300603257-1-15-2025-22-AS-JALE-DCY3YT-20250115174027

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300603257
Report Date: 01/15/2025
Date Signed: 01/15/2025 05:40:41 PM

Document Has Been Signed on 01/15/2025 05:40 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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME:	REGENTS POINT		FACILITY NUMBER:	300603257
ADMINISTRATOR/ DIRECTOR:	FORNEY, MELINDA M		FACILITY TYPE:	741
ADDRESS:	19191 HARVARD AVENUE		TELEPHONE:	(949) 854-9500
CITY:	IRVINE	STATE: CA	ZIP CODE:	92612
CAPACITY: 399	TOTAL ENROLLED CHILDREN: 0	CENSUS: 318	DATE:	01/15/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:25 AM
MET WITH:	Melinda Forney		TIME VISIT/ INSPECTION COMPLETED:	05:50 PM

NARRATIVE
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	Licensing Program Analysts (LPAs) Joseph Alejandre and Nancy Guillen made an unannounced visit to conduct the required annual inspection. LPAs met with the Executive Director (ED) Melinda Forney and explained the reason for the visit. Melinda Forney's administrator's certificate expires on July 22, 2025. Facility is licensed to maintain a RCFE -Continuing Care Retirement Community. Total capacity is 399, of which 60 can be nonambulatory and a hospice waiver for 12. The census during today's visit is, independent living 275, assisted living 38, and 5 in memory care. LPAs and the ED toured the facility. LPAs inspected nine resident rooms in assisted living and memory care. All rooms had the required furnishings. Hot water measured from 117.3 to 123.4 degrees Fahrenheit. In eight out the nine rooms where hot water was measured the temperature was above 120.0 degrees Fahrenheit. LPAs observed that all fire extinguishers were fully charged. LPAs observed and emergency evacuation chair at each stairway in the assisted living/memory care building. LPAs observed the required postings and the PUB 475 poster posted in the lobby of the assisted living/memory care building. LPAs and the ED toured the kitchen. LPAs observed that the facility had the required two day perishable and seven day non-perishable food supply. The refrigerator and freezer were operated at the required temperatures. Facility had the required three day supply of emergency food and water. LPAs observed extra linens stored in a supply closet. LPAs toured the outside of the facility and observed there was a shaded seating area for resident use. There were no obstacles or hazards observed inside or outside of the facility. LPAs and the ED toured the memory care unit. Memory care unit has a secured perimeter with delayed egress exits. LPAs verified the delayed egress exits and the signal call system were operational. LPAs reviewed five staff files. All staff whose files were reviewed are background cleared and associated to the facility. All five staff members had the required training. LPAs reviewed 8 resident files and medication. No discrepancies observed in the resident files. LPAs observed resident one (R1) did not have six out of thirty-three prescribed medications. No other discrepancies observed. Facility has a dedicated internet device for resident use. The last emergency drill was conducted on December 22, 2024. Deficiencies are being cited per the Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report along with the appeal rights was provided.

Sheila Santos	TELEPHONE: (714) 334-2062
Joseph Alejandre	TELEPHONE: 714-705-6018
	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

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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Document Has Been Signed on 01/15/2025 05:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: REGENTS POINT	FACILITY NUMBER: 300603257
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/15/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Maintenance and Operation

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in seven out of eight resident bathrooms that hot water was measured. Hot water measured was from 117.3 to 123.4 degrees Fahrenheit in which this poses a potential safety risk to persons in care.
	POC Due Date: 01/22/2025
	Plan of Correction
1 2 3 4	Licensee agrees to adjust the hot water to measure between 105.0 to 120.0 degrees Fahrenheit in compliance with the above regulation.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Sheila Santos	TELEPHONE: (714) 334-2062
Joseph Alejandre	TELEPHONE: 714-705-6018
	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 01/15/2025 05:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: REGENTS POINT	FACILITY NUMBER: 300603257
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/15/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

To receive or reject medical care or other services. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, R1 was missing six out of thirty tree prescribed medications which poses an immediate health, safety and personal rights risk to persons in care.
	POC Due Date: 01/16/2025
	Plan of Correction
1 2 3 4	Licensee agrees to ensure that all residents, including R1, will have all prescribed medications in the facility available to the residents. Licensee agrees to submit a statement of understanding for the regulation stated above to the LPA by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Sheila Santos	TELEPHONE: (714) 334-2062
Joseph Alejandre	TELEPHONE: 714-705-6018
	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

LIC809 (FAS) - (06/04)

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