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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300603257
Report Date: 01/21/2026
Date Signed: 01/21/2026 04:59:49 PM

Document Has Been Signed on 01/21/2026 04:59 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 POINTFACILITY NUMBER:
300603257
ADMINISTRATOR/
DIRECTOR:
FORNEY, MELINDA MFACILITY TYPE:
741
ADDRESS:19191 HARVARD AVENUETELEPHONE:
(949) 854-9500
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY: 399CENSUS: 329DATE:
01/21/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:18 AM
MET WITH:Melinda Forney (Administrator) TIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On January 21, 2026, Licensing Program Analysts (LPA) William Vanegas made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff, after explaining the purpose for the visit. Executive Director (ED) Melinda Forney was present and assisted on today's visit. LPA observed that ED Melinda Forney has a valid Administrator certificate which expires on July 22, 2027. The total capacity for the facility is 399, of which 60 can be non ambulatory and a hospice waiver for 12. The census during today's visit is, 326 of which 285 are in independent living, 38 in assisted living, and 6 in memory care. LPA Vanegas began a tour of the facility and observed the following. The facility consists of three buildings, one of which is a five story building that is utilized for independent living residents. The two additional buildings at the facility are two stories tall, one of which is for memory care, and assisted living, and the other for skilled nursing facility. Each building consist of resident apartments, with bathrooms located in the suites, a commercial kitchen, a dining room, a wellness center, a gym, a salon, laundry rooms, medication rooms, activity rooms, and storage rooms. LPA, accompanied by the ED, conducted a tour of the interior portions of the facility. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected a total of 10 resident apartments. LPA observed resident apartments to be clean and free of any hazards. LPA observed resident apartments to have the required furnishings such as a bed, a chair, a chest of drawers, a reading lamp, and enough storage space to store personal belongings. LPA observed resident beds to have clean linens and blankets. LPA tested the call buttons in resident apartments and they tested operational. LPA inspected the resident bathrooms and observed them to be clean. LPA observed resident bathrooms to be equipped with grab bars, slip resistant floor mats and a shower chair. Faucets and toilets were operational. Hot water measured from 116.2 to 117.6 degrees Fahrenheit. CONTINUED ON 809 C
NAME OF LICENSING PROGRAM MANAGER: Armando J Lucero
NAME OF LICENSING PROGRAM ANALYST: William Vanegas
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: REGENTS POINT
FACILITY NUMBER: 300603257
VISIT DATE: 01/21/2026
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LPA observed that all fire extinguishers were fully charged. LPA observed emergency evacuation chair at each stairway in the assisted living/memory care building. LPA observed the required postings and the PUB 475 poster posted in the lobby of the assisted living/memory care building as well. LPA and ED toured the kitchen. LPA 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.

LPA observed extra linens stored in a supply closet. LPA 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. LPA and the ED toured the memory care unit. Memory care unit has a secured perimeter with delayed egress exits. LPA verified the delayed egress exits and the signal call system were operational.

LPA reviewed 10 staff files. All staff whose files were reviewed are background cleared and associated to the facility. All 10 staff members had the required training. LPA reviewed 10 resident files and medication. No discrepancies observed in the resident files or in the medication files. Facility has a dedicated internet device for resident use. The last emergency drill was conducted on December 21, 2025. Smoke detectors and carbon monoxide detectors were last tested on December 12, 2025.

Based on today's observations during the inspection, deficiencies are not being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted with ED Melinda Forney and the Director of Wellness Ashley Croslin and a copy of the report was provided to facility, and a copy will be mailed to the facility as well.
NAME OF LICENSING PROGRAM MANAGER: Armando J Lucero
NAME OF LICENSING PROGRAM ANALYST: William Vanegas
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC809 (FAS) - (06/04)
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