Inspection Reports for
Park Plaza
620 S Glassell St, Orange, CA 92866, CA, 92866
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
76% occupied
Based on a December 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 87
Capacity: 115
Deficiencies: 2
Date: Dec 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not seek medical attention in a timely manner resulting in a resident passing away, and that staff did not observe changes in the resident's condition.
Complaint Details
The complaint investigation was substantiated. The allegations that staff did not seek medical attention in a timely manner resulting in a resident's death and that staff did not observe changes in the resident's condition were confirmed based on interviews, record reviews, and observations.
Findings
The investigation substantiated the allegations that staff delayed calling 9-1-1 for Resident #1 after an unwitnessed fall, resulting in a delayed medical response and the resident's subsequent death. Additionally, the facility failed to reassess the resident after multiple falls or implement fall prevention measures, posing an immediate health and safety risk.
Deficiencies (2)
The licensee did not immediately call 9-1-1 after Resident #1 sustained an unwitnessed fall on November 21, 2023, calling 9-1-1 approximately ten hours later, posing an immediate health and safety risk.
The licensee did not reassess Resident #1 to determine if there was a change in condition or need for more supervision despite three documented falls, posing an immediate health and safety risk.
Report Facts
Capacity: 115
Census: 87
Estimated Days of Completion: 90
Immediate Civil Penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Lopez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Christina Gonzalez | Assisted Living Director | Facility representative present during the investigation and named in relation to findings and plan of correction |
Inspection Report
Annual Inspection
Census: 93
Capacity: 115
Deficiencies: 0
Date: Dec 17, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the Residential Care Facility for the Elderly.
Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies cited. Observations included clean and hazard-free resident apartments, operational safety systems, proper food storage, and up-to-date emergency preparedness.
Report Facts
Licensed capacity: 115
Current census: 93
Fire extinguisher service date: Mar 20, 2025
Most recent fire inspection date: Nov 3, 2025
Most recent emergency drill date: Oct 16, 2025
Hot water temperature range: 110.1-117.8
Resident files reviewed: 9
Staff files reviewed: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Executive Director | Present during inspection and holds a valid Administrator certificate |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 115
Deficiencies: 0
Date: Nov 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of lack of care and supervision resulting in a resident sustaining a fall with injuries, and staff not seeking timely medication attention for the resident after the fall.
Complaint Details
The complaint involved allegations that lack of care and supervision resulted in a resident sustaining a fall with injuries, and that staff did not seek timely medication attention after the fall. The investigation included staff interviews, record reviews, and facility inspection. The allegations were found unsubstantiated due to insufficient evidence.
Findings
The investigation found no preponderance of evidence to prove or refute the allegations; the resident was not considered a fall risk, and staff called 911 approximately seven minutes after the resident was found on the floor. Therefore, the allegations were deemed unsubstantiated.
Report Facts
Estimated Days of Completion: 90
911 call response time: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| Brandon Lopez | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 115
Deficiencies: 0
Date: Jul 14, 2025
Visit Reason
The inspection was conducted as a Case Management Incident investigation following a self-reported incident regarding missing personal belongings of Resident #1, including a gold cross necklace and gold ring.
Complaint Details
The visit was triggered by a complaint related to a self-reported incident of missing personal belongings of Resident #1. The complaint was investigated and no deficiencies were substantiated.
Findings
The inspection found no deficiencies or violations of the California Code of Regulations. The facility was observed to be free of hazards, and relevant documents and interviews were reviewed without identifying any issues.
Report Facts
Capacity: 115
Census: 99
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Executive Director | Present and assisted Licensing Program Analyst during inspection |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 115
Deficiencies: 1
Date: May 30, 2025
Visit Reason
The inspection was an unannounced Case Management Incident visit conducted to follow up on an incident report received on May 15, 2025, regarding a medication error for Resident #1 dated March 10, 2025.
Complaint Details
The visit was complaint-related, following up on a medication error incident report for Resident #1. The deficiency was substantiated and cited.
Findings
The facility was observed to be free of hazards and residents were engaged in activities. However, a deficiency was cited for failing to administer medication to Resident #1 as prescribed, posing a potential health and safety risk.
Deficiencies (1)
Failed to administer the medication to Resident #1 as prescribed, posing a potential health and safety risk.
Report Facts
Census: 97
Total Capacity: 115
Deficiencies cited: 1
Plan of Correction Due Date: Jun 13, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Executive Director | Assisted Licensing Program Analyst during inspection and was present at exit interview |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 115
Deficiencies: 1
Date: May 30, 2025
Visit Reason
The inspection was an unannounced Case Management Incident visit conducted to follow up on an incident report received on May 15, 2025, regarding a medication error involving Resident #1 dated March 10, 2025.
Complaint Details
The visit was complaint-related, following up on a medication error incident report for Resident #1. The deficiency was substantiated and cited.
Findings
The facility failed to administer medication to Resident #1 as prescribed, posing a potential health and safety risk. A Type B deficiency was cited related to this medication administration error, and the staff involved received in-service training and subsequently resigned.
Deficiencies (1)
Failure to administer medication to Resident #1 as prescribed, posing a potential health and safety risk.
Report Facts
Capacity: 115
Census: 97
Plan of Correction Due Date: Jun 13, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Executive Director | Assisted Licensing Program Analyst during the inspection and was present at exit interview |
| Brandon Lopez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sheila Santos | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 86
Capacity: 115
Deficiencies: 2
Date: Dec 14, 2024
Visit Reason
The inspection was an unannounced annual required visit 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, deficiencies were cited related to personnel health screening and tuberculosis (TB) testing documentation for two staff members. Facility annual fees were also noted as not current, and notice was provided to the administrator regarding fees.
Deficiencies (2)
Licensee did not have TB tests on file for two staff members, posing a potential health, safety, or personal rights risk to persons in care.
Licensee did not have health screening documentation on file for two staff members, posing a potential 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
Bedrooms inspected: 7
Bathrooms inspected: 7
Plan of Correction Due Date: Dec 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Eva M Alvarez | Licensing Program Manager | Supervisor overseeing the inspection and deficiencies |
| Benjamin Davis | Administrator | Facility administrator involved in the inspection and tour |
| Debbie Marroquin | RRD | Facility representative met during inspection and exit interview |
Inspection Report
Annual Inspection
Census: 86
Capacity: 115
Deficiencies: 2
Date: Dec 14, 2024
Visit Reason
The inspection was an unannounced annual required visit 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, deficiencies were cited related to personnel health screening requirements, specifically missing TB tests and health screenings for two staff members.
Deficiencies (2)
Licensee did not have TB tests on file for two staff members, posing a potential health, safety, or personal rights risk to persons in care.
Licensee did not have health screenings on file for two staff members, posing a potential 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 17, 2024
Plan of Correction Due Date: Dec 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Administrator | Facility administrator involved in inspection and findings |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Debbie Marroquin | RRD | Facility representative met during inspection and received report |
| Eva M Alvarez | Supervisor | Supervisor overseeing the inspection process |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 115
Deficiencies: 0
Date: Oct 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not provide adequate supervision resulting in a resident wandering away from the facility.
Complaint Details
The complaint alleged inadequate supervision resulting in a resident wandering away. The allegation was investigated and found to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that the resident was able to leave the facility unassisted and was found outside without injury after an exit door alarm triggered. Based on interviews and record review, the allegation was deemed unfounded.
Report Facts
Complaint Control Number: 22
Complaint Control Number Suffix: 20230426155340
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Benjamin Davis | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 115
Deficiencies: 0
Date: Oct 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not provide adequate supervision resulting in a resident wandering away from the facility.
Complaint Details
The complaint alleged inadequate supervision leading to a resident wandering away. The allegation was investigated and found to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that the resident was able to leave the facility unassisted and was found outside without injury after an exit door alarm triggered. Based on interviews and record review, the allegation was deemed unfounded.
Report Facts
Facility capacity: 115
Resident census: 97
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Benjamin Davis | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 115
Deficiencies: 0
Date: May 24, 2024
Visit Reason
The visit was an unannounced case management incident follow-up related to a client who eloped from the facility on May 10, 2024 and was found by the police nearby.
Complaint Details
The visit was triggered by a complaint incident where a resident eloped from the facility. The resident did not recall being found by police and had no prior exit-seeking behavior. The complaint was investigated through interviews and file reviews.
Findings
The investigation found that the resident was able to walk unassisted but should not leave the facility unassisted. Staffing was adequate at the time of the incident. The facility is initiating a care plan to move the resident to Memory Care due to cognitive decline.
Report Facts
Staffing count: 6
Incident date: May 10, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Administrator | Facility administrator |
| Christina Gonzalez | Assisted Living Director | Reported the incident and involved in follow-up |
| Debbie Marroquin | Resident Relations Director | Met with Licensing Program Analyst during visit and exit interview |
| RoseMarie Ruppert | Licensing Program Analyst | Conducted the unannounced case management visit |
| Alisa Ortiz | Licensing Program Manager | Named in report header |
Inspection Report
Census: 97
Capacity: 115
Deficiencies: 0
Date: May 24, 2024
Visit Reason
The visit was an unannounced case management incident follow-up related to a client who eloped from the facility on May 10, 2024 and was found by the police nearby.
Findings
The Licensing Program Analyst found adequate staffing during the incident and noted the resident was unable to leave unassisted but did elope. The facility is initiating a care plan meeting to move the resident to Memory Care due to cognitive decline and is awaiting urinalysis results for other underlying issues.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rose Ruppert | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Benjamin Davis | Administrator/Director | Named as facility administrator. |
| Debbie Marroquin | Resident Relations Director | Met with the Licensing Program Analyst during the visit and participated in exit interview. |
| Christina Gonzalez | Assisted Living Director | Submitted the incident report and was interviewed during the investigation. |
Inspection Report
Annual Inspection
Census: 100
Capacity: 115
Deficiencies: 0
Date: Nov 2, 2022
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to be in good repair with no deficiencies noted. Resident rooms and restrooms were clean and safe, kitchen and food supplies met requirements, and safety equipment such as fire extinguishers and alarms were operational. COVID-19 mitigation and emergency plans were reviewed and found adequate.
Report Facts
Licensed capacity: 115
Census: 100
Non-ambulatory residents licensed: 73
Ambulatory residents licensed: 36
Hospice waiver residents: 8
Bedridden residents allowed: 5
Hot water temperature range (Fahrenheit): 111.5
Hot water temperature range (Fahrenheit): 118.4
Food supply days - perishable: 2
Food supply days - non-perishable: 7
Fire alarm last tested date: May 10, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Edward Tapia | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 100
Capacity: 115
Deficiencies: 0
Date: Nov 2, 2022
Visit Reason
Licensing Program Analyst Edward Tapia conducted an unannounced required annual inspection at the facility to evaluate compliance with licensing requirements and observe resident care and facility conditions.
Findings
The facility was found to be in good repair with no deficiencies noted during the inspection. Resident rooms and common areas were well maintained, safety measures were in place, and the facility met food stock and COVID-19 mitigation requirements.
Report Facts
Licensed capacity: 115
Census: 100
Hospice waiver beds: 8
Non-ambulatory residents licensed: 73
Ambulatory residents licensed: 36
Hot water temperature range (Fahrenheit): 111.5-118.4
Fire alarm and carbon monoxide alarm last test date: May 10, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Edward Tapia | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Annual Inspection
Census: 89
Capacity: 115
Deficiencies: 0
Date: Dec 16, 2021
Visit Reason
Licensing Program Analyst Michelle Reed made an unannounced visit to the facility to conduct an Annual visit focusing on Infection Control.
Findings
The facility was found to have appropriate COVID-19 signage, sanitization stations, sufficient PPE supply, social distancing and mask compliance, and emergency plans in place. No deficiencies were noted during the visit.
Report Facts
PPE supply duration: 30
Census: 89
Total capacity: 115
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Administrator | Met with Licensing Program Analyst during inspection and discussed infection control. |
| Michelle Reed | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 89
Capacity: 115
Deficiencies: 0
Date: Dec 16, 2021
Visit Reason
Licensing Program Analyst Michelle Reed conducted an unannounced annual inspection visit focusing on infection control at the facility.
Findings
The facility was found to be in compliance with infection control measures, including adequate PPE supply, posted COVID signs, sanitization stations, social distancing, and weekly COVID testing. No deficiencies were noted during the visit.
Report Facts
PPE supply duration: 30
COVID testing frequency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin Davis | Administrator | Met with Licensing Program Analyst during inspection and discussed infection control. |
| Michelle Reed | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
| Sheila Santos | Supervisor | Listed as supervisor on the report. |
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