Newport Beach Memory Care.

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 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 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.

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.

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. 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 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.

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.

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.

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.

CONTINUED FROM LIC9099-A LPA conducted or attempted a total of six staff interviews during the investigation visit. Regarding the allegation that an Inoperant alarm has allowed unsupervised exits from residents with dementia, the following has been concluded: Based on observation and interviews conducted, the sound alarms are functional and staff response is consistent with the prevention of wandering risks in the facility's residents. None of the staff members interviewed corroborated the occurrence of an incident during which any resident was able to exit the facility unsupervised. As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative. 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 LIC9099 LPA conducted or attempted a total of six staff interviews during the investigation visit. Regarding the allegation that One of the facility's routes of egress is in disrepair, the following has been concluded: Based on the observation conducted during the tour of the physical plant, the delayed egress systems on both exit routes are operational. The gate only opens after a push on the bar for 15 seconds, immediately triggering an alarm at a central location alerting staff to the egress attempt. On both instances, facility staff was witnessed to intervene immediately to ensure no resident was able to exit the facility unsupervised. The exit gate between the secure outdoor space behind the facility and the parking was also confirmed to trigger a remote alarm but somehow did not sound locally. The allegation is therefore found to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. The Department has investigated this complaint. LPA provided a consultation on the regulatory requirements specific to dementia care documented in an attached Technical Assistance Advisory Note. Due to the presence of two large items in front of the backside egress gate, later easily repositioned away from the gate by facility staff, a Technical Violation Advisory Note regarding the requirements of the California Code of Regulations Section 87307(d)(6) was issued and a consultation provided to facility representative. An exit interview was conducted and a copy of this report was provided to a facility representative.

CONTINUED FROM FROM LIC9099 After the Home Health discontinuation of care, supervision of the resident's ostomy was taken over by staff member S1 Wellness Director who was in possession of an active nursing license. After the former Executive Director was terminated, S1 submitted their resignation as well. At that time, the supervision of the ostomy was taken over by the facility's interim LVN on call from the Skilled Nursing Facility operated by the same licensed entity and located across from Newport Beach Memory Care. Documentation of the interim LVN's endorsement was provided to LPA during the visit, in addition with email exchanges with the resident's care manager. A physician order for the admission of the resident into Hoag Home Health was obtained on August 15, 2023 and submitted to the provider on the same day. The ostomy bag was also observed to be clean and was replaced on August 15, 2023. The investigation confirmed continuity in the routine care of R1's ostomy bag by skilled professionals as required by the California Code of Regulations Section 87621. As a result, the allegation that Staff does not have proper training to care for resident in care is found to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. The Department has investigated this complaint. A consultation on the requirements for the admission of residents with Restricted Health Conditions was provided to the facility's representative through a Technical Assistance Advisory Note, in an attached form LIC9102. An exit interview was conducted and a copy of this report was provided to a facility representative.

were notified of the incident at 8:30 AM on 10/06/2021. Responsible party confirms being notified of the resident's pain and bruising. Facility indicated resident was equipped with a clip alarm as well as a lowered bed and was observed frequently. Due to conflicting information, the department is unable to corroborate the allegations. Therefore, the allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report was provided and left at the facility.