Atria Newport Beach.

The Department was unable to conduct an interview with R1 for this complaint, due to R1 moving out of the facility on January 31, 2025. The Department conducted an additional six resident interviews. Five out of the six residents interviewed denied the allegation and stated that they have not had any issues with receiving their medication from staff. However, one out of the six residents stated that they have received the wrong dosage of their medication by staff on two previous occasions. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that R1 was given all of her medications according to orders prescribed by her physician. Regarding the allegation, staff did not return medication to resident upon termination of services, the following has been concluded: It was alleged that staff did not return medication to R1 upon termination of services. The Department was unable to conduct an interview with R1 for this complaint, due to R1 moving out of the facility on January 31, 2025. The Department reviewed R1's medication release form, which describes the medications that were released for R1 upon her termination from the facility. The Department observed that all of R1's prescribed medications were released to an authorized representative on January 31, 2025. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that all medications were released for R1 to an authorized representative when she moved out of the facility. However, one staff stated that one medication was not initially provided to the authorized representative for R1. The staff stated that when they realized this issue, R1's responsible party was contacted and that they picked up the missing medication the same day. The staff stated that the medication release form for R1 was later updated to reflect the additional medication release. Regarding the allegation, staff made inappropriate comments to resident, the following has been concluded: It was alleged that staff made inappropriate comments to R1. The Department was unable to conduct an interview with R1 for this complaint, due to R1 moving out of the facility on January 31, 2025. The Department conducted six resident interviews. Six out of the six residents interviewed denied the allegation and stated that staff have never made any inappropriate comments to them. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that they have never observed, or heard of any staff making any inappropriate comments to R1, or any other resident. CONTINUED ON LIC9099-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the three allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Assistant Executive Director Sofiane Lahouasnia and a copy of the report was provided.

On January 12, 2026, Licensing Program Analysts (LPAs) Brandon Lopez and William Vanegas made an unannounced visit to the facility to conduct the required annual inspection. LPAs were 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. LPAs observed that Brian Keys has a valid Administrator certificate which expires on February 18, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for one hundred and ninety five residents, all of which can be non-ambulatory, ten can be bedridden, and has a hospice waiver for eight. The facility consist of two buildings, both of which are two stories. Each building consist of resident apartments, with bathrooms located in suite, a commercial kitchen, a dining room, a wellness center, a salon, laundry rooms, medication rooms, activity rooms, and storage rooms. LPAs, accompanied by the ED, conducted a tour of the interior portions of the facility. LPAs observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPAs inspected a total of sixteen resident apartments, including both buildings. LPAs observed resident apartments to be free of hazards. LPAs observed resident apartments to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed resident beds to have clean linens and blankets. LPAs tested the call buttons in resident apartments and they tested operational. LPAs inspected the resident bathrooms in the apartments inspected and observed them to be clean. LPA observed resident bathrooms to be equipped with grab bars and nonskid floor mats. Faucets and toilets were operational. Hot water temperature measured between 111.9 and 116.7 degrees Fahrenheit. LPAs inspected the facility commercial kitchen area and observed it be clean. CONTINUED ON 809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPAs observed the facility to have a minimum two day perishable and seven day non-perishable food supply on hand. LPAs observed the facility has a three day emergency food and water supply kept in a storage room. LPAs observed multiple fire extinguishers in both buildings to be mounted on the walls. All fire extinguishers were observed to be charged and up to date on service. LPAs observed that the facility had their most recent fire inspection conducted on July 9, 2025. LPAs observed that the facility fire sprinklers and smoke detectors tested operational during the inspection. LPAs observed the facility conducted their last emergency disaster drill on December 12, 2025. LPAs observed the centrally stored medication to be kept in locked medicine carts located in the medication room, in their respective buildings. LPAs observed first aid kits to be stored in each of the medication rooms and they had all the required components. LPAs observed all the facility's chemicals and toxins to be stored in a locked storage room. LPAs observed other common areas such as the dining rooms, staff offices, and activity areas to be clear of any hazards. LPAs, accompanied by the ED, conducted a tour of the exterior portions of the facility. LPAs observed that each buildings has their respective outdoor seating areas. LPAs observed shaded outdoor seating areas with furniture for resident use. LPAs observed the exterior to be free of obstructions and hazards. LPAs tested the delay egress doors located on the exterior portions which tested operational. There are no bodies of water on the premises. LPA reviewed the sixteen resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents' medication and medication administration records. LPAs reviewed sixteen staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Executive Director Brian Keys and a copy of the report was provided.

LPA observed a Directive to Physicians dated March 19, 2008, signed by R1 stating that if R1 at any time is in a terminal condition or should have an incurable and irreversible condition that, without the administration of life-sustaining treatment, will in the opinion of R1s attending physician withhold or withdraw treatment that only prolongs the process of dying and is not necessary for R1s comfort or to alleviate pain. During interviews it was revealed that staff called emergency services twice on August 24, 2025, for R1 due to changes in condition. It was revealed that 3 of 5 staff were present at the time of the incidents. 2 of 5 staff informed LPA that staff were delayed in giving emergency personnel all necessary documentation due to the printer being down. 2 of 5 staff informed LPA that emergency services were given all of the necessary documentation as they were exiting the facility with R1. Staff #3 (S3) informed LPA that emergency services were called again in the evening due to R1 being unresponsive. S3 informed LPA that they started chest compressions until emergency personnel arrived to the facility. S3 informed LPA that emergency personnel informed them that there was a POLST and DNR in place for R1 and S3 stopped compressions once they were made aware of the directives in place. 2 of 5 staff informed LPA that it is the facility policy to provide emergency personnel with necessary documentation upon their arrival and to follow the DNR and POLST directives that are in place. 4 of 5 staff informed LPA that when giving emergency personnel documentation they give the face sheet, insurance documentation, and medication list. Witness #1(W1) informed the Department that they saw staff conducting chest compressions on R1. W1 informed the Department that there was a delay with facility staff giving the necessary documentation upon emergency personnel’s arrival. Based on observation, interviews, record review and information gathered during the investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22 Division 6 are being cited on the attached LIC 9099D. An exit interview was conducted with ED Brian Keys and a copy of this report, LIC9099-D and appeal rights were left at the facility.

Licensing Program Analysts (LPAs) Joseph Alejandre, Hanna Gough and Fred Arias made an unannounced visit to conduct the required annual inspection. LPAs met with Executive Director (ED) Brian Keys and explained the reason for the visit. Facility consists of two buildings, one is for Assisted Living (AL) and the other for Memory Care (MC). The capacity is 195 non-ambulatory of which ten can be bedridden and a hospice waiver for eight. Brian Keys' Administrator's Certificate expires on February 18, 2025. LPAs observed the PUB 475 poster (See Something, Say Something Poster) posted in the main entry way is 11 1/2 by 17 1/2. The PUB 475 poster posted by the mailboxes is 20" X 26." LPAs and ED Keys toured the facility. LPAs observed the kitchen is clean and organized. There is a two day supply of perishable food and a seven day supply of non-perishable food on-hand in the kitchen. LPAs observed an emergency food and water supply stored in a storage room. LPAs observed that the refrigerator and the freezer had a temperature log posted in the kitchen. The refrigerators and freezers are at the required temperature. LPAs and ED toured resident rooms on the first and second floors in AL. LPAs and ED toured the resident rooms in the MC building. LPAs inspected 15 resident rooms. All resident rooms had the required furnishings. All resident bathrooms were clean and operational. The hot water in the fifteen resident rooms inspected measured 107.2 degrees Fahrenheit to 115.5 degrees Fahrenheit. There is a fitness room and activity room for AL residents. There is a movie theater, music room and activity room from MC residents in the MC building. There is an outdoor courtyard in both buildings for residents to sit outside. There are fire extinguishers on every floor and all fire extinguishers are fully charged. LPAs observed emergency evacuation chairs in each stairwell. The last emergency fire drill was conducted on January 4, 2025. The delayed egress tested operational in the MC Building. The fire alarm and life safety system was inspected and tested operational on July 5, 2024. LPAs observed medications are kept secured in a medication cart that is locked in a medication room. LPAs observed that the First Aid Kit in the medication room has all the required elements. LPAs interviewed staff and residents. LPAs reviewed 5 staff files with no discrepancies observed. All staff files reviewed had current training and CPR/First Aid training. LPAs observed the resident library has a computer with internet access for resident use. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPAs tested the call system in both buildings, the average response time was 4 minutes. LPAs reviewed 16 resident files with no discrepancies observed. LPAs inspected medication and medication administration records. No discrepancies observed. All resident files had the required documents. No obstacles or hazards were noted inside or outside of the facility. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.

When 911 was called they decided to transport R1 for intoxication. R1 returned to the facility a few hours later and had a private care companion for the remainder of the night. Based on the information gathered during the investigation through interviews and document review, the Department is unable to ascertain if the 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, the allegation is deemed Unsubstantiated.

Licensing Program Analysts (LPAs) Joseph Alejandre, Faith La, Michael Tea and Rose Ruppert made an unannounced visit to conduct the required annual inspection. LPAs met with Executive Director (ED) Brian Keys and explained the reason for the visit. Facility consists of two buildings in which one is for Assisted Living (AL) and the other for Memory Care (MC). The capacity is 195 non-ambulatory of which ten can be bedridden and a hospice waiver for eight. Brian Keys' Administrator's Certificate expires on February 18, 2025. LPAs observed the PUB 475 poster (See Something, Say Something Poster) posted next to the mailboxes and not in the main entrance of the facility. The PUB 475 poster posted is 20" X 26." LPAs and ED Keys toured the facility. LPAs observed the kitchen is clean and organized. There is a two day supply of perishable food and a seven day supply of non-perishable food on-hand in the kitchen. LPAs observed that the refrigerator and the freezer had a temperature log posted in the kitchen. LPAs and ED toured resident rooms on the first and second floors in AL. LPAs and ED toured the resident rooms in the MC building. LPAs inspected ten resident rooms. All resident rooms had the required furnishings. All resident bathrooms were clean and operational. The hot water in the ten resident rooms inspected measured 111.5 degrees Fahrenheit to 119.3 degrees Fahrenheit. LPAs observed residents participating in yoga in the yoga room. There is a fitness room and activity room for AL residents. There is a movie theater, music room and activity room from MC residents in the MC building. There is an outdoor courtyard in both buildings for residents to sit outside. There are fire extinguishers on every floor and all fire extinguishers are fully charged. LPAs observed emergency evacuation chairs in each stairwell. The last emergency fire drill was conducted on March 29, 2024. The delayed egress tested operational in the MC Building. The fire alarm and life safety system was inspected and tested operational on July 7, 2023. LPAs observed medications are kept secured in a medication cart that is locked in a medication room. LPAs observed that the First Aid Kit did not contain a current edition First Aid Manual but had a pocket First Aid booklet. LPAs interviewed staff and residents. LPAs reviewed ten staff files with no discrepancies observed. All staff files reviewed had current CPR/First Aid training. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 All direct care staff files reviewed met training requirements. LPAs reviewed twelve resident files with no discrepancies observed. LPAs inspected medication and medication administration records (MAR) for six residents. No discrepancies observed. All resident files had the required documents. No obstacles or hazards were noted inside or outside of the facility. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.