300603257-2-23-2024-22-AS-CGUZ-D2QVSK-20240223154140

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300603257
Report Date: 02/23/2024
Date Signed: 02/23/2024 03:41:47 PM

Document Has Been Signed on 02/23/2024 03:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME:	REGENTS POINT		FACILITY NUMBER:	300603257
ADMINISTRATOR:	FORNEY, MELINDA M		FACILITY TYPE:	741
ADDRESS:	19191 HARVARD AVENUE		TELEPHONE:	(949) 854-9500
CITY:	IRVINE	STATE: CA	ZIP CODE:	92612
CAPACITY:	399	CENSUS: 301	DATE:	02/23/2024
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Melinda Forney		TIME COMPLETED:	04:00 PM

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Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Executive Director (ED) Melinda Forney and Director of Wellness Ashely Croslin and explained the purpose of the inspection.

During the inspection, LPA conducted a tour of independent living with Nurse Manger Melissa Goldman and Health Service Coordinator Reyna Medina. LPA conducted a tour of assisted living and memory care with Nurse Manager Sheila Weathers, and observe the following:

Independent living is located in the main four-story building. Assisted living and memory care are connected and located in a separate two-story building adjacent to independent living. Memory care is approved for delayed egress. Delay egress was tested and observed to be operable. There are 7 residents in the memory care unit, 36 in assisted living and 258 in independent living. Resident bedrooms had the required furnishings. LPA observed resident beds had linens and blankets. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. Water temperature was tested in ten resident bedrooms and tested between 107.6-120.7 F degrees. The facility has multiple shaded sitting areas; the central outdoor area includes a swimming pool, putting green, and lawn bowling. Pool was observed to be fenced and met regulation requirements. LPA observed residents engaging in leisure activities, such as reading, knitting, and strolling about the inside and outside of the facility common areas. Facility has all required Department postings. Facility has emergency evacuation chairs at the top of stairwells. Facility has a third-party contractor come into the facility to do quarterly inspections of smoke detectors and sprinkler system. Carbon monoxide detectors were tested during today’s inspection and observed to be operable. LPA observed medication rooms to be inaccessible to residents.

LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. (Cont. LIC809-C)

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Claudia Gutierrez	TELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: REGENTS POINT	FACILITY NUMBER: 300603257
	VISIT DATE: 02/23/2024

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LPA observed at least three fire extinguishers located on every floor of every building of the facility. Fire extinguishers were observed to be fully charged with service tags dated 8/03/23. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. LPA reviewed 15 resident files and interviewed five staff and seven residents.

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. An exit interview was conducted, and a copy of this report was left at the facility.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (714) 703-2840
LICENSING EVALUATOR NAME: Claudia Gutierrez	TELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024

LIC809 (FAS) - (06/04)

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