / Executive Director | Facility administrator met with the Licensing Program Analyst during the investigation |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 120
Deficiencies: 0
Date: Apr 9, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations regarding residents' lighting, medication management, and room safety at the facility.
Complaint Details
The complaint investigation involved three allegations: staff did not ensure residents' light worked properly, staff did not ensure medications were properly managed, and staff were not ensuring residents' rooms were set up safely. All allegations were found to be either unfounded or unsubstantiated based on evidence and interviews.
Findings
All allegations were determined to be either unfounded or unsubstantiated after investigation. The lighting allegation was unfounded as the resident's room had adequate lighting. Medication management was found to be properly handled with no discrepancies in records. The room safety allegation was unsubstantiated due to conflicting reports and lack of evidence of hazards.
Report Facts
Resident medication records reviewed: 7
Staff interviewed: 4
Residents interviewed: 6
Capacity: 120
Census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| David Alvarado | Administrator / Executive Director | Facility representative met during investigation |
| Sheila Santos | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 78
Capacity: 120
Deficiencies: 0
Date: Feb 19, 2025
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to follow up on a report received by the Agency and met with the Health Services Director to explain the reason for the visit.
Findings
The Health Services Director reported compliance with instructions from Orange County Health Care Agency, no issues to report, full staffing, and ample PPE supply. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the unannounced follow-up visit and met with the Health Services Director. |
| David Alvarado | Administrator | Named as facility administrator. |
| Veronika Labastida | Met with Licensing Program Analyst during the visit. |
Inspection Report
Census: 78
Capacity: 120
Deficiencies: 0
Date: Feb 19, 2025
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to follow up on a report received by the Agency and met with the Health Services Director to explain the reason for the visit.
Findings
The Health Services Director reported compliance with instructions from Orange County Health Care Agency, no issues to report, full staffing, and ample PPE supply. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the unannounced visit and met with Health Services Director. |
| David Alvarado | Administrator/Director | Named as facility administrator/director. |
| Veronika Labastida | Met with during the inspection visit. | |
| Sheila Santos | Supervisor | Supervisor named in the report. |
Inspection Report
Annual Inspection
Census: 69
Capacity: 120
Deficiencies: 1
Date: Dec 7, 2024
Visit Reason
The visit was an unannounced annual required inspection conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no discrepancies in medication administration records. However, a deficiency was cited for not having criminal record clearances on file for 4 staff members, posing an immediate risk.
Deficiencies (1)
Failure to have criminal record clearance on file for 4 staff members.
Report Facts
Residents' service files reviewed: 5
Staff personnel files reviewed: 4
Medication Administration Records reviewed: 3
Fire/Disaster Drills last conducted: Oct 22, 2024
Facility Annual Fees overdue since: Nov 30, 2024
Plan of Correction Due Date: Dec 9, 2024
Approved hospice waiver beds: 15
Resident rooms on first floor: 54
Resident rooms on second floor: 43
Non-ambulatory residents allowed: 120
Bed-ridden residents allowed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Alvarado | Executive Director | Met with Licensing Program Analyst during inspection and received report |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 69
Capacity: 120
Deficiencies: 1
Date: Dec 7, 2024
Visit Reason
The visit was an unannounced annual required inspection conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no discrepancies in medication administration records. However, a deficiency was cited for not having criminal record clearances on file for 4 staff members, posing an immediate risk. Facility annual fees were also noted as not current.
Deficiencies (1)
Licensee did not have criminal record clearance on file for 4 staff members, posing an immediate health, safety, or personal rights risk to persons in care.
Report Facts
Residents' service files reviewed: 5
Staff personnel files reviewed: 4
Medication Administration Records reviewed: 3
Fire/Disaster Drills last conducted: Oct 22, 2024
Criminal record clearance missing for staff: 4
Plan of Correction Due Date: Dec 9, 2024
Facility Annual Fees overdue since: Nov 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Alvarado | Executive Director | Met with Licensing Program Analyst during inspection and received report |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 65
Capacity: 120
Deficiencies: 0
Date: Nov 13, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies observed. The kitchen, resident rooms, bathrooms, medication storage, and safety equipment were all inspected and found to meet required standards. Staff files and resident records showed no discrepancies.
Report Facts
Licensed capacity: 120
Current census: 65
Fire drill date: Oct 10, 2024
Fire sprinkler inspection date: Jul 8, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Alvarado | Executive Director/Administrator | Met with Licensing Program Analysts during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection |
| Hanna Gough | Licensing Program Analyst | Conducted the inspection |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 65
Capacity: 120
Deficiencies: 0
Date: Nov 13, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced visit to perform the required annual inspection of the facility.
Findings
The facility was found to be clean, organized, and compliant with all regulatory requirements. No deficiencies were observed during the visit, including in resident rooms, medication storage, staff files, and safety equipment.
Report Facts
Resident rooms: 90
Fire drill date: Oct 10, 2024
Fire sprinkler inspection date: Jul 8, 2024
Hot water temperature range: 107.9-113.9
Administrator certificate expiration: Jan 6, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Alvarado | Executive Director/Administrator | Met with Licensing Program Analysts during the inspection |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Date: Jan 29, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility did not issue a full refund to a prospective resident.
Complaint Details
The complaint alleged that the facility did not issue a full refund. The investigation concluded the allegation was unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that the facility issued a full refund to the prospective resident as per the signed community fee receipt and final account statement, and the allegation was determined to be unfounded.
Report Facts
Community fee payment: 3995
Refund amount: 3995
Capacity: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Patricia Rager | Administrator | Facility Administrator named in the report |
| Peggy | Business Office Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Date: Jan 29, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility did not issue a full refund to a prospective resident.
Complaint Details
The complaint alleged that the facility did not issue a full refund. The allegation was investigated and determined to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that the facility properly refunded the full community fee to the prospective resident as no assessment had been conducted, and the allegation was determined to be unfounded.
Report Facts
Community fee payment: 3995
Capacity: 120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation |
| Patricia Rager | Administrator | Facility administrator named in report header |
| Sheila Santos | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 120
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that facility staff did not safeguard residents' belongings.
Complaint Details
The complaint alleged that facility staff did not safeguard residents' belongings, specifically that Resident 1's belongings were damaged. Resident 1 reported a theft to the Orange County Sheriff, but no report number was provided and no action was taken. Resident 1 declined to have personal property inventoried and has moved out of the facility. The facility is not responsible for belongings not put in their care. The allegation was unsubstantiated.
Findings
The investigation found no evidence to support the allegation that facility staff failed to safeguard residents' belongings. The allegation was deemed unsubstantiated due to lack of evidence.
Report Facts
Capacity: 120
Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| Tammy Ojwang | Executive Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 120
Deficiencies: 0
Date: Jun 1, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that facility staff did not safeguard residents' belongings.
Complaint Details
The complaint alleged that facility staff did not safeguard residents' belongings, specifically that Resident 1's belongings were damaged. Resident 1 could not be interviewed and had moved out. The investigation found no evidence supporting the allegation and it was unsubstantiated.
Findings
The investigation found no evidence to support the allegation that facility staff failed to safeguard residents' belongings. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 120
Census: 48
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| Tammy Ojwang | Executive Director | Met with the evaluator during the investigation |
Inspection Report
Original Licensing
Census: 46
Capacity: 120
Deficiencies: 0
Date: Nov 3, 2022
Visit Reason
The visit was an announced pre-licensing inspection to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE) with a capacity of 120 residents.
Findings
No deficiencies were observed during the visit. The facility meets Title 22 requirements and is ready to be licensed. The fire clearance was approved for the full capacity, and all safety and operational systems were found to be in compliance.
Report Facts
Capacity: 120
Census: 46
Hot water temperature: 119
Food supply duration: 2
Food supply duration: 7
Fire clearance approval date: Sep 6, 2022
Hospice waiver capacity: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Mensah | Executive Director | Met during inspection and involved in facility operations |
| Daniel Lines | Administrator | Met during inspection and involved in facility operations |
| Joseph Alejandre | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Luz Adams | Licensing Program Manager | Named in report as Licensing Program Manager |
| Nathan Bobbitt | Orange County Fire Authority Inspector | Approved fire clearance for the facility |
Inspection Report
Original Licensing
Census: 46
Capacity: 120
Deficiencies: 0
Date: Nov 3, 2022
Visit Reason
The visit was an announced pre-licensing inspection conducted to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE) with a capacity of 120 residents, including hospice waiver for 15.
Findings
No deficiencies were observed during the visit. The facility meets Title 22 requirements, has adequate safety and operational measures in place, and is ready to be licensed. Fire clearance was approved for the full capacity.
Report Facts
Facility capacity: 120
Current census: 46
Hot water temperature: 119
Hospice waiver capacity: 15
Food supply duration: 2
Food supply duration: 7
Fire clearance date: Sep 6, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Mensah | Executive Director | Met during inspection and notified of licensing process |
| Daniel Lines | Administrator | Met during inspection and notified of licensing process |
| Joseph Alejandre | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Luz Adams | Supervisor | Supervisor overseeing the licensing evaluation |
| Nathan Bobbitt | Orange County Fire Authority Inspector | Approved fire clearance for the facility |
Inspection Report
Original Licensing
Capacity: 120
Deficiencies: 0
Date: Sep 12, 2022
Visit Reason
The visit was conducted as part of the original licensing process (CHOW application) for the facility to verify the applicant/administrator's understanding of California Code Title 22 Regulations and readiness for licensing.
Findings
The applicant/administrator successfully completed Component II, demonstrating understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Identification was verified and required documentation was obtained.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Mensah | Administrator | Participated in Component II interview and verified as applicant/administrator. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Susan Nguyen | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
Inspection Report
Original Licensing
Capacity: 120
Deficiencies: 0
Date: Sep 12, 2022
Visit Reason
The visit was conducted as a Component II evaluation for the original licensing (CHOW application) of the facility, verifying the applicant/administrator's understanding of California Code Title 22 Regulations and readiness for licensing.
Findings
The applicant/administrator successfully completed Component II, demonstrating understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Mensah | Administrator | Participant in Component II evaluation and applicant/administrator verified during interview |
| Susan Nguyen | Licensing Evaluator | Conducted the licensing evaluation and signed the report |
| Mirella Quaranta | Supervisor | Supervisor overseeing the licensing evaluation |
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