Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that allegations of neglect and mistreatment were not supported by evidence. The facility’s most recent inspection on August 15, 2025, cited one deficiency related to medication administration errors involving a resident receiving incorrect dosages of Aripiprazole. An earlier annual inspection in November 2024 noted a missing background clearance for one concierge staff member, which resulted in a citation and civil penalty but no further enforcement actions were listed. Other investigations into complaints about resident care and safety were found unsubstantiated. Overall, the facility appears to have maintained compliance with regulations, with isolated issues that do not suggest a worsening trend.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Capacity: 150
Deficiencies: 1
Aug 15, 2025
Visit Reason
An unannounced case management visit was conducted in conjunction with an Unusual Incident/Injury Report dated August 11, 2025, related to medication administration errors for Resident 1.
Findings
One deficiency was cited for failure to follow physician's medication orders, as Resident 1 was given both Aripiprazole 15 mg and 10 mg from August 1 to August 5, 2025, despite the physician's order effective July 31, 2025, prescribing only Aripiprazole 10 mg. No health and safety concerns were observed during the visit.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident 1 was given both Aripiprazole 15 mg and 10 mg from 8/1/25 to 8/5/25; however, effective 7/31/25, Resident 1 was only prescribed Aripiprazole 10 mg. | Type A |
Report Facts
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr | Licensing Program Analyst | Conducted the unannounced case management visit and cited the deficiency |
| Vanessa Valencia | Executive Director | Met with Licensing Program Analyst during the inspection |
| Liana Foote | Administrator/Director | Named as facility administrator/director |
Inspection Report
Complaint Investigation
Census: 149
Capacity: 150
Deficiencies: 0
May 23, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on May 16, 2025, regarding resident treatment and staff behavior at the facility.
Findings
The investigation found conflicting information regarding the allegations that residents were not treated with dignity and were handled roughly by staff. Interviews with staff and residents generally indicated respectful treatment. Due to lack of preponderance of evidence, the allegations were deemed unsubstantiated and no citations were issued.
Complaint Details
The complaint alleged that the facility did not ensure residents were treated with dignity and that staff handled residents in a rough manner. After interviews and document review, the allegations were found unsubstantiated due to conflicting information and insufficient evidence.
Report Facts
Capacity: 150
Census: 149
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Hazel Rodriguez Zaragoza | Health Services Director | Met with Licensing Program Analyst during the investigation |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 150
Deficiencies: 0
Feb 19, 2025
Visit Reason
Unannounced visit to investigate a complaint received on 2024-11-05 regarding allegations of failure to conduct necessary resident reassessment, failure to address a resident assessed as a danger, failure to notify a resident's responsible party of an incident, and locking a resident in their room.
Findings
All four allegations were found to be unsubstantiated after review of records and interviews. No evidence was found to prove the alleged violations occurred, including reassessment of resident care needs, addressing safety concerns, notification of incidents, and restriction of resident freedom of movement.
Complaint Details
Complaint investigation was unsubstantiated. Allegations included failure to reassess a resident, failure to address a dangerous resident, failure to notify responsible party of incidents, and locking a resident in their room. Investigation included interviews and record reviews. No violations were substantiated.
Report Facts
Capacity: 150
Census: 140
Complaint receipt date: Nov 5, 2024
Staff interviews: 6
Resident interviews: 2
Resident reassessments: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Bob Fiorentino | Senior Executive Director | Facility representative who assisted during the visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Liana Foote | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 144
Capacity: 150
Deficiencies: 1
Nov 13, 2024
Visit Reason
The visit was an unannounced required annual inspection to evaluate compliance with licensing regulations.
Findings
The facility was generally found to be in compliance with regulations, including resident and staff records, physical plant conditions, and emergency supplies. However, one concierge staff member was missing a required background clearance, resulting in a Type A citation and civil penalty.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| One concierge staff member was observed to be missing their background clearance after turning 18 in late October 2024, posing an immediate health, safety or personal rights risk to persons in care. | Type A |
Report Facts
Residents admitted: 144
Facility capacity: 150
Units visited: 13
Hot water locations tested: 15
Staff records reviewed: 15
Resident records reviewed: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bob Fiorentino | Executive Director | Notified of the visit and assisted with the inspection |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nancy Guillen | Licensing Program Analyst | Conducted the inspection |
| Sheila Santos | Licensing Program Manager | Supervised the inspection |
Inspection Report
Follow-Up
Census: 107
Capacity: 150
Deficiencies: 0
Mar 15, 2024
Visit Reason
The visit was an unannounced case management follow-up on an incident report submitted on March 12, 2024, regarding allegations of verbal threats of a sexual nature made by one resident towards another.
Findings
The investigation included police and ombudsman involvement, interviews with involved parties, and lab tests to rule out cognitive symptoms related to a urinary tract infection. One resident's tests were negative, the other's pending, and no further incidents have occurred.
Complaint Details
The visit followed allegations of verbal threats of a sexual nature between residents. Reports were made to the Newport Beach Police Department and the Long Term Care Ombudsman. Investigations were conducted with no further incidents reported.
Report Facts
Facility capacity: 150
Resident census: 107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bob Fiorentino | Executive Director | Met with Licensing Program Analyst during the visit |
| Mirella Majarez | Facility administrator who submitted the incident report | |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced visit |
| Sheila Santos | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 150
Deficiencies: 0
Oct 24, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation conducted in response to allegations received on 07/07/2023 regarding staff failing to meet residents' medical needs and residents sustaining multiple falls due to neglect.
Findings
The investigation found the allegations unsubstantiated. Medical records and interviews showed no evidence of neglect in meeting residents' medical needs or a direct relation between falls and inadequate care. The allegation of residents sustaining bed sores due to neglect was also found to be unfounded based on medical record reviews.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Kevin Saborit-Guasch. Allegations included staff failing to meet resident's medical needs, residents sustaining multiple falls due to neglect, and residents sustaining bed sores due to neglect. All allegations were found to be unsubstantiated or unfounded after review of medical records, staff interviews, and hospital documentation.
Report Facts
Capacity: 150
Census: 77
Complaint received date: Jul 7, 2023
Number of physical examinations reviewed: 4
Number of falls reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Mirella Manjarrez | Assistant Executive Director | Met with Licensing Program Analyst during inspection visit |
| Liana Foote | Administrator | Facility administrator involved in initial complaint investigation visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Original Licensing
Capacity: 150
Deficiencies: 0
Nov 21, 2022
Visit Reason
Licensing Program Analyst Kevin Saborit-Guasch made an announced visit to the facility for the purpose of conducting a pre-licensing visit for a Residential Facility for the Elderly with a capacity of 150 non-ambulatory residents.
Findings
The facility is newly constructed and ready to be licensed, with all infection control measures in place, adequate common areas, operational safety and emergency equipment, and sufficient food and medication storage. The facility was approved for 150 non-ambulatory residents, including 20 bedridden, and the Executive Director's experience waived Component III.
Report Facts
Capacity: 150
Census: 0
Visit start time: 1000
Visit end time: 1330
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liana Foote | Senior Executive Director | Met with Licensing Program Analyst during pre-licensing visit and participated in facility tour |
| Cory Alder | Owner | Met with Licensing Program Analyst during pre-licensing visit and participated in facility tour |
| Josh Sack | Maintenance and Housekeeping Director | Met with Licensing Program Analyst during pre-licensing visit and participated in facility tour |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the announced pre-licensing visit and authored the report |
Inspection Report
Original Licensing
Capacity: 150
Deficiencies: 0
Jul 15, 2022
Visit Reason
The visit was an initial licensing evaluation conducted via telephone interview to verify the applicant/administrator's understanding of California Code Title 22 Regulations and readiness for licensing.
Findings
The applicant/administrator successfully completed Component II, demonstrating understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Liana Foote | Administrator | Applicant/administrator who participated in the Component II interview and was verified. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Susan Nguyen | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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