Atria Newport Beach

Allegation investigated: Staff did not dispense medication to resident as prescribed by physician Staff did not return medication to resident upon termination of services Staff made inappropriate comments to resident

On March 26, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility continue to the investigation into the allegations listed above and to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director (ED) Brian Keys was present and assisted on today's visit. During the course of the investigation, the Department interviewed residents, interviewed staff, reviewed and collected pertinent documents for this complaint. Regarding the allegation, staff did not dispense medication to resident as prescribed by physician, the following has been concluded: It was alleged that staff did not dispense Resident #1 (R1) Buprenorphine 10MG patch and Seroquel 25MG tablets as prescribed by her physician. The Department reviewed R1's medication and medication administration records. The Department observed that R1 was being provided all of her medications, including her Buthe state’s words, verbatim · CDSS document, Mar 26, 2026 · control 22-AS-20250210104442

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 were unaware of residents Portable Medical Orders

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility for the purpose of investigating the above mentioned allegation. LPA was greeted and granted entry by staff. LPA met with Executive Director (ED) Brian Keys and discussed the purpose of the visit. The investigation into the allegation Staff were unaware of residents Portable Medical Orders revealed the following: Resident #1(R1) was admitted to the facility on December 14, 2023. LPA observed R1s physicians report dated January 6, 2025, stating that there is an advanced directive and Physicians Orders for Life-Sustaining Treatment (POLST) in place for R1. LPA observed R1s functional needs and services plan dated January 16, 2024, stating that there is a POLST on file and that R1s code status is Do Not Resuscitate (DNR). LPA observed R1s face sheet that has emergency contacts and code status as DNR. LPA observed a POLST dated December 12, 2023 that was marked as DNR. LPA observed the POLST to be signed by a physician. Cothe state’s words, verbatim · CDSS document, Sep 9, 2025 · control 22-AS-20250902095612

Allegation investigated: Staff did not prevent resident from exiting facility alone.

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Hanna Gough conduct an unannounced initial visit and to deliver findings on the above allegation received on January 22, 2025. LPAs were greeted and granted entry into the facility and met with Executive Director (ED) Brian Keys. LPAs explained the reason for the visit. This Department has investigated the complaint alleging that staff did not prevent resident from exiting facility alone. Resident 1 (R1) was admitted to the facility on November 22, 2024. Documents reviewed included the Physician Report (LIC602) dated July 05, 2024, for R1. Per Physician report R1’s diagnosis is Alzheimer’s dementia. Regarding the allegation that staff did not prevent resident from exiting facility alone, the following was revealed: During the investigation LPA reviewed documents including the Physician Report for R1. Per Physician Report for R1 under Mental Condition it states that R1 has wandering behavior. LPA reviewed documents including thethe state’s words, verbatim · CDSS document, Jan 31, 2025 · control 22-AS-20250122114459

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 did not ensure resident's safety

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit regarding the complaint allegation above. LPA Haley was granted entry and explained the reason for the visit upon entry. During the visit LPA Haley was lead on a tour of the Assisted Living portion of the facility and made observations, conducted interviews with facility staff, one resident, and one witness during the complaint investigation. Regarding the allegation: Facility did not ensure resident's safety. Regarding the safety of Resident 1 (R1), 6 of 7 individuals interviewed were unable to corroborate the complaint allegation as reported. During the investigation it was discovered R1 was served two glasses of wine at the bar before being assessed and eventually sent out to the hospital. According to Staff 1 (S1), R1 is a very talkative person and was nowhere near that baseline before being sent to the hospital. Staff 4 (S4) stated before 911 was called, R1 was yelling at other residents and talking nonsense so S4the state’s words, verbatim · CDSS document, Jul 22, 2024 · control 22-AS-20240718151623

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 not properly trained on caregiver duties

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced complaint visit to the facility to deliver findings on the above allegation. LPA Lyman was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility, interviewed staff and witness as well as reviewed and obtained pertinent documentation such as staff training records. Regarding the allegation that staff not properly trained on caregiver duties, the investigation revealed the following: Review of staff training records indicated one out of three staff did not have required training. Staff 1 (S1) has 12.5 out of 20 hours of annual training and 4 out of 8 hours of Dementia training. Based on Records reviewed, the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. An exthe state’s words, verbatim · CDSS document, Feb 15, 2024 · control 22-AS-20220425101715