Facility Evaluation Report

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 10 residents on hospice care. Dyan Summerell has an administrator certificate expiring on 12/23/2027.

LPAs Lyman and Mendivil along with Life Enrichment Director Hector Gonzalez toured the facility at 11:45 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 114.9 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. 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 as well as a first aid pamphlet. 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 emergency evacuation chair. Smoke detectors and fire inspections are conducted by an outside company, Hiller with the last inspection date of 07/10/2026. CONTINUED ON LIC 809C DATED 08/06/2026