Routine inspection·July 31, 2025

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced visit to The Seville of San Clemente. 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 130 non-ambulatory of which 20 may be bedridden. Facility has an approved hospice waiver for 20 residents and the facility currently has 7 residents on hospice care. Roger Endert has an administrator certificate expiring on 04/06/2026. LPAs Lyman and Mendivil along with Administrator Endert and Wellness Director Lori Salas toured the facility at 9:06 AM. LPAs toured the physical plant, checked food service, facility records and the first aid kit. Facility appears to be clean, safe, and sanitary. Facility consists of one main building housing assisted living and memory care residents. LPAs observed kitchen, dining room, beauty salon, activity areas, gym and outside areas. Resident rooms 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 113.3 and 116.2 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Staff responded within 7 minutes for emergency cord pull. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissor. LPAs observed no toxins unsecured. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Facility is keeping a log of freezer/ refrigerator temperatures and all were in range. LPAs observed there is a emergency evacuation chair in one stairwell only. Smoke detectors and fire inspections are conducted by an outside company, Hiller with the last inspection date of 07/01/2025. CONTINUED ON LIC 809C DATED 07/31/2025 Fire extinguishers are fully charged. LPAs toured the outside grounds and there is ample shaded seating for residents in multiple patio areas. LPAs observed ample emergency food. LPAs reviewed the infection control plan during the visit. Plan is thorough and complete. Facility provides activities in the form of games, exercise, and crafts. LPAs observed residents participating in activities during the visit. LPAs spoke with residents during the visit who stated satisfaction with facility services. LPAs observed no health or safety concerns during the visit. LPAs reviewed select resident and staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation such as health screen, and criminal record clearance. LPA observed six out of six staff files did not contain proof of required annual training and one out of six do not have proof of TB test in the file. LPAs reviewed select medications during the visit. Medications are secured in a medication cart and facility uses an electronic medication administration record. 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 facility representative and a copy was provided as well as appeal rights.