The Orchards Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Orchards Assisted Living. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 90 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the facility currently has 1 resident on hospice care. Kelly Conk has an administrator certificate expiring on 06/17/2026. LPA Lyman along with Reata Glen Resident Services Director Marirose Kendall toured the facility at 8:38 AM. Special Projects Consultant Amy Cole joined the tour in progress. LPA toured the physical plant, checked food service, facility records and the first aid kit. Facility appears to be clean, safe, and sanitary. Facility consists of two stories housing assisted living and memory care units, multiple outside areas, two dining rooms, beauty salon, fitness area, media room and activity areas. Resident apartments had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed two residents with half bed rails. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 106.5 and 109.9 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Staff responded within 1 minute for emergency pull. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. LPA observed cleaning supplies are secured. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Facility is keeping a log of freezer/ refrigerator temperatures and all were in range. Smoke detectors and fire inspections are conducted quarterly by an outside company, Dyna Electric with the last inspection date on 09/25/2025. CONTINUED ON LIC 809C DATED 11/04/2025. Fire extinguishers are fully charged. LPA observed evacuation chairs at stairwells. LPA toured the outside grounds and there is ample shaded seating for residents in patio areas. LPA observed ample emergency food and water. LPA reviewed the emergency disaster plan and infection control plan during the visit. Plans are thorough and complete. Facility conducts quarterly emergency drills with the last drill conducted on 09/30/2025. Facility provides activities in the form of games, exercise, and outings in the community. LPA observed residents relaxing or dining during the visit. LPA spoke with residents during the visit who stated satisfaction with facility services and verbalized feeling safe. LPA observed no health or safety concerns during the visit. LPA reviewed select resident and staff files. Resident files contained required documents including admission agreements, current physician reports, physician orders for bed rails as indicated and resident appraisals. Staff files reviewed contained required documentation such as health screen/TB, and criminal record clearance. Six out of six staff do not have complete required annual training. LPA observed medication storage and administration. Medications are stored in locked medication carts and medications appear to be administered per physician order. Based on the observations made during today’s visit, deficiency is 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 as well as appeal rights.the state’s words, verbatim · CDSS document, Nov 4, 2025

Type of visit: Required - 1 Year

On this day, Licensing Program Analysts (LPA) Alvaro Ramirez, Jr. and Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPAs were greeted and granted entry to facility and met with Administrator (AD) Joel Niblett. LPAs toured the interior and exterior portions of the facility with AD Niblett. During this visit, there were five caregivers and three Medication Technicians (MTs) on duty. The facility is a two level structure and is licensed for ninety non-ambulatory residents and has a hospice waiver for six. LPAs initiated random bedroom checks, of which bedrooms were observed to have furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Water temperatures in restrooms were measured to be between 106.8 and 109.4 degrees Fahrenheit. Smoke and carbon monoxide detectors were operational and most recent fire inspection took place on September 25, 2024, of which inspection was passed. The fire inspection was completed by Dynalectric Service and Systems Group. LPAs tested the pendant signal system and observed that the pendants are working as designed. The restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Facility had back-up emergency food and water supply. LPAs toured the kitchen and observed the weekly food menu. LPAs also observed the activities calendar which is posted in the hallway. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged, mounted and located in multiple areas of the facility. LPAs observed exit stairwells and each floor had an evacuation chair. Delayed egress doors were tested and operational. CONTINUED ON LIC809-C... For the exterior portion, LPAs observed patio furniture under shading, and the grounds were free of any hazards. LPAs observed the emergency disaster and evacuation plan, which is located in the mail room. LPAs observed that First Aid Kit had all the required components. Medications were locked and inaccessible to residents in care. Toxins were also observed to be locked and inaccessible to residents. LPAs reviewed five resident files and four staff files. LPAs conducted interviews with residents and staff. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. LPAs advised AD Niblett to use the general email address: CCLASCPOrangeCountyRO@dss.ca.gov for any inquiries and to specify attention to the assigned LPA. LPAs conducted an exit interview with AD Niblett and Assisted Living Director Pamela Lahr and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Dec 4, 2024

Allegation investigated: Facility is charging fees for services not provided.

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility for the complaint received on 10/10/23 and to deliver the findings. LPA De Perio explained the purpose of today's visit, was greeted by facility administrator (AD) Brooke Patterson. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that the facility is charging fees for services not provided. LPA conducted an interview with staff that revealed that resident 1 (R1) voluntarily wanted to extend time in the skilled nursing portion of the facility, therefore was charged, and that the current fees owed of $413.28 are from the outstanding balance that R1 had not yet paid for prior to moving out of the facility. It was also revealed that staff 1 (S1) spoke to R1 via phone call to explain about the fees, due to the services provided during the time at skilled nursing, however R1 was unable to recall what the bill was for. Unfounded Based on LPA’s interviews which were conducted, review of documents obtained, and observations, this allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. For today's visit, no citations were issued. An exit interview was conducted with AD Patterson. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Oct 18, 2023 · control 22-AS-20231010161029