Inspection Reports for Westminster Terrace
7571 Westminster Blvd., Westminster, CA 92683, United States, CA, 92683
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. The facility’s most recent report from October 3, 2025, had no deficiencies and showed no health or safety issues. Earlier reports included a few isolated deficiencies, such as failure to maintain documentation of missing personal property in December 2024, inadequate hot water temperatures in January 2025, and not reporting a scabies outbreak to the local health officer in February 2025. The main themes among deficiencies involved documentation, environmental maintenance, and infection control reporting, but none posed immediate jeopardy or resulted in fines or license actions. The overall trend suggests improvement, with the latest inspections consistently clean and no recent substantiated complaints.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
68% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
72% occupied
Based on a October 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Census: 110
Capacity: 152
Deficiencies: 0
Date: Oct 3, 2025
Visit Reason
A case management incident visit was conducted to follow up on an incident report received by Community Care Licensing on October 1, 2025, submitted by the Executive Director Carmen Galicia.
Findings
During the inspection, no health or safety issues were observed in the facility or Resident 1's room. No deficiencies were cited at this time.
Report Facts
Capacity: 152
Census: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the case management incident visit |
| Lakhena Lor | Business Office Manager | Assisted with the visit and exit interview |
| Cristina Miller | Administrator | Facility administrator named in the report header |
| Carmen Galicia | Executive Director | Submitted the incident report prompting the visit |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 152
Deficiencies: 0
Date: Aug 18, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on May 20, 2025, alleging staff interference with the resident council and failure to safeguard residents' personal belongings.
Complaint Details
The complaint alleged that facility staff interfered with the resident council by stealing and copying meeting minutes and retaliating against residents, and that staff did not safeguard residents' personal belongings. The investigation included interviews with residents and staff, document reviews, and observations. The allegations were determined to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found the allegations of staff interfering with the resident council and not safeguarding residents' personal belongings to be unsubstantiated. Interviews with residents and staff, observations, and record reviews did not support the claims. No deficiencies were cited.
Report Facts
Capacity: 152
Census: 109
Residents interviewed: 8
Residents agreeing staff never spoke inappropriately: 7
Residents confirming no staff interference with resident council: 5
Facility staff interviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
| Carmen Galicia | Executive Director | Facility representative who assisted during the investigation and exit interview |
| Cristina Miller | Administrator | Facility administrator mentioned in the report |
Inspection Report
Complaint Investigation
Census: 109
Capacity: 152
Deficiencies: 0
Date: Aug 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on May 21, 2025, alleging inadequate medication assistance, untimely response to resident calls, and failure to safeguard residents' personal belongings.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Michael Tea. Allegations included inadequate medication assistance, untimely response to resident calls, and failure to safeguard personal belongings. The investigation included interviews with residents and staff, review of call logs, and observations. The allegations were determined to be unsubstantiated or unfounded based on evidence and interviews.
Findings
The investigation found that although some residents reported occasional delays in medication administration and response times, and concerns about safeguarding personal belongings, there was insufficient evidence to substantiate the allegations. Staff were observed to respond within adequate timeframes, and protocols for safeguarding belongings were followed. The allegations were determined to be unsubstantiated or unfounded, and no deficiencies were cited.
Report Facts
Capacity: 152
Census: 109
Complaint received date: May 21, 2025
Visit start time: 1300
Visit end time: 1700
Residents interviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Carmen Galicia | Executive Director | Facility representative who assisted during the visit and exit interview |
| Sharon Perez | Wellness Coordinator | Interviewed regarding medication administration and safeguarding of belongings |
| Cristina Miller | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 152
Deficiencies: 0
Date: Apr 25, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff were mismanaging residents' medications and not ensuring residents' rooms were clean and sanitized.
Complaint Details
The complaint investigation was unsubstantiated based on observations, interviews, and record reviews. Allegations included medication mismanagement and inadequate room sanitation, but evidence did not support these claims.
Findings
The investigation found no evidence to substantiate the allegations. Medication administration records and interviews confirmed medications were given as prescribed, and the facility's housekeeping practices were generally satisfactory with no observed cleanliness issues in the resident's room.
Report Facts
Residents interviewed: 11
Residents agreeing medication given as prescribed: 9
Residents satisfied with room cleanliness: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Carmen Galicia | Executive Director | Facility representative who met with the investigator and participated in the exit interview |
| Brittainy Prieto | Wellness Director | Provided information regarding resident care and family communications |
| Daniel Guerrero | Maintenance Director | Provided information about housekeeping and room inspections |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 152
Deficiencies: 0
Date: Apr 25, 2025
Visit Reason
The inspection was conducted as a case management follow-up visit triggered by a co-complaint report received on April 8, 2025, alleging that the facility was not changing residents' sheets on a regular weekly basis.
Complaint Details
The complaint alleged that the facility was not changing residents' sheets on a regular weekly basis. After investigation, including interviews with the Executive Director, staff, and residents, and review of linen supply invoices, the complaint was determined to be unsubstantiated.
Findings
Based on observations, interviews with staff and residents, and review of linen supply invoices, the allegation that the facility was not changing residents' sheets weekly was determined to be unsubstantiated. No deficiencies were cited during this visit.
Report Facts
Residents interviewed: 11
Residents confirming weekly sheet changes: 8
Average linen quantities: 160
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the case management visit and investigation |
| Carmen Galicia | Executive Director | Interviewed regarding linens and bedding practices |
Inspection Report
Annual Inspection
Census: 108
Capacity: 152
Deficiencies: 0
Date: Mar 19, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations.
Findings
The inspection found no deficiencies in the areas inspected. Resident files, staff files, physical plant, fire safety, medication storage, and resident care were all in compliance with regulations.
Report Facts
Residents on hospice: 12
Resident files reviewed: 11
Staff files reviewed: 7
Water temperature range: 108.3-109.4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lakhena Lor | Business Office Manager | Assisted with the inspection and participated in the exit interview |
| Kenya Carlton | Executive Director (filling in) | Filling in for Executive Director during the inspection |
| Cristina Miller | Administrator | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 152
Deficiencies: 0
Date: Feb 26, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations of a scabies infestation, improper medication administration, and failure to follow the Infection Control Plan at the facility.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations of scabies infestation, medication mismanagement, and infection control plan noncompliance.
Findings
The investigation found that only one resident was diagnosed with scabies and there was no evidence of an infestation. Medication administration was found to be properly managed and documented. The facility followed infection control protocols promptly when scabies was suspected. Overall, the allegations were determined to be unsubstantiated.
Report Facts
Capacity: 152
Census: 108
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Carmen Galicia | Executive Director | Facility representative who assisted during the visit and exit interview |
| Brittainy Prieto | Health and Wellness Director | Interviewed regarding scabies cases and medication management |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 152
Deficiencies: 1
Date: Feb 26, 2025
Visit Reason
A case management visit was conducted to follow up on a co-complaint report received by Community Care Licensing on January 16, 2025, submitted by Orange County Health Agency regarding a scabies outbreak and failure to report to the local health officer/agency.
Complaint Details
The visit was complaint-related based on a report of a scabies outbreak and failure to report infection control issues to the local health officer. The complaint was submitted by Orange County Health Agency and investigated by Community Care Licensing.
Findings
The facility was cited for failure to report an infection outbreak to the local health officer as required by Title 22 Division 6 of the California Code of Regulations, posing a potential health and safety risk to residents.
Deficiencies (1)
Failure to report epidemic outbreaks, such as the scabies outbreak, to the local health officer within 24 hours as required.
Report Facts
Capacity: 152
Census: 108
Plan of Correction Due Date: Mar 12, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the case management visit and cited the deficiency |
| Carmen Galicia | Executive Director | Met with Licensing Program Analyst during the visit and participated in exit interview |
Inspection Report
Census: 108
Capacity: 152
Deficiencies: 0
Date: Jan 27, 2025
Visit Reason
The inspection was a case management incident visit conducted to follow up on an incident report received by Community Care Licensing on January 24, 2025.
Findings
During the inspection, no health or safety issues were observed, the facility was clean and organized, and no deficiencies were cited at this time.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Tea | Licensing Program Analyst | Conducted the case management incident visit. |
| Carmen Galicia | Executive Director | Assisted with the visit and participated in the exit interview. |
| Brittainy Prieto | Health and Wellness Director, LVN | Submitted the incident report prompting the visit. |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 152
Deficiencies: 1
Date: Jan 17, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on November 18, 2024, including mismanagement of resident medication, presence of bedbugs, failure to provide a copy of the admission agreement, and lack of hot water in restrooms and sinks.
Complaint Details
The complaint investigation addressed multiple allegations: 1) Facility mismanaged resident's medication - unsubstantiated; 2) Facility has bedbugs - unsubstantiated; 3) Facility did not provide resident with a copy of the admission agreement - unfounded; 4) Facility's restrooms and sinks do not have hot water - substantiated.
Findings
The investigation found the allegations of medication mismanagement and bedbugs to be unsubstantiated due to conflicting evidence. The allegation that the facility did not provide a copy of the admission agreement was unfounded. However, the allegation that restrooms and sinks did not have hot water was substantiated, with hot water temperatures tested below the required minimum, posing a potential health risk.
Deficiencies (1)
87303 Maintenance and Operation (e)(2) Faucets used by residents for personal care shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F and not more than 120 degree F. This requirement was not met as evidence by hot water tested between 91.2 to 102.3 degrees Fahrenheit, posing a potential health, safety or personal rights risk to persons in care.
Report Facts
Hot water temperature range: 91.2
Hot water temperature range: 102.3
Facility capacity: 152
Resident census: 111
Plan of Correction due date: 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
| Carmen Galicia | Executive Director | Facility representative met during the investigation and exit interviews |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 152
Deficiencies: 0
Date: Jan 16, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on October 11, 2024, concerning privacy violations, uncomfortable accommodations due to air fresheners, retaliation against residents, and untimely response to the facility call system.
Complaint Details
The complaint investigation was unsubstantiated due to conflicting information and lack of preponderance of evidence to prove or refute the allegations.
Findings
The investigation found conflicting information regarding the allegations. Some residents and staff confirmed or denied the complaints, and document reviews supported staff training and policies protecting resident rights. Due to insufficient evidence, all allegations were deemed unsubstantiated, and no citations were issued.
Report Facts
Capacity: 152
Census: 111
Call system response time: 5
Call system response time: 35
Resident reported call response time: 24
Resident reported call response time: 30
Call system test response time: 6
Call system test response time: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Cristina Miller | Administrator | Facility administrator mentioned in the report |
| Ashanti Minor | Administrative Services Coordinator | Met with Licensing Program Analyst during the investigation |
| Carmen Galicia | Executive Director | Met with Licensing Program Analyst and participated in exit interview |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 152
Deficiencies: 1
Date: Dec 5, 2024
Visit Reason
The inspection was an unannounced visit to investigate complaints received on 2024-09-18 regarding staff not ensuring residents' personal property was safely secured, mail deliveries, and laundry handling.
Complaint Details
The complaint investigation was triggered by allegations that staff did not ensure residents' personal property was safely secured, mail was not properly delivered to residents, and laundry was returned undamaged. The mail and laundry allegations were unsubstantiated, while the personal property documentation allegation was substantiated.
Findings
Two allegations regarding mail delivery and laundry handling were found to be unsubstantiated due to insufficient evidence. One allegation regarding failure to maintain required documentation of missing personal property was substantiated, resulting in a Type B deficiency citation.
Deficiencies (1)
Failure to maintain required documentation of missing property including description, estimated value, date/time of theft or loss, and actions taken as required by Health and Safety Code section 1569.153(c).
Report Facts
Facility capacity: 152
Plan of Correction due date: Jan 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Cristina Miller | Administrator | Facility administrator present and assisted with the visit |
Inspection Report
Complaint Investigation
Census: 112
Capacity: 152
Deficiencies: 1
Date: Sep 4, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to follow up on multiple allegations received on 06/07/2024 regarding resident care and facility conditions at Westminster Terrace.
Complaint Details
The complaint investigation was substantiated for the allegation regarding clean linen provision. Other allegations were unsubstantiated based on interviews, observations, and documentation.
Findings
The investigation substantiated the allegation that residents were not being provided with clean linen, issuing a Type B citation. Other allegations including residents being left soiled, pest infestations, disrespectful treatment, unclean dining areas, and lack of call system access were found to be unsubstantiated.
Deficiencies (1)
Failure to assure provision of clean linen as required by CCR 87307(a)(3)(C), evidenced by multiple living units having soiled, dirty, or absent linen.
Report Facts
Capacity: 152
Census: 112
Deficiency citation: 1
Plan of Correction Due Date: Oct 2, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
| Carmen Galicia | Executive Director | Facility representative present during inspection and assisted with investigation |
| Cristina Miller | Administrator | Facility administrator who provided documentation and information during investigation |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 152
Deficiencies: 0
Date: May 6, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that residents are afraid to express themselves due to retaliation and that the facility is understaffed.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included residents fearing retaliation and understaffing. Interviews with 7 residents and staff did not support these allegations. Staffing schedules confirmed adequate coverage. No preponderance of evidence was found to prove or refute the allegations.
Findings
The investigation included interviews with residents and staff, a tour of the facility, and review of records. The allegations were not substantiated as resident and staff interviews did not corroborate the claims, and staffing levels were verified as adequate through staff schedules and observations.
Report Facts
Capacity: 152
Census: 102
Resident interviews: 7
Staff interviews: 3
Caregivers per shift: 4
Med-tech hybrids per shift: 2
Caregivers per night shift: 2
Med-tech hybrids per night shift: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Celine De Perio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Carmen Galicia | Facility Administrator | Met with the Licensing Program Analyst during the investigation and exit interview |
Inspection Report
Original Licensing
Census: 55
Capacity: 152
Deficiencies: 0
Date: Feb 22, 2023
Visit Reason
The visit was conducted as a pre-licensing evaluation for an existing facility undergoing a Change of Ownership and applying to operate as a Residential Care For the Elderly (RCFE) with a capacity of 152 residents.
Findings
The facility was toured and found to be in compliance with regulatory requirements including adequate supplies, clean and hazard-free common areas, proper food storage, locked medication and toxin storage, and functional call systems. The facility is ready to be licensed.
Report Facts
Capacity: 152
Census: 55
Fire Clearance: 56
Fire Clearance: 96
Fire Clearance: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erin Mahoney | Administrator | Met with Licensing Program Analyst during pre-licensing evaluation |
| Christine Miller | Met with Licensing Program Analyst during pre-licensing evaluation | |
| Lydia Martinez | Licensing Program Analyst | Conducted the pre-licensing evaluation visit |
| Armando J Lucero | Licensing Program Manager | Named in report header |
Inspection Report
Census: 50
Capacity: 152
Deficiencies: 0
Date: Feb 9, 2023
Visit Reason
The visit was an office evaluation conducted on February 9, 2023, involving a telephone interview with the applicant/administrator to verify identification and confirm understanding of California Code Title 22 regulations and facility operation requirements.
Findings
The applicant/administrator demonstrated understanding of licensing requirements including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness during the COMP II telephone interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Suzette Johnson | Administrator | Named as facility administrator participating in the COMP II interview |
| Erin Mahoney | Participant in COMP II telephone interview | |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst conducting the evaluation |
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