Tustin Senior Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by staff and explained the reason for the visit. The facility is a two story building with an approved fire clearance of six non-ambulatory residents of which one may be bedridden and a hospice waiver for three. The facility currently has a census of 6 residents. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in three of three resident bathrooms. The hot water temperature measured between 108.3 and 112 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on March 2025. The facility’s last fire drill was conducted on August 8, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. LPA reviewed two of two staff training and fingerprint records and conducted a complete review of resident records. LPA confirmed that administrator has a current administrator certificate which expires on May 26th 2027. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 at 1:00pm. During today’s visit, LPA met with Ana Anca, Administrator. The facility is a two story building with an approved fire clearance of six non-ambulatory residents of which one may be bedridden and a hospice waiver for three. The facility currently has a census of five residents in care with one resident on hospice. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in three of three resident bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 105.7 and 110.1 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on March 26, 2024 . The facility’s last fire drill was conducted on August 2, 2024. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on May 26, 2025. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Ana Anca, Administrator and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.the state’s words, verbatim · CDSS document, Aug 26, 2024

Allegation investigated: Facility staff are not meeting resident's needs Facility retained a resident with an unstageable pressure injury

On this day Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility by Teresa Cerino, Caregiver and discussed the reason for the visit. The Department received a complaint on 06/14/2022 and the initial 10 day visit was conducted on 06/23/2022. During the course of the investigation the LPA interviewed residents, staff and witnesses and obtained copies of emergency contact information, physicians' reports, hospital discharge paperwork and admission agreeement. The complaint alleges that the facility staff are not meeting resident's needs and facility retained a resident with an unstageable pressure injury, the investigation revealed the following: It is alleged the faciltiy staff are not meeting resident's needs. Based on observations of residents, the residents all appeared well groomed and during the initial visit LPA witnessed the residents having lunch. CONT ON 9099- C DATED Unsubstantiated Based on interviews with 3 out of 6 residents they reported that the facility takes care of them but 2 out of 6 reported they do not have activities for the residents. 3 of the residents were unable to be interviewed as 1 resident was hard of hearing, 1 resident was bedridden and asleep and the final resident was not oriented to time and space. Based on interviews with 3 out 6 residents stated they are put to bed around 7 pm, but they are not required to sleep. Based on interviews with 3 out of 3 staff indicate that the staff is available at all hours of the day and the facility utilizes a call system which is taken to staff's room at bed time. Per review of physician report dated 05/25/2022 stated that Resident 1 (R1) had a Stage 2 wound on their coccyx, no mention of any other wound. Per interviews with Licensee/Administrator Adela Albu, Adela stated that R1 only had 1 pressure injury at time of admission. Therefore, based on the preponderance of evidence through records reviewed and interviews the allegations that facility staff are not meeting resident's needs and facility retained a resident with an unstageable pressure injury are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted and a copy of this report was provided to facility Administrator.the state’s words, verbatim · CDSS document, Apr 15, 2024 · control 22-NP-20220614113619