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.

On this day, Licensing Program Analyst (LPA) Claudia Gutierrez made a unannounced visit to the facility for the purpose of conducting a case management visit regarding operations of the newly renovated North Building of the facility. LPA met with Memory Care Director (MCD) Kyle Coleman and toured the premises. MCD confirmed that residents had begun moving-in yesterday and the building currently has a total of three residents. All three residents are in memory care, which is located on the first floor of the building. Residents were observed to be in their bedroom and engaging in a walking activity. Residents have meals delivered from the main building and activities are being provided directly one one one with each resident. LPA observed activity calendar posted and visible in the activity room . The second story will be used for assisted living and currently has no residents. Executive Director Brian Keys arrived at 9:30 a.m. No deficiencies were observed during today's visit. An exit interview was conducted and a copy of this report was left at the facility.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made a scheduled visit to the facility for the purpose of conducting a pre-licensing visit for the newly renovated North Building of the facility. LPA was greeted and granted entry by Executive Director Brian Keys. The North Building is a two-level building (with an additional basement level used for parking) situated next to the currently operating South Building. Activities and dining for all Assisted Living residents in the North Building will be held in the South Building's common area. LPA observed all infection control measures were in place including proper signage, sanitizing stations, and sign in area/symptom check at the front desk. Entry into the North Building is also routed through the main lobby where visitors and vendors sign in through an Accushield system allowing facility staff to access real time reporting of the number of visitors present in the facility along with a Care Predict system that is provided to all residents. Work assignments are handled digitally through the system as well in addition to pendant pushes. Facility staff states an average response time of 7.5 minutes for the currently operating building. LPA accompanied by facility staff conducted a tour of the North Building's physical plant and observed the following: Structure: Assisted Living on the second level is based on two typical floor plan including a studio and a one-bedroom apartment. One model unit for each type was observed by LPA to include all necessary items of furnishing. There are a total of 41 apartments on the second level. There are 42 apartments in the Memory Care on the first level, all of which are based on a studio floor plan which includes a private bathroom for every unit. The Memory Care is distributed around three interior modular activities spaces and two exterior spaces and is equipped with a full kitchen. Administrative and wellness offices are located throughout the building as well. CONTINUED ON FORM LIC809-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 CONTINUED FROM FORM LIC809 Bedrooms: Resident rooms are generally unfurnished as residents bring their own furnishings. Bathrooms: All resident bathrooms have a working toilet, wash basin, showers and are equipped with non-slip tiles and grab bars. The built-in call system present was activated during the visit and observed to be fully operational. Food Service: Facility has ample supply of food and is fully supplied in anticipation of accepting residents. Executive director states that a minimum of three days of available menu-based food is present on the present along with 7 days of fresh food. Emergency measures allow for the use of butane to continue providing food in a shelter-in-place scenario. Smoke Detectors: Smoke detectors and sprinklers are observed throughout the physical plant. Carbon monoxide detectors are operational. Fire extinguishers are mounted and charged in multiple locations throughout the physical plant. Kitchen: LPA observed a clean and orderly kitchen with walk-in/reach-in freezer, refrigerator, and dry goods storage area. Functioning temperatures for all equipment is observed to be within range at 33F for the fridge and -8F for the freezer. Medications and First-Aid: LPA observed a locked medication room on the first level for assisted living as well as an additional locked room within the memory care units. The Med room on each level contains a locked rolling file cabinet, a locked medication carts, locked refrigeration units for prescribed controlled substances for resident medication as well as a first-aid kit. Reading Material, Games, and Equipment: LPA observed ample activity spaces and equipment throughout the facility. Activity programs will be displayed in each units via a voice recognition-enabled device and is also to be displayed on screens throughout the facility. A specific activity program is tailored to the Memory Care residents with additional consideration for the various level of dementia acuity displayed by the residents. Outside Areas: LPA observed three enclosed outdoor areas accessible to the memory care unit. A delayed egress exit is observed to be functional with three distinct modes. Fire Clearance : Approved on June 8, 2023 for 195 non-ambulatory residents, of which 10 may be bedridden. A Temporary Certificate of Occupation was delivered to the facility during the visit. The renovated section of the facility is ready to be included into the license and put into operation. An exit interview was conducted with Executive Director Brian Keys and a copy of this report was provided via and left at the facility.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of collecting payment of the Department fee related to requesting an updated fire clearance ahead of the pre-licensing visit for the facility's soon-to-be-completed North building. LPA was greeted and granted entry by Sofiane Lahouasnia and collected a $25 check payable to the Department. An exit interview was conducted and a copy of this report was emailed to Diane Morris, manager.

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPAs were greeted and granted entry into the facility and explained the reason for the visit. Administrator Dorice Redman has a current administrator certificate expiring on 10/26/2022. At 9:33 AM, LPAs toured the facility with Executive Director George Gonzalez. Facility has 69 residents in care during today's visit with 3 residents on hospice care. Facility consists of Assisted Living with Memory Care under construction. LPAs observed a library, fitness room, yoga room, salon, spa, movie room, card room, and activity room. LPAs observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms had the required elements as well as restrooms stocked with soap/ sanitizer. Rooms are a combination of single and double occupancy. Facility screens all visitors to the facility and LPAs observed the screening/ sanitizing station in the facility. Facility utilizes an electronic visitor sign in sheet. Facility takes resident and staff temperatures daily and documents. LPAs observed the first aid kit has all required items. Facility mitigation plan has been approved. Facility has emergency evacuation chairs at the top of stairwells. LPAs observed an ample supply of emergency food and water. LPAs observed multiple outside visitation areas. LPAs observed the medication room and facility uses electronic medical records for medication management. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPAs reviewed select resident files during the visit and all files are up to date including emergency information. Most residents and all staff are vaccinated for Covid-19. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced case management visit to follow up on an incident report/ SOC 341 dated 02/07/2022. LPAs were greeted and granted entry into the facility and explained the reason for the visit. Incident report indicated Resident 1 (R1) was touched inappropriately on the hand by R2. Facility investigated the incident as well as contacted Newport Beach Police. R1 is noted to have no injuries. During the visit, LPAs toured the facility as well as interviewed R1 and R2. Both residents appeared clean, happy, and well taken care of. R1 verbalized satisfaction with the facility. Per physician report dated 10/21/2021, R2 is diagnosed with Dementia. No health and safety concerns noted. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced health and safety case management visit in conjunction with complaint visit 22-AS-20211122170311. LPA Lyman met with Digital Innovation Director Dori Redman and discussed the reason for visit. During the visit, LPA toured the facility. LPA observed residents relaxing or participating in activities. LPA spoke with Resident 1 (R1) who was visiting with family. LPA spoke with R2 in the dining room. Both residents appeared happy and well taken care of. LPA toured R1's room and observed a ring camera in the resident's room. Facility appears clean and sanitary and are adhering to Covid-19 guidelines. LPA consulted with Director Redman regarding guidelines pertaining to cameras in resident rooms. No health or safety violations noted during today's visit. Exit interview conducted and a copy of this report was left at the facility.