Newport Beach Memory Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA met with Maria Constantin, Executive Director, and LPA explained the nature of the visit. Facility is licensed for 42 non-ambulatory residents. Facility has an approved hospice waiver for 15 residents. Facility is a memory care facility with approved delayed egress doors. There are residents in care on today’s visit. There are 5 residents on hospice during today's visit. This facility is a two story facility with exterior exits protected by delayed egress. LPA Martinez along with the Executive Director toured the physical plant of both the facility. LPA observed residents involved in an activity as well as a posted activity schedule on both floors in the main common space. LPA inspected resident bedrooms which 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. Several resident bathrooms on each floor were tested for water temperature and water temperature measured between 105.4 to 119.3 degrees F in tested bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPA pushed the call buttons in bedrooms and bathrooms in various resident rooms and response times were between 1-2 minutes. LPA observed several residents who appeared clean, and happy. During the tour LPA inspected that medication is centrally stored in a safe locked location; facility has 2 medication rooms on each floor. LPA observed medication distribution is done with a medication cart. LPA inspected both locations and LPA observed and inspected medication carts that are used to dispense meds Continued on LIC809-C to residents are locked and inaccessible to residents in care. Medication was observed to be labeled and stored properly. LPA the delayed egress exits to be properly operational. Both delayed egress and pull cord system are wired to the same system. The signal goes to centralized computer that is connected to staff pagers which indicates what and where the location of assistance is. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. There is a minimum of one week of non-perishables foods and two days of perishables foods available. Maintenance records were observed in the main kitchen. LPA observed stairwells have an emergency evacuation chair. Outside grounds have ample shaded seating for residents. Second floor has a large patio, and the first floor has a courtyard. Both have shaded seating areas for residents’ enjoyment. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a locked in housekeeping closet as well as the maintenance office. Fire extinguishers are fully charged and had a service date of November 5, 2025. Smoke detectors and sprinkler system are tested yearly by an outside agency, and LPA was provided with testing documentation. Testing for the sprinkler system was conducted March 3, 2026, and smoke detectors/carbon monoxide conducted on March 18, 2026. Emergency drills are being conducted monthly on every shift and facility is keeping logs. LPA began reviewing records. LPA reviewed five resident files and five staff files. All resident files contained required documentation including updated physician reports and care plans. Staff files contained required documentation including health screens, first aid, and fingerprint clearance. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Executive Director, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Apr 15, 2026

Allegation investigated: Staff did not administer medications to residents in care.

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation into the above identified complaint allegation. LPA spoke with Maria Constantin, Executive Director and explained the purpose of the visit. Findings are based upon this investigation which included tour of the facility, facility file review, resident file review, interviews conducted, and copies of pertinent records. It is alleged that staff did not administer medication to residents in care, specifically to not having staff to hand out medication to residents. Record review revealed that facility has six medication techs on the schedule and there are at least two medication techs per shift. Interview with staff stated that Continue LIC9099-C Unsubstantiated caregivers are cross trained with medication in the event that they need assistance with medication distribution. Interview with 4 of 4 residents stated that they always get their medication from staff when staff hands them their meds from a cart. LPA toured the physical plant of the facility and observed that there is medication rooms in the facility and there is medication carts that are utilized for medication distribution. At the time of visit LPA observed a medication tech on the second floor using a med cart and handing out medication to residents. LPA obtained MAR record for 6 residents for October to December 2025 and they reflect all medication given as prescribed. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Executive Director and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Mar 10, 2026 · control 22-AS-20251208134641

Allegation investigated: Staff did not provide proper care for scabies Staff are not following infectious control requirements

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegations. LPA met with Administrator (AD) Maria Constantin, discussed the purpose of the inspection, and explained the allegations. The investigation into the allegations that staff did not provide proper care for scabies and staff are not following infectious control requirements revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD and witnesses, and obtained and reviewed copies of the resident roster, staff roster, Resident #1’s (R1) hospice medical records, Resident #2’s (R2) facility progress notes, R2’s medical records, and the facility’s infection control plan. Regarding the allegation that staff did not provide proper care for scabies: it was alleged that a resident contracted scabies, the facility did not obtain proper assessment and treatment for the scabies, and the facility did not ensure the resident’s bedding and clothing were properly changed and cleaned. Unsubstantiated LPA interviewed AD who denied the allegation, stating that no resident or staff has been diagnosed with scabies, cleaning was increased and laundry detergent switched in response to a resident having itchiness, and all residents with itchiness are receiving proper evaluation, treatment, and care. Per AD, scabies was suspected for R1, but R1 has never been diagnosed with scabies. AD stated that R1 has had itchiness since June 2025, on and off, and R1’s doctor actually put R1 on medication for scabies, but it did not work, and R1’s doctor determined R1 does not have scabies. LPA interviewed R1’s hospice case manager who stated that, although R1 has received scabies medication three times, two of those treatments had no effect, R1 has never received a diagnosis of scabies, R1’s doctor does not think R1 has scabies, and R1 is receiving other medications to address their itchiness and is being referred to dermatology for their itchiness. LPA reviewed R1’s hospice medical records which confirm R1 has not had a diagnosis of scabies, has received scabies medication as a prophylaxis in case R1 did have scabies, has received multiple other medications to address their itchiness, and as of January 6, 2026, was referred to dermatology to evaluate for possible “underlying dermatologic or systemic causes” of R1’s itchiness. The information obtained did not corroborate that R1 had scabies. Per AD, scabies was also suspected for R2, but R2 has never been diagnosed with scabies, although R2’s doctor has put R2 on scabies medication. LPA reviewed R2’s facility progress notes which indicate that on December 31, 2025, R2 was seen by their doctor who did not notice or address any skin condition, but on January 3, 2026, facility staff noticed R2 with a rash on their arms and R2’s doctor was notified. LPA reviewed R2’s medical records, which show that R2 was prescribed scabies medication on January 6, 2026. LPA interviewed R2’s responsible party who confirmed that R2 was never tested for or diagnosed with scabies, but that R2’s doctor assumed R2 had scabies because it was reported to R2’s doctor that R2 had itchiness and that another resident at the facility had scabies. LPA interviewed R2’s doctor who confirmed that R2 was never tested or diagnosed with scabies, but that scabies was a possibility and so they prescribed the scabies medication presumptively, which is standard practice. The information obtained did not corroborate that R2 had scabies. Per AD, when the issue of scabies arose, the facility began tracking residents with itchiness. AD provided information that, in addition to R1 and R2, there are four other residents with itchiness, all are being overseen by their medical providers, and none has been diagnosed with scabies. LPA inspected the facility, conducted health and safety checks on residents, did not observe rashes or skin irritation on the residents identified as having itchiness and did not observe these residents scratching, and observed that bedding and seating surfaces were clean. AD stated the facility is following its infection control plan, has sufficient PPE, is conducting increased cleaning, is recommending scabies skin tests for affected residents, and will contact local public health for assistance and guidance. LPA provided AD with the contact information for local public health. Regarding the allegation that staff are not following infectious control requirements: it was alleged that a resident contracted scabies and the facility did not take proper infection control precautions, resulting in the scabies spreading. LPA reviewed the facility’s infection control plan, which is complete. However, the information and documents obtained did not corroborate that any resident has a positive diagnosis of scabies, although there are potential cases. LPA inspected the facility, conducted health and safety checks on residents, observed no health and safety issues, and observed the facility has a small supply of gowns, with PPE stations including gowns set up in front of the rooms of the residents identified has having itchiness. Per AD, more gowns have already been ordered and will arrive soon. LPA conducted health and safety checks on the residents affected by itchiness and did not observe any rashes or skin irritation or that the residents were scratching. Per AD, residents with itchiness are being tracked, all affected residents are receiving assessment and medical care from their medical providers, the facility is recommending scabies skin tests to affected residents, the facility is following its infection control plan, and AD will contact local public health for additional assistance and guidance. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Jan 7, 2026 · control 22-AS-20251231093049

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Operations Manager Maria Constantin was notified upon arrival and joined shortly afterwards to assist with the visit. LPA reviewed the facility's resident census, staff roster and schedule as well as the Emergency and Disaster Plan and Infection Control Plan. There are 25 residents in care, eleven of which are receiving hospice care at the time of the visit. A sample of six staff records and six resident records were requested and reviewed during the visit. Postural supports are observed to be in use by a number of residents. Hospice plan of care and corresponding physician orders verified to be on file. Admission agreement is missing from one file reviewed, and three others are missing one signature or both signatures. Type B deficiency cited. Consultation provided on fire clearance requirements for bedridden residents. All staff members listed on the facility's roster form are verified to be background cleared and associated to the facility at the time of the visit. CPR training is current for all staff members reviewed. Proof of initial and annual training are kept in Relias and will be provided by staff as soon as possible for LPA review. The facility is a two-story secure building. LPA accompanied by facility staff conducted a tour of the interior and exterior of the physical plant. A total of 12 occupied units were inspected during the tour. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floor materials. Hot water was measured in multiple locations with measurements ranging from 117F to 126F. Multiple taps observed to provide water above 120F. Type B deficiency cited. The fire panel and sprinkler inspection reports were reviewed during the visit and did not evidence any issues with the fire safety systems at this time. Latest fire safety visit is dated September 20, 2024. Wall-mounted fire extinguishers are observed throughout the premises and appear to have received adequate maintenance per the tags attached. The facility utilizes delayed egress throughout the premises. Use of delayed egress approved by the Fire Marshall upon delivery of the fire clearance. Evacuation chairs confirmed to be in place at the top of staircases. Fire and evacuation drills are conducted monthly as evidenced by the training records provided. LPA accompanied by staff toured the kitchen and laundry areas. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Cleaning supplies, and sharp items were inaccessible to residents in care. Both levels have a med room that is verified to be locked as well as medication carts which are actively kept secure when not directly attended by staff. Both separate levels of the facility have ongoing access to a secure outdoor space with available shade and outdoor furniture. Halls and routes of egress were free of tripping hazards. Two type B deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, May 21, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff does not provide care and supervision resulting in multiple falls

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above and delivering findings to the licensee. LPA was greeted and granted entry by facility front desk staff after introducing himself and stating the purpose of the visit. An initial investigation visit took place on August 30, 2024. During the visit, LPA accompanied by facility staff toured the first floor of the facility as well as the unit where resident R1 is typically located. R1 was in the process of being discharged from the hospital after being sent out to be assessed on the morning of the visit due to a medical episode. LPA requested and reviewed resident and hospice records for R1 and interviewed one staff on duty. Additional witness interviews with hospice staff and R1's attorney-in-fact were conducted via telephone after the initial visit. CONTINUED ON FORM LIC9099-C Unsubstantiated CONTINUED FROM FORM LIC9099 During the present visit, LPA conducted a tour of the memory care ground level and reviewed the unit shared by R1 and another resident. Additional hospice and facility records for R1 were requested and reviewed during the visit. Regarding the allegation that Staff does not provide care and supervision resulting in multiple falls, the following has been concluded: Resident R1 has been admitted to the facility since May 30, 2023. The latest physician report for R1 is dated July 17, 2024 and shows a primary diagnosis of unspecified dementia along a secondary diagnosis of "Other abnormalities of gait and mobility". Based on interviews and incident reports reviewed, R1 sustained multiple fall incidents reported on June 11, 2023 as well as September 3, 2023, August 15, 2024, August 23, 2024 and September 9, 2024. Interviews and records reviewed also showed that R1 had been admitted to receive hospice care on August 28, 2024. Staff in-service training on fall prevention was provided on August 23, 2024. Precautionary measures such as a lowered bed with full rails, rail pads, floor pads and bed alarms have been implemented alongside a plan of care ensuring that R1 is transferred out of bed and placed either in their wheelchair or recliner in the facility's common areas. No further fall incidents have been reported since these precautions have been put in place. During the present visit, R1 was observed to be positioned in one of the recliners in the facility's common areas, as described in the hospice plan of care. As a result, the allegation is found to be Unsubstantiated, meaning that although the above allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Nov 6, 2024 · control 22-AS-20240823121915

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit for the purpose of conducting a Required Annual Inspection. LPA was greeted and granted entry by facility Operations Manager Riley Bushman and administrator Eileen Sanchez after introducing himself and stating the reason of the visit. During the inspection, LPA and administrator conducted a tour of the physical plant and observed the following: The facility is a two-story building with a mix of shared and private bedrooms on each level. The ground level floor is reserved for residents who require a two-person assistance for the activities of daily living while residents on the upper floor typically have a higher level of independence. There is a total of 29 residents in care, six of which are currently receiving hospice care. All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets. There is a secure outdoor area on the ground level with furniture and shade as well as a secure shaded patio on the upper level. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Proof of maintenance for the wired smoke and carbon monoxide detectors/sprinkler system was provided. Fire extinguishers present throughout the building are observed to be fully charged with up-to-date maintenance. Medication, sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed eight resident files, five staff files as well as conducted staff and resident interviews. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. A Technical Violation Advisory Note is being issued regarding a pending exemption transfer. An exit interview was conducted, and a copy of this report along was left at the facility.the state’s words, verbatim · CDSS document, Apr 25, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Allegation investigated: Staff did not properly safeguard confidential information

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegations listed above. LPA met with Operations Manager Riley Bushman and explained the reason for the visit. LPA observed the See Something Say Something Poster posted in the entrance of the facility. LPA did not observe any confidential information at the front desk. The investigation into the allegation revealed the following. It was reported that the facility census was left out in public view. LPA interviewed staff. LPA and Operations Manager toured the facility. 4 out of 4 staff interviewed had no knowledge of confidential information not being properly safeguarded or being left out in public view. During the tour of the facility LPA did not observe any Title 22 violations including confidential information not being safeguarded. Based on the information gathered the allegation, staff did not properly safeguard confidential information is deemed unsubstantiated. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 5, 2024 · control 22-AS-20240329103030

Allegation investigated: Facility failed to ensure the safety of residents in care after admitting a new resident with behavior issues

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to the facility to deliver the findings on the complaint allegation above. LPA Haley was greeted by staff and explained the reason for the visit. The complaint investigation consisted of interviews with facility staff, witnesses, and observations made during the initial visit and the follow-up visit. Regarding the allegation: Facility failed to ensure the safety of residents in care after admitting a new resident with behavior issues. 5 of 5 staff members interviewed denied Resident 2 (R2) had behavior issues. During the investigation it was discovered that R2 does like to touch people and things around him; however, he has no intent to harm or hurt anyone. Staff 1 (1) said R2 doesn’t bother anyone and his touching is normal. Staff 2 (S2) Continued on LIC9099C Unsubstantiated said R2’s touches are soft and the resident is like a baby. All of the staff interviewed denied R2 has behavior issues. Based on the information gathered during the investigation through interviews, document review, and observations, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations is deemed Unsubstantiated. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 26, 2024 · control 22-AS-20240109140428

Allegation investigated: Facility's staff is insufficient to adequately provide care and supervision to the residents in care

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to the facility to deliver the findings on the complaint allegation above. LPA Haley was greeted by staff and explained the reason for the visit. The complaint investigation consisted of interviews with facility staff, witnesses, and observations made during the initial visit on January 17, 2023 and today's follow up visit. Regarding the allegation: Facility's staff is insufficient to adequately provide care and supervision to the residents in care 5 of 5 staff interviews confirmed there is a need for additional staffing. During interviews it was discovered that there has been staffing issues. Caregivers have called off and quit before a scheduled shift without notice. Staff 4 (S4) said the staffing has gotten better and the help from the staffing agencies has Continued on LIC9099C Substantiated become more consistent. Staff 2 (S2) and Staff 5 (S5) both said there are days when there’s enough staff and there’s days when there is not enough staff. Based on the evidence gathered through interviews, observation, and document review the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22, Division 6, Chapter 1. An exit interview was conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 26, 2024 · control 22-AS-20240109140428

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(c)(4) · Plan of correction due date: Feb 2, 2024

(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is 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. The requirement is not being met as evidenced by the presence of only two staff members working and the Wellness Director covering for a Med Tech who called off during a January 17, 2024 initial complaint visit.the state’s words, verbatim · CDSS document, Jan 26, 2024

Plan of correction: Wellness Director Karen Ashley agrees to review regulation section 87705 Care of Persons with Dementia and send a signed statement or understanding once completed. Wellness Director Ashley will also send a plan of action that details what will be done to prevent a lack of staffing in the future. POC will be emailed to LPA Haley by Friday, February 2, 2024 at 1:00PM.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jerome Haley conducted a case management visit regarding information discovered during the investigation into complaint control # 22-AS-20240109140428. During the complaint investigation mentioned above, it was discovered Staff 1 (S1) was not fingerprint cleared and listed on the facilities personnel roster. S1 has been working at the facility for a year and was never officially cleared to work because the application process was never completed. Recently the facility has hired four new staff members. One new hire is clear and will be starting soon. The remaining three new hires start date is pending their fingerprint clearance. As a result of today’s Case Management visit, deficiencies will be cited. An exit interview was conducted and a copy of this report, LIC809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 26, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Jan 30, 2024

87355 Criminal Record Clearance (e) "All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department..." This requirement is not met as evidenced by: Based on observations and interviews, S1 was not fingerprint cleared prior to working or visiting the facility which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 26, 2024

Plan of correction: Wellness Director Karen Ashley will review regulation section 87355 Criminal Record Clearance and sign a statement of acknowledgement of understanding upon completion. Staff 1 has been removed from the schedule and will not return to work until the application process is completed and S1 is clear and associated to the facility. POC Due date is Tuesday, January 30, 2024.