Inspection Report Summary
Most inspections of this facility found no deficiencies, with many complaint investigations also unsubstantiated. The most recent report from August 26, 2025, cited one minor deficiency related to hot water temperature controls not meeting regulatory requirements. Earlier complaints included a substantiated issue with bed bugs in one resident’s unit in August 2024, which was promptly treated and cleared, and a substantiated failure to instruct a resident on proper use of the call button system in December 2022 that posed a health risk. Other complaint investigations involving staffing, resident care, and staff conduct were found unsubstantiated. The facility’s record shows mostly compliance with isolated issues that have been addressed, with no fines or enforcement actions listed in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 68
Capacity: 111
Deficiencies: 1
Aug 26, 2025
Visit Reason
Licensing Program Analyst Hanna Gough made an unannounced visit to conduct the required annual inspection of the facility.
Findings
The facility was generally clean, safe, and sanitary with proper postings and equipment observed. One deficiency was cited related to hot water temperature controls not meeting regulatory requirements.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Five of six resident faucets tested below 105 degrees Fahrenheit, failing to meet hot water temperature requirements. | Type B |
Report Facts
Resident faucets below required temperature: 5
Deficiencies cited: 1
Capacity: 111
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liana Foote | Executive Director | Met with Licensing Program Analyst during inspection and discussed inspection purpose. |
| Hanna Gough | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 111
Deficiencies: 0
Apr 28, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-03-19 regarding staff conduct and facility practices at Oakmont of Huntington Beach.
Findings
The investigation included resident file reviews, facility tours, and interviews. The allegations concerning staff not obtaining permission before entering residents' rooms, food quality issues, visitor restrictions, and inappropriate touching were all found to be unsubstantiated based on evidence and interviews.
Complaint Details
The complaint included allegations that staff did not obtain permission to enter residents' rooms, did not ensure food quality, restricted residents' visitors, and touched a resident inappropriately during shower assistance. The investigation found no preponderance of evidence to substantiate these allegations; therefore, they were deemed unsubstantiated.
Report Facts
Capacity: 111
Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Martinez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation report |
| Liana Foote | Executive Director | Interviewed during investigation and provided information on facility practices |
| Sandra Acosta-Louer | Administrator | Facility administrator; report reviewed with her |
Inspection Report
Annual Inspection
Census: 169
Capacity: 111
Deficiencies: 0
Sep 27, 2024
Visit Reason
The visit was an unannounced Annual Inspection conducted to complete the annual evaluation of the facility's compliance with licensing requirements.
Findings
The inspection found the facility to be in compliance with no deficiencies noted. The physical plant, infection control practices, medication administration records, emergency preparedness, and personnel files were all reviewed and found satisfactory.
Report Facts
Emergency food servings per box: 150
Number of emergency water tanks: 2
Number of fire extinguishers observed: 12
Number of smoke and carbon monoxide detectors tested: 244
Number of residents reviewed for medication records: 6
Number of resident service files reviewed: 6
Number of staff personnel files reviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Greenway | Executive Director | Met with Licensing Program Analyst during inspection and named in report. |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Lourdes Montoya | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 69
Capacity: 111
Deficiencies: 0
Sep 20, 2024
Visit Reason
The inspection was an unannounced required annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility, reviewed staff files, observed emergency supplies, recorded water temperatures, began resident interviews, and reviewed fire safety documentation. Due to time constraints, a follow-up visit is required to complete the full annual inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Greenway | Executive Director | Assisted with inspection and was present during exit interview. |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection visit. |
| Sandra Acosta-Louer | Administrator | Named as facility administrator. |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 111
Deficiencies: 1
Aug 30, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff do not ensure the resident's unit is free of bed bugs.
Findings
The investigation confirmed the presence of bed bugs in one resident's unit, which was subsequently treated and cleared. The deficiency was substantiated and cited as a Type B deficiency but was cleared during the present visit.
Complaint Details
The complaint alleging staff did not ensure the resident's unit was free of bed bugs was substantiated. Evidence included pest control vendor reports and staff interviews. The resident's unit was treated and cleared, and no bites were found on the resident.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Confirmed presence of bed bugs in one of the facility's units necessitating pest control intervention. | Type B |
Report Facts
Capacity: 111
Census: 67
Deficiency Plan of Correction Due Date: Aug 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Sheila Santos | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Christine Greenway | Executive Director | Facility representative present during the inspection |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 111
Deficiencies: 0
Aug 30, 2024
Visit Reason
The visit was an unannounced case management inspection to deliver an amended version of a complaint investigation report originally generated on August 8, 2024, updating the findings of one allegation from Unfounded to Substantiated.
Findings
The amended report updated one allegation from Unfounded to Substantiated, leaving only one allegation Unfounded. The Licensing Program Analyst reviewed the amendment with the facility Executive Director and conducted an exit interview.
Complaint Details
The complaint investigation report was amended to change one allegation's finding from Unfounded to Substantiated, with one allegation remaining Unfounded.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced visit and delivered the amended complaint investigation report. |
| Sandra Acosta-Louer | Administrator | Named as facility administrator. |
| Christine Greenway | Executive Director | Met with Licensing Program Analyst during the visit and discussed the amended report. |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 111
Deficiencies: 0
Aug 8, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 07/31/2024 regarding the facility's provision of special diet meals, laundry services, infection control practices, confidentiality of resident records, and certification of the administrator.
Findings
All allegations were found to be unsubstantiated or unfounded after investigation. The facility was found to provide appropriate special diet meals, adequate laundry services, maintain infection control practices, and store resident records confidentially. The Executive Director was confirmed to have a valid RCFE Administrator certificate at the time of the visit.
Complaint Details
The complaint investigation was triggered by allegations that the facility was not providing special diet meals to diabetic residents, inadequate laundry services, failure to maintain infection control practices, improper storage of resident records, and lack of a certified administrator. All allegations were found to be unsubstantiated or unfounded.
Report Facts
Capacity: 111
Census: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Greenway | Executive Director | Present during the inspection and assisted with the investigation |
| Toni Sims | Health Services Director | Present during the inspection |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 111
Deficiencies: 0
Oct 27, 2023
Visit Reason
Licensing Program Analyst Jessica Cho arrived unannounced to interview Staff #1 in connection to a complaint investigation at a different facility.
Findings
The Licensing Program Analyst met with the Executive Director and interviewed Staff #1. An exit interview was conducted and a copy of the report was issued at the end of the visit.
Complaint Details
The visit was related to a complaint investigation with Complaint Control #: 22-AS-20201109104853 at a different facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Acosta-Louer | Executive Director | Met with Licensing Program Analyst and participated in exit interview. |
| Jessica Cho | Licensing Program Analyst | Conducted unannounced visit and interviewed Staff #1. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 111
Deficiencies: 0
Jul 11, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility failed to provide records to a family attorney.
Findings
The investigation found that the facility received a records request with a two-day due date, requested additional time, and sent the records on 6/28/22. The law firm could not confirm receipt due to the case being older. There was insufficient evidence to prove the alleged violation, so the allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged the facility failed to provide records to a family attorney. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 111
Census: 77
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Acosta Louer | Administrator | Met with investigators during complaint investigation |
| Edith Ramirez | Health Services Director | Met with investigators during complaint investigation |
| Jenifer Tirre | Licensing Program Analyst | Conducted complaint investigation |
| Alisa Ortiz | Licensing Program Manager | Conducted complaint investigation |
| Luz Adams | Licensing Program Manager | Named in report signature |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 111
Deficiencies: 0
Mar 3, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility has insufficient staffing to meet the residents' needs.
Findings
The investigation included interviews, observations, and documentation review. Conflicting information was found regarding staffing sufficiency, and resident interviews indicated most felt staff were available. The complaint allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged insufficient staffing to meet resident needs. The investigation revealed an incident involving a resident fall and subsequent medical emergency. Staffing levels on the day of the incident and generally were reviewed, including caregiver and med tech counts. Resident interviews and staff reports were conflicting, leading to an unsubstantiated finding.
Report Facts
Capacity: 111
Census: 72
Caregivers in Memory Care: 24
Caregivers in Assisted Living: 16
Staff present on incident day: 5
Med Technicians present on incident day: 2
Directors present on incident day: 5
Housekeepers present on incident day: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sandra Acosta-Louer | Administrator | Facility administrator met with Licensing Program Analyst during investigation |
| Luz Adams | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 111
Deficiencies: 1
Dec 22, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not respond to a resident's call button, resulting in the resident laying on the bathroom floor overnight.
Findings
The investigation found that Resident 1 had hit the call button multiple times but inadvertently cleared the calls by pressing the top button on the pad. The resident had not been instructed on how to properly use the call button system, which led to staff not responding to the call for approximately 9 hours, posing an immediate health and safety risk.
Complaint Details
The complaint was substantiated based on evidence that Resident 1 was not instructed on proper use of the call button system, leading to a failure of staff response to calls for assistance.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Basic services shall at a minimum include care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not being met as evidenced by failure to instruct Resident 1 on how to use the call system, resulting in staff not responding to a call for help for 9 hours. | Type A |
Report Facts
Census: 72
Total Capacity: 111
Deficiency Type Count: 1
Call button response delay: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sandra Acosta-Louer | Executive Director | Met with Licensing Program Analyst during the investigation |
| Luz Adams | Licensing Program Manager | Named in the report as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 111
Deficiencies: 0
Sep 13, 2022
Visit Reason
This unannounced case management visit was conducted to follow up on a self-reported incident (SOC 341) received by the department on 09/07/2022 involving alleged inappropriate behavior by two caregivers toward a resident.
Findings
The investigation included review of the resident's records and interviews with staff and the resident. The facility notified appropriate authorities including police and is conducting re-training of caregivers on personal rights and communication with dementia residents. The resident was observed to be neatly groomed and residing in the memory care unit.
Complaint Details
The complaint involved allegations that two caregivers spoke inappropriately to a resident and kissed the resident on the arms and top of the head. The resident has a primary diagnosis of dementia and exhibits confusion and disorientation. The facility reported the incident to Licensing, Ombudsman, PCP, and police. Police took a statement from the resident. The facility is following up with staff re-training.
Report Facts
Facility capacity: 111
Resident census: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Acosta-Louer | Executive Director | Met with Licensing Program Analyst and provided information regarding the incident and follow-up actions |
| Jenifer Tirre | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Lynn Pabelona | Memory Care Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 76
Capacity: 111
Deficiencies: 0
Aug 9, 2022
Visit Reason
Licensing Program Analyst Jenifer Tirre conducted an unannounced visit for the purpose of an annual visit to evaluate the facility's compliance with regulations.
Findings
The inspection found the facility to be well-maintained with adequate resident accommodations, safety measures, and infection control practices. No deficiencies were found during the visit.
Report Facts
Apartments in assisted living: 46
Apartments in memory care unit: 32
Resident files reviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Acosta-Louer | Executive Director | Met during inspection and exit interview |
| Edith Ramirez | Health Services Director | Met during inspection and exit interview |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection visit |
| Alisa Ortiz | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 111
Deficiencies: 0
May 6, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that a resident sustained injuries while in care and that the facility was not providing appropriate assistance for the resident's multiple falls.
Findings
The investigation found that the resident had multiple falls resulting in injuries, but the facility provided appropriate medical treatment, reported incidents to the family and medical professionals, and implemented increased monitoring and 1:1 care. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Although the allegations may have happened or be valid, there was no preponderance of evidence to prove the alleged violation did or did not occur.
Report Facts
Capacity: 111
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Heather Younan | Administrator | Facility Administrator present during the investigation |
| Sandra Acosta-Louer | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 111
Deficiencies: 0
Apr 28, 2022
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by allegations received on 01/28/2022 that a resident sustained a fracture and injury while in care.
Findings
The investigation found that a resident was discovered on the floor with injuries including a dislocated shoulder and fractured humerus. Despite the injuries, the evidence did not support neglect or lack of care and supervision. The allegations were deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint involved allegations that a resident sustained a fracture and injury while in care. The investigation included interviews and medical record reviews. The resident was found on the floor with bruising and injuries, transported to hospital, and underwent surgery. Staff reported regular checks and no prior fall risk designation for the resident. The allegations were unsubstantiated due to lack of evidence of neglect or inadequate supervision.
Report Facts
Complaint Control Number: 22
Complaint Control Number Suffix: 20220128085911
Staff interviewed: 8
Staff reporting fall risk checks: 5
Staff reporting non-fall risk checks: 5
Resident last checked time: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sandra Acosta Louer | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Edith Ramirez | Health Services Director | Met with Licensing Program Analyst during investigation and exit interview |
| Heather Younan | Administrator | Facility administrator named in report header |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Follow-Up
Census: 72
Capacity: 111
Deficiencies: 0
Dec 9, 2021
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report regarding a fire that occurred on 2021-12-06 at the facility.
Findings
The fire was contained by the alarm and sprinkler system with no smoke inhalation or resident property damage observed. The laundry room sustained water damage and is out of service. No deficiencies were noted during the visit per Title 22 Division 6 of the California Code of Regulations.
Report Facts
Memory care residents evacuated: 23
Staff evacuation exercises frequency: 2
Evacuation drill date: 202107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Younan | Administrator | Met with during the visit and provided information about the incident |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced case management visit |
| Jenifer Tirre | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in the report header |
Inspection Report
Original Licensing
Census: 76
Capacity: 111
Deficiencies: 0
Aug 9, 2021
Visit Reason
The inspection visit was conducted as a pre-licensing evaluation due to a change of ownership and an initial application to operate a Residential Care Facility for the Elderly.
Findings
No deficiencies were found during the inspection. The facility was observed to be fully operational with adequate emergency supplies, safety equipment, and resident accommodations. The facility is ready to be licensed.
Report Facts
Capacity: 111
Census: 76
Non-ambulatory residents approved: 103
Bedridden residents approved: 8
Hospice waiver residents: 15
Water temperature range: 113-122
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Younan | Executive Director | Met during inspection and exit interview |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection |
| Alisa Ortiz | Licensing Program Manager | Named in report |
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