Golden Angel of La Habra II

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Lornita S. Panis and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 9:45AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 6-bedroom, 2-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA observed 2 staff and 4 residents present at the facility in addition to AD. Resident Bedrooms: the 5 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the 1 staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 117 and 118 degrees F in the 2 bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the kitchen and garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are not yet paid but are not past due. At about 7:45AM, LPA reviewed 4 resident files and 4 staff files, interviewed 2 residents and 2 staff, and inspected medications for 4 residents. Facility does not handle resident money. During the inspection, LPA and AD observed the following: based on observation and admission, the facility was previously cited for not following their fire clearance as a new wall had been installed in the original bedroom #3 splitting it into new bedrooms #4 and #5, and the facility is continuing to work on obtaining a new occupancy code and fire clearance but the process has not yet been completed; based on documents, S3's health screening does not have a TB test result; and based on documents, S3's first aid training expired on June 22, 2026. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Jul 6, 2026

The state marks this report as 7 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

This unannounced Case Management – Other inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering amended findings for Complaint Control No. 22-AS-20260506155811. LPA met with Administrator (AD) Lornita S. Panis and explained the reason for today’s inspection. During the inspection, LPA and AD reviewed and discussed the previously delivered findings and the amended findings and LPA delivered the amended reports to AD. An exit interview was conducted and copies of this report and the amended reports were discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Jun 25, 2026

Allegation investigated: Facility staff is rough with resident's in care resulting in bruising

This is an amended report This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegation. LPA met with Administrator (AD) Lornita S. Panis and explained the reason for today’s inspection. The investigation into the allegation that facility staff is rough with resident's in care resulting in bruising revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD, staff, and residents, and obtained and reviewed copies of the resident roster, staff roster, and a photograph of Resident #1 (R1). Unsubstantiated It was alleged that a staff was rough with a resident resulting in bruising. LPA inspected the facility, conducted health and safety checks on residents, and observed no health and safety issues. LPA interviewed the four other residents and did not obtain information corroborating the allegation. LPA interviewed AD and three staff who denied the allegation. LPA reviewed a photograph of R1 which does show a small, superficial, finger-sized bruise on R1’s leg allegedly caused by rough handling by Staff #1 (S1) and noted that by the time of today’s inspection, the bruise had resolved, indicating that it was indeed a bruise and not a permanent mark. However, S1 denied causing the bruise and the information obtained did not confirm the cause of the bruise. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative. This is an amended report It was alleged that staff do not respond to a resident’s calls for assistance timely at night. LPA inspected the facility, conducted health and safety checks on residents, and observed no health and safety issues. LPA interviewed the four other residents and did not obtain information corroborating the allegation. LPA interviewed AD and three staff who denied the allegation, stating that while staff sleep at night, they wake up and provide care when they hear residents’ request assistance, and in response to a resident needing additional night care, an additional staff was added to address that resident’s needs at night. It was alleged that staff leave a resident in soiled diapers for extended periods of time. LPA interviewed the four other residents and did not obtain information corroborating the allegation. LPA interviewed AD and three staff who denied the allegation. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegation are deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, May 14, 2026 · control 22-AS-20260506155811

From the deficiency page — Deficiency type: Type B · Section cited: CCR 000000 · Plan of correction due date: May 15, 2026

This is an amended report. This citation page was created in error.the state’s words, verbatim · CDSS document, May 14, 2026

Plan of correction: This is an amended report. This citation page was created in error.

Type of visit: Case Management - Deficiencies

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250905161130. LPA met with Administrator (AD) Lornita S. Panis and explained the reason for today’s inspection. During the course of the investigation, LPA inspected the facility, conducted health and safety checks on residents, interviewed AD and staff, and obtained and reviewed copies of the resident roster and staff roster. Per AD, on August 27, 2025, Resident #1 (R1) was noted to have severe swelling on their neck, R1 was taken to the hospital, and R1 was hospitalized. However, based on incident reports received at the Orange County Regional Office (OCRO) and AD’s admission, R1’s medical emergency and hospitalization on August 27, 2025, was not reported as required. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Sep 9, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(B) · Plan of correction due date: Sep 23, 2025

87211 Reporting Requirements (a) … (1) A written report shall be submitted to the licensing agency … within seven days of the occurrence of … (B) Any serious injury… This requirement was not met as evidenced by: Based on documents and admission, the licensee did not ensure R1’s medical emergency and hospitalization on August 27, 2025, was reported to licensing, which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 9, 2025

Plan of correction: Licensee stated that they will review Section 87211 Reporting Requirements and submit a statement of understanding to LPA by POC due date.

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Staff #1 (S1) Lizette Magbitang and discussed the purpose of the inspection. Administrator (AD) Lornita S. Panis was not present during the inspection. LPA reviewed Infection Control requirements. At about 1:45PM, LPA and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 6-bedroom, 2-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA observed 3 staff and 6 residents present at the facility. Resident Bedrooms: the 5 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the 1 staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 108 and 118 degrees F in the 2 bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 2:45PM, LPA reviewed 6 resident files and 4 staff files, interviewed 2 residents and 2 staff, and inspected medications for 6 residents. Facility does not handle resident money. During the inspection, LPA and S1 observed the following: based on observation, the licensee is not following their fire clearance as a new wall has been installed in the recreation room creating a new bedroom #3 and a new wall has been installed in the original bedroom #3 splitting it into new bedrooms #4 and #5; based on observation and documents, the licensee did not ensure S1, S2, and S3, who LPA confirmed are background cleared, were associated to the facility. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421IM. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Jul 28, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA was met by Caregiver Cora Dominguez at approximately 8:00 AM and explained reason for visit. Administrator Lornita Panis arrived shortly. Facility is licensed to serve residents over 60 years old six (6) can be non-ambulatory. Hospice waiver approved for six (6). The facility is in a residential area, and it is a one-story family home. A tour of the single-story facility included the living room, kitchen, 4 client bedrooms, 2 bathrooms, laundry area, front yard, backyard, attached garage, and staff room. LPA toured the facility and observed the following: Each resident’s bedroom has the required furniture and bedding. There is extra clean linen and towels in hallway closet. Smoke / carbon monoxide detectors were observed in each room and throughout the facility and are properly operating. The facility has one (1) fully charged fire extinguishers which is kept in laundry room. Cleaning supplies and toxic substances are inaccessible locked in cupboards in kitchen. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. Garage has an extra refrigerator with more food. SEE LIC 809C Four (4) staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Four (4) resident files were reviewed and included physicians report, TB clearance, and all necessary documents. Last fire/earthquake drill was conducted in December of 2024. Infectious control plan was reviewed. Two (2) staff and (1) resident was interviewed. Four (4) resident medications were reviewed. Medications are centrally stored and locked MAR log is used. No deficiency was observed during today’s visit. Exit interview was conducted with Administrator Panis and a copy of report was provided.the state’s words, verbatim · CDSS document, Dec 7, 2024