Heyday Senior Living of Costa Mesa

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Michael Tea and Taylor Simerly made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPAs were greeted and granted entry by staff. During today’s visit, LPAs met with staff. Administrator was contacted but not able to join to visit in person. Jerome has a valid administrator certificate through October 19, 2026. The facility has active liability insurance from through October 27, 2026. The facility is licensed for six clients of which (6) non- ambulatory and have a hospice waiver for six, one client is currently on hospice. The facility currently has a census of three in care with two staff on duty. The facility is a single-story home consisting of four (1 staff bedroom), two bathrooms (one staff bathroom), a kitchen, dining area, living room, and an attached garage. LPAs observed the PUB 475 “See Something Say Something” poster posted in the entry way. During today’s visit, LPAs toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in resident bathrooms. The hot water temperature measured 112.1 degrees F. LPAs noted bathroom toilets were in working order and grab bars and non-skid floor mats were provided. Hygiene supplies, including towels and toiletries, were adequately stocked. The facility was observed to be clean, safe, and well maintained. Smoke detectors and carbon monoxide detectors were operational in both common areas and bedrooms. Client bedrooms were appropriately furnished with beds, linens, and sufficient storage space. The facility’s last quarterly emergency drill was on July 24, 2026. Fire extinguishers were charged and operable. Continued on the LIC 809C LPAs toured the exterior and observed a shaded seating area for client use, no hazards or obstacles were observed. LPAs inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Sharp items and knives were located in the kitchen and were locked and inaccessible to residents. Facility had back-up emergency food and water supplies located in the garage. Cleaning supplies were locked and stored away from food. Medication storage and administration practices were reviewed. Medications were securely stored in a locked cabinet and administered in accordance with physician order. LPAs reviewed the centrally stored medications for all three clients and no discrepancies observed. The First Aid Kit had the required elements. LPAs reviewed two staff files and all three client files. Training was not updated in two out of two staff files. Two out of three residents are missing needs and service plans in their client files. One resident has an incomplete pre-appraisal. Citations are being issued. LPAs conducted interviews with staff and one resident regarding the quality of care and services provided. Based on the observations made during today's visit, deficiencies are being cited per Title 22 division 6 of the California Code of Regulations. This report was reviewed with staff in person and the administrator by phone. Copies of LIC809, LIC809-C, LIC858, and LIC859 were provided to the facility.the state’s words, verbatim · CDSS document, Aug 21, 2026

Allegation investigated: Staff neglect resulted in a resident sustaining multiple pressure injuries

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on an investigation completed by the Department. LPA was greeted and granted entry into the facility by Caregiver Airhyn Miranda. Administrator (AD) Jerome Alim was notified by staff via telephone. During the course of the investigation, the Department interviewed staff and witnesses as well as reviewed and obtained documentation such as Admission Agreement, Physician Report (LIC602), Identification and Emergency Information, Preplacement Appraisal Information, Unusual Incident/Injury Report (UIIR), Allied Hospice Plan of Care, and Kaiser Permanente and Hoag Memorial Hospital Admission/discharge records. This Department has investigated the complaint alleging that staff neglect resulted in a resident sustaining multiple pressure injuries. Resident 1 (R1) was admitted to the facility on November 07, 2022. R1’s Physician Report (LIC602A) dated July 02, 2024, lists R1 as having a diagnosis of Dementia. Per Physician report R1 is non-verbal, unable to make needs known and requires maximum assistance with all Activities of Daily Living (ADLs). R1 is non-ambulatory and cannot independently transfer to and from bed. CONTINUED ON LIC9099-C... Substantiated During the investigation LPA reviewed documents including the Allied Hospice Care, Inc. Plan of Care dated July 15, 2024, for R1. Per Plan of Care, R1 was admitted to Hospice on July 2, 2024. Per Plan of Care, on November 4, 2024, Hospice services were discontinued for R1. LPA reviewed the Hoag Memorial Hospital Admission records dated November 28, 2024, for R1. Per Admission records, R1 was admitted to the Hospital on November 28, 2024. Per Admission records, R1 was admitted to the Hospital for multiple pressure injuries present on admission: Coccyx – unstageable; left hip – stage 2; left foot and left ankle – stage 2, all of which required wound care treatment. LPA reviewed the Program Clinical Consultant’s (PCC) Report dated December 4, 2025, for R1. Per PCC, following R1’s Hospice discontinuation on November 4, 2024, the facility assumed full responsibility for the R1’s ongoing care without Hospice support. Per PCC, during this post-hospice period, the facility did not implement preventive skin measures, nor conduct routine skin monitoring/assessment. Per PCC, the timeline supports the evidence that pressure injuries developed during a period of insufficient preventive care and delayed medical intervention following Hospice discharge and/or days leading to R1’s hospitalization on November 28, 2024. Despite R1’s non-ambulatory status, full dependence on Activities of Daily Living (ADLs), incontinence care, and poor nutritional intake, there was no documented evidence regarding an updated individualized care plan and/or a routine repositioning protocol. Based on the evidence gathered, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. The facility is cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report, LIC9099-D, and Appeal Rights were provided. An exit interview was conducted with facility representative, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 6, 2026 · control 22-AS-20241202221220

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f) · Plan of correction due date: Mar 9, 2026

Basic Services 87464 (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by: Per Admission records, R1 was admitted to the Hospital for multiple pressure injuries present on admission including Coccyx – unstageable. This poses an immediately an immediately health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Mar 6, 2026

Plan of correction: Facility licensee/administrator to submit a written statement that this regulation was understood. Proof of completion of training about Care and supervision of Administrator and all caregivers. To submit a facility plan procedure how staff will prevent residents from sustaining multiple pressure injuries while in care. To submit by 3/20/2026.

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the home currently has 3 residents, with 2 residents on hospice. Administrator (AD) Jerome Alim arrived shortly to help conduct facility visit. AD provided updated liability insurance that expires on 10/27/2025. LPA along with staff toured the facility at 12:40 PM. LPA toured the physical plant, checked food service, and facility documentation. The home consists of 3 resident bedrooms, staff room, living room, dining room, and kitchen as well as 2 bathrooms. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured 121.6 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. At 1:05 PM, LPA observed 2 prescription medications in an unlocked cabinet in the hallway. Common areas were clean and clear of hazards. Auditory exit alarms for all exits were not operational during today's visit. LPA toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Three smoke detectors were not operational during initial testing during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 04/06/2025. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Exit gate is unlocked and operational. LPAs observed the emergency food and water supply. LPA reviewed three resident files and two staff files. Continued on LIC809-C dated 08/05/2025. All resident files contained required documentation including admission agreements, physician reports, and resident appraisals. One out of two staff files reviewed contained all required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in a locked closet. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided along with appeal rights.the state’s words, verbatim · CDSS document, Aug 5, 2025

The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Janette Magno. Administrator (AD) Jerome Alim arrived shortly after. For today’s visit, LPA observed a total of five residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility AD Jerome Alim which expires on October 19, 2024. LPA Ramirez toured the interior and exterior portions of the facility with caregiver Magno. The facility is a single level structure and is licensed for six non-ambulatory residents, of which six may be on hospice and zero bedridden. There are a total of four bedrooms, of which three are resident bedrooms, and one private bedroom for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of two restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 114.3-116.7 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged and one was located by the dining room and one in the garage. CONTINUED ON LIC809-C.. LPA observed the emergency disaster and evacuation plan which is located by the dining room/kitchen. Facility had back-up emergency food and water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There is one gate in the backyard, which both is self-closing and self-latching. No bodies of water were observed. During today's visit LPA observed residents watching television LPA also observed residents having chicken with sweet potatoes, potatoes, bread and watermelon for lunch. LPA reviewed five resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Alim. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Sep 10, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on a death report received by Community Care Licensing on 08/20/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit. Death report dated 08/18/2024 indicated that on 08/13/2024, Resident 1 (R1) started coughing at lunch. Staff checked the airway and called 911. Resident was having difficulty breathing. Paramedics responded and determined there was nothing blocking the airway and requested to see the "Do not resuscitate" (DNR) paperwork. Resuscitation was not attempted due to the DNR on file. Resident passed at 12:19 PM. Per physician report dated 07/28/2024, R1 has a history of Hypertension and Hyperlipidemia. LPA toured the facility during the visit and observed the following: Facility appears clean, safe and sanitary. Residents were observed eating breakfast and relaxing in the living room. No health and safety concerns noted during the visit. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 22, 2024