Inspection Reports for
The Seville of San Clemente

The visit was triggered by a complaint related to an incident report about a credit card opened in the name of a resident with unauthorized purchases. The facility's investigation was ongoing and family provided conflicting information. Substantiation status is not stated.

The facility failed to notify the licensing agency about ongoing floor construction, posing a potential health and safety risk to residents. An incident involving unauthorized credit card use was under investigation with conflicting information from the resident's family.

The complaint was substantiated. The investigation confirmed that a resident was left outside without supervision and that the responsible party was not notified of changes in the resident's reappraisal and rate increase.

The investigation substantiated the allegations that a resident was found outside in the early morning hours without supervision and that the responsible party was not informed of changes in the resident's reappraisal or rate increase. Violations of care and supervision requirements and notification regulations were confirmed.

The visit was conducted in conjunction with complaint visit 22-AS-20260114091113. The complaint involved a resident being found locked outside the facility. The facility did not submit an incident report for this incident.

The facility failed to submit an incident report for a resident found locked outside, posing a potential health and safety risk. A deficiency was cited for noncompliance with Title 22 Division 6 of the California Code of Regulations.

The complaint investigation was substantiated for allegations that the facility did not administer medications as prescribed, did not properly secure dangerous items, and did not properly assess residents. One allegation regarding incomplete resident files was unfounded.

The investigation substantiated that the facility did not administer medications as prescribed for some residents, did not properly secure dangerous items including medications, and that resident assessments were improperly conducted by unlicensed staff. One allegation regarding incomplete resident files was found to be unfounded.

The complaint investigation was based on allegations received on 2025-05-23 regarding medication mismanagement, delayed assistance to residents, questionable death, unanswered facility telephone, and lack of hot water access. The medication mismanagement and delayed assistance allegations were substantiated. The questionable death and unanswered telephone allegations were unsubstantiated. The hot water access allegation was unfounded.

The investigation substantiated that staff mismanaged medication dosages for Resident 1 on two occasions and failed to assist residents in a timely manner after call button presses. Other allegations such as questionable death and staff not answering facility telephone were unsubstantiated, and the allegation regarding access to hot water was unfounded.

The complaint investigation was substantiated for the allegation that the licensee did not ensure the facility had a certified administrator. The medication-related allegations were unsubstantiated.

The allegation that the facility did not have a certified administrator was substantiated due to failure to notify the licensing agency of the administrator change. The medication-related allegations were unsubstantiated after review and observation showed proper medication management.

The facility was generally clean, safe, and sanitary with no immediate health or safety concerns observed. However, deficiencies were cited related to staff training, tuberculosis screening, and emergency drill documentation.

Two complaints were investigated: 1) Facility lacks supervision of Memory Care residents, which was unsubstantiated. 2) Facility is not reporting resident falls in Memory Care, which was substantiated.

The allegation that the facility lacks supervision of Memory Care residents was unsubstantiated based on observations and staff interviews. However, the allegation that the facility failed to report resident falls in Memory Care was substantiated, with evidence showing a fall incident was not reported as required.

The visit was conducted in conjunction with complaint control #22-AS-20250127090735. The deficiency was substantiated as the required poster was missing.

A deficiency was cited for failure to post the required PUB 475 poster in the main entryway of the facility as mandated by Title 22. The Executive Director corrected the deficiency during the visit.