Inspection Reports for Reata Glen
2 Las Estrellas Loop, Mission Viejo, CA 92694, United States, CA, 92694
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, safe, and compliant in areas such as medication management, resident care, and emergency planning. The most recent report from July 1, 2025, had no deficiencies and noted a well-maintained environment. A complaint investigation in July 2022 involved two residents with self-harm incidents, including one suicide, but the facility was found to have no health or safety violations at that time. Several other complaint investigations and case management visits related to resident deaths and staff employment exclusions were unsubstantiated or found no deficiencies. Overall, the facility’s record shows stable compliance with no enforcement actions or fines listed in the available reports.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
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
| Name | Title | Context |
|---|---|---|
| Kelly Conk | Administrator | Named as facility administrator with certificate expiring 06/17/2026 |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and signed the report |
| Andrea Mendivil | Licensing Program Analyst | Conducted the inspection |
| Marirose Kendall | Met with LPAs during inspection | |
| Alisa Ortiz | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Kelly Conk | Executive Director | Met with Licensing Program Analyst during inspection and discussed report findings |
| Amy Rodgers | Licensing Program Analyst | Conducted the unannounced Required One Year visit and authored the report |
| Simon Jacob | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Kelly Conk | Administrator/Director | Met 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
| Name | Title | Context |
|---|---|---|
| Marirose Kendle | Resident Health Services Director | Met during the visit and provided information regarding the Resident's death |
| Joe Parrett | Safety Director | Met during the visit and provided information regarding the Resident's death |
| Kelly Conk | Associate Executive Director | Met during the visit and provided information regarding the Resident's death |
| Lydia Martinez | Licensing Program Analyst | Conducted the unannounced visit |
| Armando J Lucero | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Suzanne Nasraty | Administrator | Met with Licensing Program Analysts during the visit and involved in the case management discussion. |
| Lynda Early | Human Resources Director | Present 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
| Name | Title | Context |
|---|---|---|
| Suzanne Nasraty | Executive Director | Met with Licensing Program Analyst during the visit |
| Marirose Kendle | Resident Health Services Director | Met with Licensing Program Analyst during the visit and made contact with Resident 1 |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Thad McKay | Safety Director | Present during the visit |
| James Salilo | Safety Officer | Present 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
| Name | Title | Context |
|---|---|---|
| Suzanne Nasraty | Executive Director | Greeted Licensing Program Analyst and explained reason for visit |
| Marirose Kendle | Resident Health Services Director | Present during the inspection visit |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection visit |
| Alisa Ortiz | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Suzanne Nasraty | Executive Director | Greeted Licensing Program Analyst and explained reason for visit. |
| Marirose Kendle | Resident Health Services Director | Present during the inspection visit. |
| Kelly Conk | Health Center Administrator | Present during the inspection visit. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced annual inspection visit. |
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