Inspection Reports for Reata Glen

2 Las Estrellas Loop, Mission Viejo, CA 92694, United States, CA, 92694

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Inspection Report Annual Inspection Census: 664 Capacity: 840 Deficiencies: 0 Jul 1, 2025
Visit Reason
The visit was an unannounced annual required inspection of the Continuing Care Retirement Facility to assess compliance with licensing requirements.
Findings
The facility was found to be clean, safe, and sanitary with no health or safety concerns observed. Resident and staff files contained required documentation, medication administration was compliant, and emergency plans were thorough and up to date. No deficiencies were cited during this inspection.
Report Facts
Facility units: 480 Residents on hospice: 2 Residents licensed for hospice: 6 Water temperature range: 114 Water temperature range: 118 Last emergency drill date: Apr 4, 2025 Inspection start time: 1215 Inspection end time: 1600
Employees Mentioned
NameTitleContext
Kelly ConkAdministratorNamed as facility administrator with certificate expiring 06/17/2026
Kimberly LymanLicensing Program AnalystConducted the inspection and signed the report
Andrea MendivilLicensing Program AnalystConducted the inspection
Marirose KendallMet with LPAs during inspection
Alisa OrtizLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection
Inspection Report Annual Inspection Census: 644 Capacity: 840 Deficiencies: 0 Aug 8, 2024
Visit Reason
An unannounced Required One Year visit was conducted to ensure substantial compliance with Title 22 regulations at a Continuing Care Retirement Community (CCRC).
Findings
The facility was found to be in substantial compliance with all regulations. No deficiencies were observed or cited during the annual inspection. The facility environment, food storage, medication management, staff records, and resident care were all compliant and satisfactory.
Report Facts
Food supply duration: 2 Food supply duration: 7
Employees Mentioned
NameTitleContext
Kelly ConkExecutive DirectorMet with Licensing Program Analyst during inspection and discussed report findings
Amy RodgersLicensing Program AnalystConducted the unannounced Required One Year visit and authored the report
Simon JacobLicensing Program ManagerNamed in report signature section
Inspection Report Census: 642 Capacity: 840 Deficiencies: 0 Jul 16, 2024
Visit Reason
An unannounced case management visit was conducted to follow up on a death report received by the department on 07/12/2024.
Findings
The report detailed the circumstances of Resident 1's death on 07/07/2024, including the emergency response and medical background. The facility was instructed to forward a copy of the death certificate upon receipt from the family.
Report Facts
Facility capacity: 840 Census: 642
Employees Mentioned
NameTitleContext
Kimberly LymanLicensing Program AnalystConducted the unannounced case management visit
Kelly ConkAdministrator/DirectorMet with the Licensing Program Analyst during the visit
Inspection Report Capacity: 840 Deficiencies: 0 Jun 15, 2023
Visit Reason
The Licensing Program Analyst made an unannounced visit to conduct a Case Management - Incident follow-up regarding a Resident's death.
Findings
No deficiencies were cited during the visit. The official Death Report had not been sent to the department at the time of the visit, and no preliminary cause of death was determined or provided.
Report Facts
Facility capacity: 840
Employees Mentioned
NameTitleContext
Marirose KendleResident Health Services DirectorMet during the visit and provided information regarding the Resident's death
Joe ParrettSafety DirectorMet during the visit and provided information regarding the Resident's death
Kelly ConkAssociate Executive DirectorMet during the visit and provided information regarding the Resident's death
Lydia MartinezLicensing Program AnalystConducted the unannounced visit
Armando J LuceroLicensing Program ManagerNamed in the report
Inspection Report Census: 574 Capacity: 840 Deficiencies: 0 Sep 20, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on a 'Decision and Order' received by Community Care Licensing on 09/09/2022 regarding staff employment exclusion.
Findings
The visit confirmed that Staff 1 (S1), excluded from employment, was never hired at the facility as the staff did not pursue the required exemption. Facility personnel records showed no employment or termination of S1.
Employees Mentioned
NameTitleContext
Suzanne NasratyAdministratorMet with Licensing Program Analysts during the visit and involved in the case management discussion.
Lynda EarlyHuman Resources DirectorPresent during the visit related to staff employment exclusion.
Inspection Report Complaint Investigation Census: 542 Capacity: 840 Deficiencies: 0 Jul 25, 2022
Visit Reason
The visit was an unannounced case management inspection to follow up on two incidents reported to Community Care Licensing involving residents with potential self-harm or suicide attempts.
Findings
The inspection found that one resident was pronounced dead from suicide and another resident was hospitalized for a self-inflicted superficial wound. The facility was observed to have no health or safety violations during the visit, and residents expressed satisfaction with the facility.
Complaint Details
The visit was triggered by two incidents: Resident 1 was found deceased from suicide on 07/22/2022 after a wellness check, and Resident 2 was found with a self-inflicted superficial wrist wound on 07/20/2022 and hospitalized under psychiatric hold. Resident 1 had a prior suspected suicide attempt in 2021 but was cleared by a physician. Resident 2 had no prior suicidal ideations or psychiatric medications.
Report Facts
Capacity: 840 Census: 542
Employees Mentioned
NameTitleContext
Suzanne NasratyExecutive DirectorMet with Licensing Program Analyst during the visit
Marirose KendleResident Health Services DirectorMet with Licensing Program Analyst during the visit and made contact with Resident 1
Kimberly LymanLicensing Program AnalystConducted the unannounced case management visit
Thad McKaySafety DirectorPresent during the visit
James SaliloSafety OfficerPresent during the visit and responded to Resident 1 incident
Inspection Report Annual Inspection Census: 536 Capacity: 840 Deficiencies: 0 Jun 14, 2022
Visit Reason
An unannounced required annual visit was conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility appeared clean, sanitary, and well-maintained with residents independent and well cared for. No deficiencies were noted during the visit.
Report Facts
Residents on hospice: 1 Smoke detector testing date: Oct 5, 2021 Sprinkler testing date: Apr 1, 2022
Employees Mentioned
NameTitleContext
Suzanne NasratyExecutive DirectorGreeted Licensing Program Analyst and explained reason for visit
Marirose KendleResident Health Services DirectorPresent during the inspection visit
Kimberly LymanLicensing Program AnalystConducted the inspection visit
Alisa OrtizLicensing Program ManagerNamed in report header
Inspection Report Annual Inspection Census: 437 Capacity: 840 Deficiencies: 0 Jun 7, 2021
Visit Reason
The inspection was an unannounced required annual visit to evaluate the facility's compliance with regulations.
Findings
The facility was found to be clean, sanitary, and well-maintained with residents appearing happy and independent. No deficiencies were noted during the visit, and the facility demonstrated compliance with COVID-19 precautions and emergency preparedness.
Report Facts
PPE and sanitizer supply duration: 30
Employees Mentioned
NameTitleContext
Suzanne NasratyExecutive DirectorGreeted Licensing Program Analyst and explained reason for visit.
Marirose KendleResident Health Services DirectorPresent during the inspection visit.
Kelly ConkHealth Center AdministratorPresent during the inspection visit.
Kimberly LymanLicensing Program AnalystConducted the unannounced annual inspection visit.

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