Huntington Terrace

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility has a bed bug infestation. Facility is not being maintained free of vermin.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on July 29, 2024. LPA was greeted and granted entry into the facility and met with Business Office Manager (BOM) Timarie Breslin. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility has a bed bug infestation. Regarding the allegation the following was revealed: During the course of the interviews with individuals nine of fourteen individuals interviewed denied the allegations. During the investigation LPA reviewed the Western Exterminator Summary of Service dated July 10, 2024, August 15, 2024, and August 23, 2024. Per Summary of Service dated July 10, 2024, under service description it states Bioremediation Ongoing Full Service maintenance and it states no activity noted. Per Summary of Service dated August 15, 2024, under service description it states Bioremediation Ongoing Full Service Maintthe state’s words, verbatim · CDSS document, Dec 22, 2025 · control 22-AS-20240729133827

Allegation investigated: Staff threatened to evict a resident in care.

Licensing Program Analyst (LPA) Jessica Cho made an unannounced subsequent vist for the purpose of continuing the investigation and delivering the findings into the above allegation. LPA met with Business Office Manager (BOM) Timarie Morrissey and explained the reason for the visit. During the course of the investigation, LPA interviewed one resident, two staff, and a witness, and obtained the following documentation for review: Resident Rosters, Personnel Report, Staff Contacts, Face Sheet, Physician's Report, Admission Agreement, Resident Assessments/Needs and Services Plans, Narrative Charting, and Warning Notice involving Resident #1 (R1). The investigation revealed the following: The Department received said complaint on July 31, 2024. The complaint was initiated by LPA on August 8, 2024. Regarding the allegation, Staff threatened to evict a resident in care, it is alleged that a Registered Nurse (RN) and R1 was engaged in an interaction where an eviction threat was made to R1. Ththe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 22-AS-20240731232601

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Multiple residents have an issue with roaches in their room patio are constantly subject to accumulated moisture and water facility has not had a driver and van for over a year Difficulty communicating with Administrator/General Manager Smoke alarms are going off in problematic manner

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced subsequent visit to deliver complaint investigation findings. LPA was granted entry by staff. LPA Tirre discussed purpose of the visit and allegations with Business Office Manager Timarie Morrissey The investigation consisted of staff and resident interviews and review of facility records. The Investigation was completed by department and revealed the following: On January 5, 2022, the department received allegations that Multiple residents have an issue with roaches in their room, patio are constantly subject to accumulated moisture and water, facility has not had a driver and van for over a year, and Difficulty communicating with Administrator/General Manager, and smoke alarms are going off in problamatic manner. Regarding the allegation multiple residents have an issue with roaches in their room, interviews were conducted with staff and residents, the following information was provided: Interviews conductethe state’s words, verbatim · CDSS document, Nov 24, 2025 · control 22-AS-20220105143830

Allegation investigated: Lack of care and supervision Facility failed to assess resident for change in condition Facility failed to provide timely medical attention

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced subsequent visit to deliver complaint investigation findings. LPA was granted entry by staff. LPA Tirre discussed purpose of the visit and allegations with Business Office Manager Timarie Morrisey. The investigation consisted of interviews and review of Residents (R1) records such as Physician’s report, Appraisal, incident report and death report. The Investigation was completed by department and revealed the following: On July 30, 2021, the department received allegations that facility had lack of care and supervision, facility failed to assess resident for change in condition, and facility failed to provide timely medical attention. Regarding allegation facility had lack of care and supervision, Based on Facility roster provided at time of complaint facility had 111 Team members of which 25 caregivers were assigned to Assisted living and along with 12 Medication Technicians who provide similar services. CONthe state’s words, verbatim · CDSS document, Nov 24, 2025 · control 22-AS-20210730142004

Allegation investigated: Resdent requires a higher level of care Responsible party placed a camera in residents room Administrator is rude to residents and staff

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced subsequent visit to deliver complaint investigation findings. LPA was granted entry by staff. LPA Tirre discussed purpose of the visit and allegations with Executive Director Mike Marion. The investigation consisted of interviews and review of Residents (R1) records such as Physician’s report, incident reports, Assessments and Needs and service plan. The Investigation was completed by department and revealed the following: On January 15, 2021, the department received allegations that resident requires a higher level of care, responsible party placed a camera in residents room and Administrator is rude to residents and staff. Regarding allegation Resident requires a higher level of care, the following resident records were reviewed: Physician’s report dated 7/1/2019, Appraisal dated 4/1/2020 stated R1’s primary diagnosis as Parkinson’s Disease with a secondary diagnosis of Mild cognitive impairment and is ablethe state’s words, verbatim · CDSS document, Nov 18, 2025 · control 22-AS-20210115083303

Allegation investigated: Resident sustained a fall while in care

Licensing Program Analyst (LPA) Jenifer Tirre made a unannounced visit and met with Administrator Mike Marion to discuss the findings for the above allegations. The investigation consisted of interviews and review of Residents (R1) records such as Physician’s report, incident report and Assessment The Investigation was completed by department and revealed the following: On September 28, 2021, the department received allegations that Resident sustained a fall while in care. Based off Interviews with staff, three of five staff members stated that they worked at facility during time R1 resided but does not recall R1 and their level of care needed. Two of Five staff interviews stated that they were not working at that time R1 resided at facility. Interviews with witnesses revealed that one of two witnesses (W1) states that per a medic report for UCI Health, R1 had a witnessed ground level fall (glf). W1 was not present at facility at time of fall. Per interview with W2 revealed that R1 hadthe state’s words, verbatim · CDSS document, Oct 22, 2025 · control 22-AS-20210928135349

Allegation investigated: Unlawful eviction

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegation listed above. LPA met with Executive Director Mike Marion and explained the reason for the visit. The investigation into the allegation, unlawful eviction, revealed the following. The facility served Resident 1 (R1) an eviction notice on July 17, 2025, for violating section 20.c. of the Admission Agreement, which states that, “Residents must not be disruptive, must not create unsafe conditions, and must not be physically or verbally abusive to other residents or staff.” The eviction notice cites 2 incidents for the reason for the eviction which occurred on June 25, 2025, and July 1, 2025. During each incident the eviction notice states R1 violated the conditions of the Admission Agreement. 7 out of 8 staff interviewed and 5 out of 8 residents interviewed verified each incident took place. R1 and the Administrator verified both incidents tthe state’s words, verbatim · CDSS document, Oct 3, 2025 · control 22-AS-20250722122317

Allegation investigated: Facility is not in good repair. Staff were verbally harassing resident. Facility does not provide a safe environment for residents.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegations listed above. LPA met with Administrator Mike Marion and explained the reason for the visit. The investigation into the allegation, facility is not in good repair revealed the following. It was reported that the exit door next to the dining room would not close or open properly and that there was a leak in the second floor laundry room which caused water to leak on the floor. LPA interviewed the Administrator who reported that the washing machines were recently repaired but they were not leaking. The Maintenance Director reported that washing machines were fixed but there were no issues with leaking water. The Administrator reported that the facility has numerous washing machines and there was never a time when residents did not have access to washing machines. LPA toured the facility and observed that the laundry room on the second floothe state’s words, verbatim · CDSS document, Oct 3, 2025 · control 22-AS-20250812094242

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not providing adequate food service to residents.

Licensing Program Analysts (LPAs) Eboni Bentley and Jessica Cho arrived at the facility unannounced to initiate the complaint investigation into the above allegations. LPAs were greeted and granted entry after stating the purpose of the visit to Business Office Manager (BOM) Timarie Morrissey and obtained the following documentation: Resident Roster, Personnel Report Summary, Employee Contact Information, Menus, Face Sheets and Physician’s Reports for seventeen (17) residents. The following was determined based on observations, interviews, and record review: It is alleged that staff are not providing adequate food service to residents. Based on LPA’s observations of one meal service approximately 8:30-9:00am, all residents were observed eating the items listed on the main dining menu which was the breakfast quesadilla with toast, fresh fruits, hot or cold cereal with eggs made to order, choice of sausage, bacon, ham and breakfast potatoes. Unfoundedthe state’s words, verbatim · CDSS document, Jul 8, 2025 · control 22-AS-20250703124044

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: -Staff speaks inappropriately towards a resident. -Staff do not comply with an infection control practice. -Staff behavior is preventing a resident from sleeping.

Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegations. LPA arrive at facility was greeted by receptionist and granted entry. LPA spoke with Timarie Morrissey, Business Office Manager and explained the purpose of the visit. Morgan Ware, Executive Director Specialist arrived shortly after and met with LPA. Findings are based upon this investigation which included interview conducted, tour of physical plant of facility and review of records. It is alleged that staff speak inappropriately towards a resident. Interview with 8 of 8 residents that resided in the surrounding cottages to resident (R1) indicated that they have not heard or witnessed staff speaking inappropriately to R1. Furthermore, residents indicate that they have not been talk to Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2024 · control 22-AS-20240722135716

Allegation investigated: Staff does not ensure reporting requirements are met for residents in care

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit to follow up on complaint investigation. LPA discussed purpose of the visit and allegations with Executive Director Zehra Syed. The Investigation consisted of obtained records and interviews with Huntington Terrace Staff. On 10/06/2023 the department received allegations Staff does not ensure reporting requirements are met for residents in care. The Investigation was completed by the department and revealed the following: based on record review facility documents in several areas where they report changes based on resident’s care and needs. Facility uses a program called ICON Voice Friend where mass messages are sent out to residents, families and staff notifying of changes in the community such as reporting Covid or any other infectious diseases in the community. Record review also revealed that facility staff fill out end of day reports to update staff members of changes in condition of residents. CONthe state’s words, verbatim · CDSS document, Apr 26, 2024 · control 22-AS-20231006141818

Allegation investigated: Staff failed to meet resident's needs. Staff is not responding timely to resident calls Facility has insufficient staff Facility staff are not dispensing medication as prescribed Personal Rights

Licensing Program Analyst (LPA) Jenifer Tirre made a unannounced visit and met with Administrator Zehra Syed to discuss the findings for the above allegations. The investigation consisted of interviews and review of documentation such as Physician’s report, Medication Order, Physician Visit form and Resident Assessments. The Investigation was completed by department and revealed the following: On 12/16/2020 the department received allegations that facility staff failed to meet resident’s needs, staff is not responding timely to resident’s calls, facility has insufficient staff, facility staff are not dispensing medication as prescribed and personal rights violation. Based off interviews with residents, four of four residents have stated facility is meeting their needs and feel safe with staff at facility. Interviews with residents revealed that two of four residents state that staff answer their calls in timely manner averaging 10 minutes response time. Interviews with residents revealthe state’s words, verbatim · CDSS document, Dec 13, 2023 · control 22-AS-20201216092545

Allegation investigated: Staff did not seek medical attention for resident in a timely manner. Staff did not ensure that resident's dietary needs were met.

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced inspection to deliver findings on a complaint investigation. LPA identified herself and discussed the purpose of the visit and the elements of the allegations with Administrator Zehra Syed. During course of the investigation, the Department interviewed staff, residents and witnesses as well as review and obtained pertinent documentation. The investigation conducted revealed the following: It was alleged staff did not seek medical attention for resident in a timely manner and staff did not ensure the resident’s dietary needs were met due to Resident 1 (R1) being hospitalized with a stroke and dehydration. R1 was admitted to the facility on May 14, 2020. Shortly after being admitted staff reported R1 became verbally aggressive and threatening to leave the facility. The following day staff referred R1 for a psych evaluation and transferred R1 to Anaheim Global Hospital for a Geri Psych evaluation. Records reviewed showthe state’s words, verbatim · CDSS document, Oct 27, 2023 · control 22-AS-20200602120131