Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not confirmed. The most recent report from May 21, 2025, cited two minor deficiencies related to incomplete admission agreements and hot water temperatures exceeding allowed limits, with no serious enforcement actions noted. Earlier reports included some substantiated issues such as insufficient staffing, staff working without fingerprint clearance, and improper use of restraints, but these were isolated and addressed over time. There were no fines or license suspensions listed in the available reports. Overall, the facility’s compliance appears to have improved recently, with the latest inspection showing only minor issues.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
60% occupied
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 25
Capacity: 42
Deficiencies: 2
Date: May 21, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements at the Newport Beach Memory Care Facility.
Findings
Two Type B deficiencies were cited related to missing or incomplete admission agreements and hot water temperature exceeding 120F at multiple taps. The facility met fire safety requirements and maintained secure medication storage and adequate food stock.
Deficiencies (2)
Admission agreement is missing from one file reviewed, and three others are missing one or both signatures.
At least three separate taps tested were found to be dispensing water above 120F, exceeding the allowed temperature range.
Report Facts
Hot water temperature: 126
Deficiencies cited: 2
Capacity: 42
Census: 25
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection and authored the report |
| Maria Constantin | Operations Manager | Facility staff who assisted during the inspection |
| Eileen Sanchez | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 42
Deficiencies: 0
Date: Nov 6, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not provide care and supervision resulting in multiple falls.
Complaint Details
The complaint alleged inadequate care and supervision leading to multiple falls. The allegation was found unsubstantiated after review of incident reports, interviews, and records.
Findings
The investigation found that resident R1 had multiple falls reported on several dates, but after staff in-service training on fall prevention and implementation of precautionary measures, no further falls occurred. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Fall incidents reported: 5
Facility capacity: 42
Census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and inspection visit. |
| Sheila Santos | Licensing Program Manager | Named in the report as Licensing Program Manager. |
| Chad Sisco | Operations Manager | Met with the Licensing Program Analyst during the visit. |
| Eileen Sanchez | Administrator | Facility administrator named in the report. |
Inspection Report
Annual Inspection
Census: 29
Capacity: 42
Deficiencies: 0
Date: Apr 25, 2024
Visit Reason
An unannounced visit was conducted for the purpose of a Required Annual Inspection of the Newport Beach Memory Care Facility.
Findings
The facility was found to be in compliance with no deficiencies cited. Observations included a secure and well-maintained environment, proper emergency plans, adequate food supplies, and secure medication storage. A Technical Violation Advisory Note was issued regarding a pending exemption transfer.
Report Facts
Residents receiving hospice care: 6
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Eileen Sanchez | Administrator | Facility administrator present during inspection. |
| Riley Bushman | Operations Manager | Facility operations manager present during inspection. |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 42
Deficiencies: 0
Date: Apr 5, 2024
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff did not properly safeguard confidential information.
Complaint Details
The complaint alleged that staff did not properly safeguard confidential information. The investigation was unsubstantiated.
Findings
The investigation found no evidence of confidential information being left out in public view or improperly safeguarded. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 42
Census: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Riley Bushman | Operations Manager | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 42
Deficiencies: 0
Date: Jan 26, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility failed to ensure the safety of residents after admitting a new resident with behavior issues.
Complaint Details
The complaint alleged that the facility failed to ensure resident safety after admitting a new resident with behavior issues. The investigation found no preponderance of evidence to prove or refute the allegation, resulting in an unsubstantiated finding.
Findings
The investigation included interviews with staff and observations, which found that the alleged resident's behavior was not considered problematic by staff. There was insufficient evidence to substantiate the complaint, and the allegation was deemed unsubstantiated.
Report Facts
Capacity: 42
Census: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visit |
| Luz Adams | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Brian Hadley | Administrator | Facility administrator named in the report |
| Karen Ashley | Wellness Director | Met with the investigator during the visit |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 42
Deficiencies: 1
Date: Jan 26, 2024
Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that the facility's staff is insufficient to adequately provide care and supervision to the residents in care.
Complaint Details
The complaint was substantiated based on interviews, observation, and document review. The allegation that the facility's staff is insufficient to adequately provide care and supervision was confirmed.
Findings
The investigation found that staffing issues were substantiated, with 5 of 5 staff interviews confirming the need for additional staffing. There were instances of caregivers calling off and quitting without notice, and on the initial complaint visit only two staff members were present with the Wellness Director covering for a Med Tech who called off.
Deficiencies (1)
Licensees who accept and retain residents with dementia failed to ensure an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal.
Report Facts
Capacity: 42
Census: 22
Plan of Correction Due Date: Feb 2, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Karen Ashley | Wellness Director | Interviewed during investigation and agreed to submit plan of correction |
| Brian Hadley | Administrator | Facility administrator named in the report |
| Luz Adams | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 42
Deficiencies: 1
Date: Jan 26, 2024
Visit Reason
The visit was a case management inspection conducted due to information discovered during the investigation of complaint control #22-AS-20240109140428 regarding staff fingerprint clearance.
Complaint Details
The visit was triggered by a complaint investigation into fingerprint clearance of staff. The complaint was substantiated by the finding that S1 was not fingerprint cleared.
Findings
It was found that Staff 1 (S1) was working at the facility for a year without fingerprint clearance, which is a violation posing an immediate health, safety, or personal rights risk. Deficiencies were cited as a result of this finding.
Deficiencies (1)
Staff 1 (S1) was not fingerprint cleared prior to working or visiting the facility, violating criminal record clearance requirements.
Report Facts
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the case management visit and cited deficiencies |
| Luz Adams | Licensing Program Manager | Supervisor named in the report |
| Brian Hadley | Administrator | Facility administrator named in the report |
| Karen Ashley | Wellness Director | Met with during the visit |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 42
Deficiencies: 1
Date: Aug 29, 2023
Visit Reason
The inspection was an unannounced visit to investigate complaints alleging that one of the facility's routes of egress was in disrepair and that an inoperant alarm allowed unsupervised exits from residents with dementia.
Complaint Details
The complaint investigation was triggered by allegations of a disrepair in one of the facility's routes of egress and an inoperant alarm allowing unsupervised exits from residents with dementia. After observation, staff interviews, and testing of alarms and egress routes, the allegation of disrepair was found Unfounded and the alarm allegation Unsubstantiated due to lack of evidence.
Findings
The investigation found that the delayed egress systems on both exit routes were operational and alarms were functional with appropriate staff response. No evidence supported the allegations, resulting in the complaints being found Unfounded and Unsubstantiated respectively. A Technical Violation Advisory Note was issued regarding obstruction near an egress gate.
Deficiencies (1)
Presence of two large items in front of the backside egress gate obstructing it, later repositioned by staff.
Report Facts
Capacity: 42
Census: 20
Staff interviews: 6
Alarm delay time: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
| Kevin Fox | Operations Manager | Facility staff member who accompanied the investigator and was interviewed |
| Brian Hadley | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 19
Capacity: 42
Deficiencies: 0
Date: Aug 17, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff did not have proper training to care for a resident in care.
Complaint Details
The complaint alleged improper staff training to care for a resident. The investigation found the allegation to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation confirmed that the resident's ostomy care was continuously provided by skilled professionals, and the allegation that staff lacked proper training was found to be unfounded.
Report Facts
Capacity: 42
Census: 19
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
| Brian Hadley | Administrator | Facility Administrator |
| Kevin Fox | Administrator | Met with during the investigation |
Inspection Report
Complaint Investigation
Census: 19
Capacity: 42
Deficiencies: 0
Date: Aug 17, 2023
Visit Reason
An unannounced visit was conducted to investigate the complaint alleging that the facility administrator does not have proper qualifications.
Complaint Details
The complaint alleging that the facility administrator does not have proper qualifications was investigated and found to be unfounded.
Findings
The allegation was found to be unfounded as the interim supervising administrator was confirmed to have an active administrator certificate, and the Operations Manager was operating under the guidance of a certified administrator.
Report Facts
Capacity: 42
Census: 19
Civil penalty amount: 250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation |
| Sheila Santos | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Brian Hadley | Administrator | Facility administrator named in the report |
| Kevin Fox | Operations Manager | Met with during the investigation |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 42
Deficiencies: 0
Date: Aug 1, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that the facility refused to disclose information regarding an incident and did not report a fall that occurred to a resident.
Complaint Details
The complaint was unsubstantiated as the department was unable to corroborate the allegations due to conflicting information regarding the incident and reporting of a fall.
Findings
The investigation revealed that on 10/06/2021, a resident was found with an abrasion and hip pain, later diagnosed with a hip fracture. The facility denied witnessing any fall and was unsure how the injury occurred. Due to conflicting information, the allegations were found to be unsubstantiated.
Report Facts
Facility capacity: 42
Census: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Michele Goodney | Facility Director who greeted the investigator and was interviewed | |
| Brian Hadley | Administrator | Facility administrator named in the report header |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 42
Deficiencies: 0
Date: Apr 14, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint alleging that staff were unable to communicate due to a language barrier.
Complaint Details
The complaint alleged that staff were unable to communicate due to a language barrier. The allegation was found to be unfounded after review of documents and staff interviews.
Findings
The investigation found that staff member S1 was present on the day reported and was fluent in English. The allegation was determined to be unfounded, meaning it was false or without reasonable basis.
Report Facts
Capacity: 42
Census: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michelle Goodney | Administrator | Notified of the visit and assisted during the investigation |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 42
Deficiencies: 1
Date: Apr 14, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate multiple allegations received on 2023-01-31 regarding resident care, including temperature maintenance, medication administration timeliness, provision of activities, staff training, and resident restraint.
Complaint Details
The complaint investigation was triggered by allegations including staff restraining residents, failure to maintain comfortable temperatures, untimely medication administration, lack of activities, and insufficient staff training. The allegation of restraint was substantiated; others were unsubstantiated or unfounded.
Findings
The investigation found all allegations except one to be unsubstantiated or unfounded. The allegation that staff were restraining residents while in care was substantiated, with evidence including incident reports of falls related to recliner use. A Type B citation was issued for this deficiency.
Deficiencies (1)
Staff restraining residents while in care by using recliner seats with legs in the upward position, contributing to fall incidents and risking health, safety, and personal rights.
Report Facts
Facility capacity: 42
Census: 20
Deficiency citation due date: May 12, 2023
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 |
| Michelle Goodney | Administrator | Facility administrator who granted entry and participated in the investigation |
| Rogelio Martinez | Maintenance Director | Interviewed during the investigation and follow-up visit |
| Erin Rehbein | Director of Marketing | Met with during the investigation |
| Stephanie Garcia Rios | Wellness Director | Met with during the investigation |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 42
Deficiencies: 2
Date: Mar 6, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints received on 12/28/2022 regarding facility heater units being in disrepair, the facility operating without an administrator, and insufficient staffing to meet resident needs.
Complaint Details
The complaint investigation was substantiated for allegations that facility heater units were in disrepair and that the facility was operating without an administrator. The allegation that staff were insufficient in numbers to meet resident needs was unsubstantiated.
Findings
The investigation substantiated that the facility heater units were previously dysfunctional but have since been repaired and are now functional. It was also substantiated that the facility operated without an administrator for several weeks until a new administrator was hired on December 19, 2022. The allegation of insufficient staff to meet resident needs was found to be unsubstantiated, with records showing adequate staffing coverage.
Deficiencies (2)
Facility was operating without a designated substitute administrator during the former administrator's resignation, posing a potential risk to health, safety, and personal rights of individuals in care.
Facility heater units were non-functional causing use of unauthorized floor heating units before repairs were completed.
Report Facts
Capacity: 42
Census: 20
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and inspection visits |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
| Brian Hadley | Administrator | Facility administrator named in the report |
| Michele Goodney | Administrator | Met with Licensing Program Analyst during inspection visit |
Inspection Report
Census: 20
Capacity: 42
Deficiencies: 0
Date: Mar 6, 2023
Visit Reason
An unannounced visit was made to deliver an amended form LIC9099 for a complaint investigation conducted on February 3, 2023.
Complaint Details
The complaint investigation 22-AS-20230131162326 was ongoing with allegations requiring further investigation; the original allegations were marked unsubstantiated but amended to reflect ongoing status.
Findings
The original facility visit report was marked as concluded with allegations unsubstantiated, but the narrative and exit interview indicated the allegations required further investigation. The report was amended to reflect the correct status for the ongoing investigation.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michele Goodney | Administrator | Greeted and granted entry to Licensing Program Analyst during the visit. |
| Sheila Santos | Licensing Program Manager | Named in the report header. |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced visit and signed the report. |
Inspection Report
Census: 21
Capacity: 42
Deficiencies: 1
Date: Jan 4, 2023
Visit Reason
An unannounced case management inspection was conducted to review resident records and ensure compliance with regulations.
Findings
One deficiency was cited due to missing resident records, specifically the entire file for resident R6 and the physician report for resident R5, posing a potential risk to health, safety, and personal rights.
Deficiencies (1)
Missing resident records for resident R6 and missing physician report for resident R5, violating California Code of Regulations Section 87506(a) on Resident Records.
Report Facts
Deficiencies cited: 1
Capacity: 42
Census: 21
Plan of Correction Due Date: Feb 3, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection and cited the deficiency |
| Michele Goodney | Administrator | Met with the Licensing Program Analyst during the inspection |
| Sheila Santos | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 42
Deficiencies: 0
Date: Oct 25, 2022
Visit Reason
The visit was an unannounced delivery of an amended complaint investigation report regarding complaint 22-AS-20221003102027.
Complaint Details
The visit was related to complaint 22-AS-20221003102027 and involved delivery of an amended complaint investigation report.
Findings
The Licensing Program Analyst delivered the amended complaint investigation report and provided an exit interview to the facility representative. No additional findings or deficiencies were detailed in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced visit and delivered the amended complaint investigation report. |
| Chanel Sanchez | Executive Director | Facility representative who greeted the Licensing Program Analyst and received the report. |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Brian Hadley | Administrator | Facility Administrator named in the report. |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 42
Deficiencies: 1
Date: Oct 5, 2022
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility did not provide the authorized representative with a refund.
Complaint Details
The complaint was substantiated. The allegation was that the facility did not provide the authorized representative with a refund. The investigation confirmed no refund had been issued within the required timeframe, and the facility was transitioning administrative service providers with no refund request submitted at the time of the visit.
Findings
The investigation found that the facility failed to issue a refund within the 15-day period as required by the admission agreement, which poses a potential health, safety, or personal rights risk to persons in care. The allegation was substantiated based on staff interviews, record reviews, and lack of documentation of a processed refund.
Deficiencies (1)
Failure to comply with California Code of Regulations Section 87507(f) regarding Admission Agreements, specifically not issuing refunds within the required 15-day period.
Report Facts
Facility capacity: 42
Census: 21
Deficiency count: 1
Plan of Correction due date: Nov 7, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Chanel Sanchez | Executive Director | Facility representative interviewed during the investigation |
| Yvonne Laumasima | Staff member in charge of facility payroll and accounts payable | Interviewed regarding refund procedures and facility operations |
Inspection Report
Monitoring
Census: 24
Capacity: 42
Deficiencies: 1
Date: Jul 28, 2022
Visit Reason
An unannounced health and safety case management visit was conducted to assess compliance with COVID-19 screening guidelines and reporting requirements.
Findings
The facility was following COVID screening guidelines and residents appeared safe and well cared for. However, two COVID cases starting on 07/15/2022 were not reported to Licensing or Public Health within the required timeframe, posing an immediate health and safety risk.
Deficiencies (1)
Licensee failed to ensure COVID cases were reported to Licensing or Public Health within 24 hours as required.
Report Facts
COVID cases: 2
Deficiency count: 1
Plan of Correction due date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced health and safety case management visit |
| Alex Gutierrez | Wellness Director | Met with Licensing Program Analyst during visit and consulted regarding mask wearing |
| Alisa Ortiz | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Plan of Correction
Census: 21
Capacity: 42
Deficiencies: 1
Date: May 18, 2022
Visit Reason
An unannounced Plan of Correction (POC) visit was conducted based on deficiencies cited in a previous inspection on 04/12/2022 to verify correction of cited deficiencies.
Findings
Several previously cited deficiencies related to emergency water, medical assessments, and evacuation chairs were cleared. However, a new deficiency was cited for failure to screen staff and visitors, posing a potential health and safety risk.
Deficiencies (1)
Facility is not screening visitors to the facility, posing a potential health and safety risk to residents.
Report Facts
Deficiency Type B: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced Plan of Correction visit and cited deficiencies. |
| Alisa Ortiz | Licensing Program Manager | Supervisor overseeing the inspection. |
| Chanel Sanchez | Facility Administrator who granted entry and was present during the visit. |
Inspection Report
Annual Inspection
Census: 22
Capacity: 42
Deficiencies: 3
Date: Apr 12, 2022
Visit Reason
An unannounced required annual visit was conducted to evaluate compliance with regulations and facility conditions.
Findings
The facility was generally clean and residents appeared well cared for, but deficiencies were cited including lack of evacuation chairs at stairwells, absence of emergency water supply, and missing updated physician reports for two of three residents with dementia.
Deficiencies (3)
All three stairwells do not have an evacuation chair which poses an immediate health and safety risk to persons in care.
Facility does not have any emergency water on-site which poses a potential health and safety risk to persons in care.
Two out of three residents with dementia do not have updated physician reports, posing a potential health and safety risk.
Report Facts
Residents on hospice care: 7
Plan of Correction Due Date: Apr 13, 2022
Plan of Correction Due Date: Apr 26, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and authored the report |
| Alisa Ortiz | Licensing Program Manager | Supervisor overseeing the inspection |
| Chanel Sanchez | Administrator | Facility administrator present during the inspection |
Report
March 10, 2026
Report
January 7, 2026
Report
January 26, 2024
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