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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300613273
Report Date: 11/19/2024
Date Signed: 11/19/2024 04:46:23 PM

Document Has Been Signed on 11/19/2024 04:46 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:MORNINGSIDE OF FULLERTONFACILITY NUMBER:
300613273
ADMINISTRATOR/
DIRECTOR:
RICHARD ALLEN NORDSIEKFACILITY TYPE:
741
ADDRESS:800 MORNINGSIDE DR.TELEPHONE:
(714) 256-8000
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY: 712TOTAL ENROLLED CHILDREN: 0CENSUS: 404DATE:
11/19/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:10 AM
MET WITH:Christopher OakesonTIME VISIT/
INSPECTION COMPLETED:
04:55 PM
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On November 19, 2024, at 8:10am, Licensing Program Analysts (LPAs) Edward Kim and Eboni Bentley arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPAs met with Executive Director Christopher Oakeson and explained the reason for the visit.

The Residential Care for the Elderly Continuing Care Retirement Community has a building named Mountainside with three stories, Gardenside with four stories, Canyonside with five stories, and fifty-six Villas. Facility is operating within the conditions and limitations specified on the license. LPA conducted a tour of the property with Executive Director Oakeson and observed the facility to be clean and sanitary. LPA observed all common areas. LPA inspected twenty-five resident bedrooms and twenty-five resident bathrooms. The residents' bedrooms were appropriately furnished. Beds and bedding supplies/linens were in good condition and adequate lighting was provided. Residents had sufficient storage space for their personal belongings. Bathrooms were found to be in compliance, clean, and operational. Toxins, disinfectants, and sharps were secured and inaccessible. The swimming pool, the lake, and the front entrance fountain was also secured. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available in the kitchen. LPA toured the exterior portion of the facility. LPA observed the outdoor area free of obstruction. LPA observed sufficient seating and shading. Facility maintains fire extinguishers which were mounted, charged, and serviced on February 15, 2024. The facility passed the quarterly fire inspection conducted on August 20, 2024.

Due to time constraints a continuation inspection will be conducted on a later date: 1) emergency drill log, 2) emergency food, emergency water, and emergency supplies, 3) An audit of staff files, 4) An audit of medication and medication administration record, 5) staff interviews, and 6) an audit of first aid kit.

Based on the observations made during today's visit, no deficiencies are being cited. An exit interview was conducted and a copy of this report was provided to Executive Director Christopher Oakeson.

Lourdes MontoyaTELEPHONE: (916) 956-7332
Edward KimTELEPHONE: (714) 293-1237
DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2024
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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