Guardian Angels Homes IV

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 a single story home with six private resident bedrooms, one staff bedroom, five resident bathrooms, a living room, a dining room, a kitchen, a TV room, a laundry room, and an unattached 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 to 116.9 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 10, 2026. LPA observed emergency food and water in the entryway of the facility. 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 March 01, 2028. 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 30, 2026

Allegation investigated: staff was verbally abusive to resident

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and resident. Regarding the allegation that staff was verbally abusive to resident, the investigation revealed the following: LPA interviewed three staff, Administrator and resident. Three out of three staff, Administrator and one out of one resident denies any verbal abuse occurring at the facility. Staff deny forcing residents to eat. LPA reviewed training records for Staff 1 and records are complete. Based on interviews conducted, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator and a copy of this report was provided to facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 1, 2025 · control 22-AS-20250811112855

Type of visit: Required - 1 Year

On July 29, 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. The facility is a single story home with six private resident bedrooms, one staff bedroom, five resident bathrooms, a living room, a dining room, a kitchen, a TV room, a laundry room, and an unattached 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 relaxing in the TV 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 a hallway closet. LPA inspected the five 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 116.9 to 118 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 chemicals and toxins to be stored in a locked kitchen cabinet under the sink. 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 cabinet located in the kitchen. LPA observed the facility has a First Aid Kit stored in a kitchen cabinet and it had all the required components. LPA observed the facility has a three day emergency food and water supply stored in a closet by the entryway of the facility. 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 inspected the unattached two car garage located in the backyard and observed it to be free of hazards. LPA observed the two car garage to be used for storage. 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 six 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, Jul 29, 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. LPA met with Administrator/Licensee Sonia Garcia and explained the reason for the visit. The facility is a single story home with 7 bedrooms (1 bedrooms is for staff), 5 bathrooms, living room, dining room, kitchen, laundry room, family room and a detached two car garage with an attached pool house in the backyard. There are two sheds in the backyard. Both sheds are used for tool storage. The facility has no pool. Facility is licensed for 6 non-ambulatory residents with a hospice waiver for 4. 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 the kitchen is clean and organized. Knives are kept locked in a kitchen drawer. Cleaning supplies are kept locked under the kitchen sink. LPA observed a two day perishable and a seven day non-perishable food supply on hand in the kitchen. The fire extinguisher in the kitchen is fully charged. LPA observed the medication is kept locked in the kitchen cabinet. The last emergency drill was conducted on September 10, 2024. Smoke detectors/carbon monoxide detectors tested operational. LPA observed all 6 resident rooms have the required furnishings and linens. LPA observed all 5 bathrooms are clean and operational. Hot water measured 107.0 to 107.8 degrees Fahrenheit. LPA and Administrator toured the backyard. LPA observed the family room sliding glass door does not have sliding screen door. LPA observed the garage is kept locked and stores extra furniture. The attached pool house is one room and has a kitchen/living area, a closet and a bathroom. The pool house and garage are kept locked and inaccessible to residents. The Administrator reported that the pool house and garage are not for resident use. LPA observed a shaded patio with chairs for residents to sit outside. No bodies of water observed. Both sheds are used for storage and do not have any hazardous items. No hazards observed in the backyard. Both exit gates on each side of the house are operational. LPA reviewed 3 staff files, no discrepancies observed. All 3 staff were present in the facility and background cleared and associated to the facility. LPA reviewed 6 resident files and medications, no discrepancies observed. No deficiencies are being cited as a result of the this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Sep 24, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.