Guardian Angels Homes III

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry by staff and explained the reason for the visit. The facility is licensed for six non-ambulatory residents and has a hospice waiver for six. The facility is a single story home with six private resident bedrooms, one staff bedroom, four resident bathrooms, a living room, a dining room, a kitchen, a TV room, and an attached two car garage. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in bathrooms. The hot water temperature measured between 110.6 to 112.2 degrees Fahrenheit and all smoke detectors were operational. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Facility conducted the last fire drill on July 22, 2026. LPA observed emergency food and water in facility garage. LPA reviewed two out of two staff training and fingerprint records. LPA conducted a complete review of resident records. LPA confirmed that administrator has a current administrator certificate which expires on June 29, 2027. Based on observations made no deficiencies are being cited during today's visit. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 25, 2026

Type of visit: Required - 1 Year

On August 8, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Licensee (LI) Sonia Garcia and Administrator (AD) Jonathan Harlan was notified via telephone and later arrived to assist with the inspection. LPA observed that Jonathan Harlan has a valid Administrator certificate which expires on September 3, 2025. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for six. The facility is a single story home with six private resident bedrooms, one staff bedroom, four resident bathrooms, a living room, a dining room, a kitchen, a TV room, and an attached two car garage. LPA, accompanied by the AD, conducted a tour of the interior portions of the facility. On today's visit, LPA observed six resident in care and two care giving staff present. LPA observed residents watching TV in the living room. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected all six resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in each resident's bedroom. LPA inspected the four resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 119.6 degrees Fahrenheit. LPA observed the staff bedroom to be kept locked and inaccessible to residents in care. LPA observed the kitchen has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. CONTINUED ON LIC809-C LPA observed the four burner gas stove lights unassisted. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed fire extinguishers to be mounted on the wall in the kitchen and it was observed to be charged and serviced as of March 6, 2025. LPA tested the individual smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on July 25, 2025. LPA observed the centrally stored medication to be kept in a locked storage cabinet located in the kitchen. LPA observed the facility has a First Aid Kit stored in a closet by the resident hallway and it has all the required components. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the two car garage to be used for storage and laundry. LPA observed chemicals and toxins to be stored in a locked cabinet in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all six resident files. All the required documentation were present and current in the resident file reviewed. LPA reviewed the residents' medication and medication records. LPA reviewed five staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Licensee Sonia Garcia and Administrator Jonathan Harlan and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. Facility is a one story home with 6 bedrooms, 1 staff room, 4 bathrooms, living room, family rooms, kitchen, dining room and a two car garage. The garage is kept locked and used for storage. Facility is licensed for 6 non-ambulatory residents and a hospice waiver for 4. LPA met with Administrator Jonathan Harlan and explained the reason for the visit. LPA and Administrator toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the main entry way of the facility. LPA observed fireplace in the living room is screened. LPA observed the fire extinguisher in the kitchen is fully charged. LPA observed a 2 day perishable and 7 day non-perishable food supply on hand in the kitchen. Knives and sharp objects are kept locked in a kitchen drawer. Cleaning supplies are kept locked under the kitchen sink. Medication is kept locked in a cabinet. LPA inspected the first aid kit, the first aid kit has all the required elements. LPA observed the facility has a tablet that connects to the internet for reside use. LPA inspected the 4 facility bathrooms. All 4 bathrooms are clean and operational. Hot water measured 112.0 to 112.6 degrees Fahrenheit. Smoke detector/carbon monoxide detectors tested operational. LPA toured all 6 resident rooms. All resident rooms had the required furnishings and bedding. LPA observed clean linens stored in the pantry of bathroom number 1. LPA toured the garage. The garage is kept locked and used for storage. LPA observed emergency food and water stored in the garage along with extra food and supplies. LPA toured the backyard. Both exit gates are operational. No bodies of water observed. There is a covered patio with a table and chairs. No obstacles or hazards observed in the backyard. LPA reviewed 3 staff files. No discrepancies observed. All staff present were associated to the facility. LPA reviewed 5 resident files and medication. No discrepancies observed. No obstacles or hazards observed inside of the facility. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Sep 23, 2024