Inspection Reports for Laguna Senior Apartments

CA, 90029

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Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 2 Mar 24, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be generally compliant with documentation, staffing, food service, and safety requirements. However, two deficiencies were cited related to emergency food supply differentiation and improper room assignment of non-ambulatory residents, resulting in civil penalties.
Severity Breakdown
Type A: 1 Type B: 1
Deficiencies (2)
DescriptionSeverity
Emergency food was not differentiated from the regular food supply, posing a potential health, safety, or personal rights risk to persons in care.Type B
Two non-ambulatory residents were observed not in the designated non-ambulatory room, posing an immediate health, safety, or personal rights risk to persons in care.Type A
Report Facts
Civil Penalty Amount: 500 Number of Deficiencies Cited: 2 Fire Extinguisher Last Tested Date: Dec 24, 2024 Last Disaster Drill Date: Jan 5, 2025
Employees Mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the inspection and cited deficiencies.
Ma. Teresa PerezAdministratorFacility administrator named in the report.
Inspection Report Census: 5 Capacity: 6 Deficiencies: 0 Apr 15, 2024
Visit Reason
The Licensing Program Manager and Analyst met with the Licensee to discuss ongoing concerns with the facility and the care of Resident 1, including placement and staffing arrangements.
Findings
The Licensee reported working with the Assisted Living Waiver Program to find appropriate placement for Resident 1, with 1:1 care staff provided during nighttime hours. The facility maintains one awake night staff at all times, and the Licensee confirmed understanding that Resident 1 cannot be discharged via 51/50 hold.
Report Facts
Capacity: 6 Census: 5
Employees Mentioned
NameTitleContext
Teresa PerezLicenseeMet during inspection and discussed facility concerns
Tricia DanielsonLicensing Program ManagerConducted the inspection and met with Licensee
Janette RomeroLicensing Program AnalystConducted the inspection and met with Licensee
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Mar 5, 2024
Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be in good condition with no deficiencies issued. Safety equipment was operational, food supplies were adequate, medications and cleaning supplies were properly secured, and the physical plant was free of obstructions.
Report Facts
Fire extinguisher service date: Dec 4, 2023 Number of residents present: 6 Number of staff present: 3 Food supply duration: 2 Food supply duration: 7
Employees Mentioned
NameTitleContext
Ma Teresa PerezLicenseeLicensee present during the inspection and participated in the exit interview
Janette RomeroLicensing Program AnalystConducted the inspection visit
Elsie CalapanoCaregiverGreeted the Licensing Program Analyst and assisted during the tour
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 Feb 28, 2023
Visit Reason
The inspection was conducted as a pre-licensing visit to evaluate the facility for initial licensing approval.
Findings
The facility was toured and inspected inside and outside, with observations confirming compliance with safety, emergency preparedness, and environmental standards. The home was approved by the Riverside County Fire Department for 6 residents with appropriate accommodations and safety equipment in place.
Report Facts
Licensed capacity: 6 Census: 0
Employees Mentioned
NameTitleContext
Teresa PerezAdministratorMet with Licensing Program Analyst during pre-licensing inspection
Venus MixsonLicensing Program AnalystConducted the pre-licensing inspection
Jazmond D HarrisLicensing Program ManagerNamed in report header
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 Feb 2, 2023
Visit Reason
Initial licensing evaluation of Inland Senior Manor facility to verify applicant/administrator understanding of community care facility licensing laws and readiness for operation.
Findings
Applicant/administrator participated in COMP II interview, verified identification, and demonstrated understanding of licensing laws, facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
NameTitleContext
Ma Teresa PerezLicensee/AdministratorApplicant/administrator participating in COMP II interview and licensing evaluation.
Darla NeeleyLicensing Program ManagerNamed as Licensing Program Manager on report.
Biridiana CisnerosLicensing Program AnalystNamed as Licensing Program Analyst on report.

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