San Clemente Villas by the Sea.
San Clemente Villas by the Sea is Ranked in the top 46% of California memory care with 7 CDSS citations on record; last inspected May 2026.
A large home, reviewed on public record.
Compared to 123 California facilities with a similar number of beds.
RCFE · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · FREE
San Clemente Villas by the Sea has 7 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
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Citation history, plotted month by month.
7 deficiencies on record. Each bar is a month with a citation.
Finding distribution
7 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to San Clemente Villas by the Sea's record and state requirements.
The facility holds 190 licensed beds and is operated by MSL Community Management LLC — can you provide a copy of the current CDSS license and confirm the license status is active and in good standing?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Zero deficiencies and zero complaints appear in the state transparency database — can you walk families through the most recent CDSS inspection documentation on file, including any compliance verification letters or visit summaries?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility is not formally designated as memory care in CDSS licensing records — what specialized dementia-care programming, if any, is offered, and is a written dementia care program maintained per California Title 22 §87705?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
13 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-05-14Complaint InvestigationUnsubstantiatedNo findings
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Therefore, the allegations are deemed 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 to facility.
2026-04-09Other VisitType A · 1 finding
“Based on record review, Licensee failed to ensure care and supervision was provided to R1. R1 received three medications belonging to another resident and was hospitalized for observation. This poses an immediate health and safety risk to residents in care.”
2026-04-09Complaint InvestigationNo findings
Plain-language summary
A complaint was investigated at this facility in April 2026. Based on interviews and review of records including incident reports and physician documentation, the complaint allegations were found to be unfounded. The facility was informed of the investigation outcome.
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correspondence indicates responsible party was informed of the care companion facility implemented. Email correspondence dated 04/03/2026 show additional requested documents were provided to the responsible party including incident report and updated physician report. Based on record review and interviews conducted, the allegations are deemed UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was left at the facility.
2026-04-01Other VisitType A · 1 finding
Plain-language summary
A licensing analyst visited on an unannounced basis to follow up on two incidents in March 2026 when a resident with memory impairment left the facility without staff—once returning on their own after two and a half hours, and once being brought back by a passerby after an unknown amount of time. The facility had placed the resident on a wander guard and later assigned a one-on-one companion, but during the inspector's visit, the resident was observed sitting near the exit without the companion present. The state cited the facility for a deficiency related to supervision and care planning for this resident.
“Based on record review and interviews conducted, Licensee failed to ensure care and supervision was provided to resident. R1 eloped two times out of the facility on March 18 and 24, 2026 which poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED”
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on incident reports submitted to the department. LPA was greeted and granted entry into the facility and explained the reason for the visit. Incident report dated 03/18/2026 indicated Resident 1 (R1) left the facility around 7:00 PM and returned at 9:40 PM. Resident was assessed and no injuries noted. Resident was noted to be exit seeking and was provided a wander guard on 03/17/2026 however the resident removed the device. Resident is on the facility elopement list at front desk as unable to leave the facility. There are staff present at front desk until 9:00 PM. Incident report dated 03/24/2026 indicated R1 had eloped out of the community and was returned to the facility by a bystander who observed the resident outside the facility. Resident returned at 3:00 PM. It is unknown what time the resident left. Facility placed a one on one companion with the resident and a care plan will be conducted for next steps with resident. Resident is diagnosed with MCI and physician reports dated 10/02/2022 and 03/24/2026 show resident is not allowed to leave the facility unassisted. Resident had a prior elopement in December 2022. LPA observed the resident sitting on a bench near the facility exit without the one on one companion. LPA spoke with resident who stated was going to be leaving for a medical appointment with family. 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 Administrator and a copy was provided as well as appeal rights.
2025-09-12Annual Compliance VisitNo findings
Plain-language summary
A state inspector made an unannounced follow-up visit on August 21, 2025 to verify that the facility had corrected four previously cited deficiencies related to food service, health screening, staff training, and dementia care. The facility provided documentation showing all deficiencies had been corrected and was found to be in compliance with the plan of correction. The inspector advised the facility to maintain these corrections going forward.
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Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 08/21/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit. *Deficiency cited under Title 22 Regulation 87555(b)(8) pertaining to Food Services has been cleared. Licensee provided proof of correction. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87411(f) pertaining to Health Screen/ TB has been cleared. Licensee submitted proof of correction. Licensee has complied with the terms of the POC. *Deficiency cited under H & S Code 1569.625(b)(2) pertaining to Staff Training has been cleared. Licensee provided proof of training. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Care of Persons with Dementia has been cleared. Licensee has provided proof of correction. Licensee has complied with the terms of the POC. Licensee has been advised to maintain all items previously cited in compliance. Exit interview conducted and a copy of this report was left at the facility.
2025-09-12Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint was made about water and electric disruptions at the facility. The inspector visited three times and found that the facility had notified residents and families about the shutoffs, blocked off construction areas, and took precautions to minimize disturbances to residents. The allegations could not be substantiated based on the inspector's observations and interviews.
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Administrator states providing notices to residents and families regarding water and electric shut offs. LPA toured the facility on three different occasions and observed precautions in place to minimize disturbances to residents. Facility has blocked off areas where construction is taking place. Based on observations and interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed 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 to facility.
2025-08-21Other VisitType A · 4 findings
Plain-language summary
During an annual inspection, inspectors found that San Clemente Villas by the Sea generally maintains clean facilities with adequate food supplies and emergency preparedness, but cited deficiencies including outdated food items in the kitchen, memory care patio gates that lack required safety mechanisms, one staff member without required health screening, and six staff members without proof of required annual training. Water temperature in bathrooms was appropriate, restrooms had functioning grab bars and were free of mold, and medications were stored and administered correctly. The facility is currently undergoing renovations with the third floor closed to residents.
“Based on observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 08/22/2025 Plan of Correction 1 2 3 4 Licensee to provide keys to all staff while exploring obtaining delayed egress. Licensee to forward plan to LPA by POC due date.”
“Based on record review, the licensee did not comply with the section cited above in six out of six staff without required training which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/04/2025 Plan of Correction 1 2 3 4 Licensee to conduct training and forward proof to LPA by POC due date.”
“Based on observation, the licensee did not comply with the section cited above. LPAs observed multiple items expired including yogurt, milk and cream which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/04/2025 Plan of Correction 1 2 3 4 Licensee to audit food expiration dates and forward proof to LPA by POC due date.”
“Based on record review the licensee did not comply with the section cited above in one out of six staff without a health screen/ TB which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/04/2025 Plan of Correction 1 2 3 4 Licensee to obtain health screening/ TB and forward proof to LPA by POC due date.”
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Licensing Program Analysts (LPAs) Kimberly Lyman and Fred Arias conducted an unannounced visit to San Clemente Villas by the Sea. The purpose of today’s visit was to conduct the Annual Required inspection. LPAs were allowed entry into the facility and explained the reason for the visit. Facility is licensed for 190 ambulatory of which 125 may be non-ambulatory and 40 bedridden. Facility has an approved hospice waiver for 20 residents and the facility currently has 11 residents on hospice care. Fred Paoli has an administrator certificate expiring on 04/17/2026. LPAs Lyman and Arias along with Administrator Paoili toured the facility at 9:09 AM. LPAs toured the physical plant, checked food service, facility records and the first aid kit. Facility is currently under renovation with the third floor closed to residents. Facility consists of a four story building including assisted living and memory care. Throughout the building, LPAs observed kitchen, dining room, activity areas, gym, movie theater and beauty salon. Resident apartments had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. 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 107.9 and 119.3 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Staff responded within 10 minutes for emergency pull. At 9:30 AM, LPAs observed the gates in the memory care patio are locked with a key and do not have the approved delayed egress on the gate. First aid kit had required elements including thermometer and scissors. LPAs observed no unsecured toxins. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPAs observed multiple items out of date including yogurt, milk and cream. CONTINUED ON LIC 809C DATED 08/21/2025 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 Smoke detectors are tested quarterly in house and fire inspections are conducted by an outside company, Fire Service Corporation with the last inspection on 02/17/2025. Fire extinguishers are fully charged. LPAs observed evacuation chairs at stairwells. LPAs toured the outside grounds and there is ample shaded seating for residents. There is a fenced pool secured with a lock. LPAs observed emergency food and water. LPAs reviewed the emergency disaster plan and infection control plan during the visit. Plans are thorough and complete. Facility conducts monthly emergency drills with the last drill conducted on 07/17/2025. Facility provides activities in the form of games, exercise, and outings in the community. LPAs observed residents participating in activities during the visit. At 11:15 AM, LPAs reviewed select resident and staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals. Staff files reviewed contained required documentation such as health screen/TB and criminal record clearance. One out of six staff do not have a health screen/ TB. Six out of six staff do not have proof of required annual training. LPAs reviewed medication administration and storage. Medications are stored in a locked medication cart. Medications are being administered per physician order. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the Administrator and a copy was provided as well as appeal rights.
2025-06-03Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that medications were found loose on the floor or in resident rooms. Investigators interviewed staff, reviewed records, toured the memory care unit on two separate occasions, and found no evidence to support the complaint. The allegations were deemed unsubstantiated.
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Eight out of nine staff deny finding medications on the floor or in resident rooms. Staff state watching residents take their medication to ensure they are taken. LPA toured the memory care unit on two different occasions and observed no loose medications. Based on records reviewed and interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed 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 to facility.
2025-03-18Complaint InvestigationSubstantiatedType B · 1 finding
Plain-language summary
A complaint investigation found that the facility failed to provide medical records to a law firm representing a deceased resident within the required timeframe, despite a legitimate request made in February 2025 and a follow-up in March 2025. State regulations require facilities to provide photocopied records within two business days, but the facility delayed providing these records while conducting an internal audit. This violation was substantiated and cited as a deficiency.
“provided within two (2) business days (....)". This requirement was not met as evidenced by the additional delay evidenced during the present visit. This constitutes a potential risk to the health, safety and personal rights of individuals in care.”
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CONTINUED FROM FORM LIC9099 Per the records reviewed along with the death report submitted by the facility on May 10, 2024, R1 passed away under hospice continuous care on April 28, 2024. On or around February 26, 2025, a law firm representing the late resident reached out to facility staff to request records from R1's period of admission at the facility. Per facility staff, records were not submitted in response yet after a follow-up email was sent during the week of March 9 to March 15, 2025. Facility staff indicated that a facility audit on the records requested was under way and had delayed the submission of records. Per the documentation reviewed, the law firm made the request and submitted all supporting evidence to demonstrate the request was legitimate, as well as issued a payment for clerical and reproduction costs by check dated February 25, 2025. Per Title 22 regulations, " Photocopied records shall be provided within two (2) business days and at a cost that does not exceed the community standard for photocopies. ". Based on the evidence gathered, facility staff failed to meet that requirement. The allegation that " Staff are not providing timely access to a resident's personal records " is therefore substantiated, meaning that the preponderance of evidence standard has been met. A type B deficiency is cited on an attached form LIC9099-D. An exit interview was conducted and a copy of this report along with appeal rights was provided to a facility representative.
2025-03-12Other VisitNo findings
Plain-language summary
An unannounced follow-up visit was conducted on February 25, 2025 after a resident with dementia fell in a hallway on February 13, 2025, resulting in a hip fracture that required surgery and hospitalization. The facility had documented the resident's fall risk and was conducting frequent safety checks four times per shift; the inspector found no ongoing safety concerns in the hallway where the fall occurred and observed the resident appeared well cared for. The resident reported feeling safe at the facility.
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to follow up on an incident report received by the department on 02/25/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit. Incident report dated 02/13/2025 indicated Resident 1 (R1) had an un-witnessed fall in the hallway and was observed to have hip pain. 911 was called and resident was transported to the hospital and was diagnosed with right hip fracture. Resident had surgery to repair hip and admitted back to the facility on 03/01/2025. Per physician report dated 11/05/2024, resident is diagnosed with Dementia. Resident assessment dated 01/31/2025 indicates fall concern. LPA observed no other documented falls. Administrator states resident is on frequent checks, four times per shift, when not in common area of memory care unit. LPA viewed the area where the fall took place and observed no concerns. LPA spoke with resident who appeared well taken care of and verbalized feeling safe at the facility. Exit interview conducted and a copy of this report was left at the facility.
2025-02-21Other VisitNo findings
Plain-language summary
An unannounced inspection visit was conducted today as part of an investigation into the facility. The inspector met with management, toured the facility, and reviewed staff records, resident records, and other documents. No violations were identified during this visit.
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On today’s date Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced collateral visit while conducting initial visit into investigation Control Number 22-AS-20250220115306. LPA met with Business Office Manager Sharon Gerken and explained reason for visit. During today’s visit, LPA Tirre toured facility and collected pertinent documents such as facility staff roster, resident roster and Resident 1 record file. Exit interview conducted with Business Office Manager Sharon Gerken and copy of report was provided.
2024-07-19Other VisitNo findings
Plain-language summary
This was a pre-licensing inspection of a new memory care and assisted living facility with capacity for up to 190 residents across three floors. The inspector found the facility clean and well-equipped, with private bathrooms in all resident rooms, adequate dining areas, functional safety systems including smoke and carbon monoxide detectors, secure medication storage, and activity programs; the facility was approved for licensing.
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Licensing Program Analyst (LPA) Kimberly Lyman made an announced visit to conduct a pre-licensing inspection. LPA identified herself and discussed the purpose of the visit with Administrator Laura Kephart. An initial application to operate a Residential Care Facility for the Elderly was received by CCL on 11/21/2023 for a capacity of 25 ambulatory, 125 non-ambulatory and 40 bedridden residents. Facility appears clean and sanitary and utilizes solar panels. LPA Lyman along with Administrator and Director of Health Services toured the facility at 10:56 AM and observed the following: Structure: Facility is a three story building with an assisted living and a memory care unit. Facility houses a gym, salon, library and activity room. Living Room/ Dining Room : Adequate seating is available in the common areas including multiple seating areas throughout the facility. There are three different dining rooms including a bistro to serve the residents. Bedrooms Residents: Resident rooms are equipped with resident's personal furnishings. Facility will supply furnishings to residents who arrive without personal furnishings. Bathrooms: All resident bathrooms have a working toilet/ wash basin as well as grab bars and non-skid surface in the shower. Residents all have private bathrooms located inside resident rooms. Linens & Hygiene Supplies: Facility has ample bedding and towels for residents in care. Emergency Phone Numbers and Exit Plan: Posted in the entrance of the facility. Food Service: Facility has 2 day perishables as well as 7 day non-perishables. Residents order off a menu with varied choices Smoke Detectors: Smoke detectors/ carbon monoxide detectors were tested operational. Fire extinguishers are mounted and charged. Facility tests carbon monoxide detectors and fire extinguishers in house and contracts with an outside business for sprinklers and smoke detectors. Appliances: Facility appliances as well as laundry are clean and operational . Water Temperature: Tested and recorded between 112.2 and 118.6 degrees F. in tested bathrooms. Emergency Supplies: LPA observed ample emergency food and water as well as a posted emergency disaster plan. Medications, First-Aid Kit & Book: First aid kit observed contained all required items. Medications are stored and locked in the Wellness center. CONTINUED ON LIC 809C DATED 07/19/2024. 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 Facility uses electronic medication administration record. Resident & Staff File: Records are stored secured in the business office. Reading Material, Games, and Equipment: Facility provides activities including exercise, games, happy hour and outings in the community. Outside Areas : LPA observed a clean shaded outside area with a pool secured by a 5 foot fence. Fire Clearance: Approved for 25 ambulatory, 125 non ambulatory and 40 bedridden residents on 02/06/2024. Facility is ready to be licensed. Exit interview conducted and a copy of this report was left at the facility.
2024-06-14Complaint InvestigationNo findings
Plain-language summary
This was a pre-licensing compliance interview conducted by phone for a 190-bed memory care facility. The administrator and applicant confirmed their understanding of California regulations covering facility operations, staffing, admission policies, emergency preparedness, and complaint procedures, and the interview was completed successfully.
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COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 190 Census (if any clients in care): 126 Method: TEAMS Telephone call with CAB COMP II Participants: Laura Kephart , Administrator, Designee; Denise Munoz, Corporate Director of Adminstration; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readiness
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