Angel Assisted Living Services

Type of visit: Required - 1 Year

On 07/30/2026, Licensing Program Analyst (LPA), Troy Watson conducted an unannounced annual visit using the CARE Inspection Tool. The Department met with lead caregiver Elvira Brondial, and the purpose of today’s visit was explained. The Department was granted entry into the facility. We were later joined by Licensee, Leia Joaquin. The facility is licensed to serve six (6) bedridden elderly adults aged 60 and above, with an approved hospice waiver for one (1) resident. Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of six (6) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living room, dining room, kitchen, attached garage, and an outside area. During the inspection, The Department observed all walkways around the outside of the facility were observed clean, clear, and free of debris, obstructions, and hazards. The Department observed a table with an umbrella and chairs for residents’ use. The Department did not observe any bodies of water on the premises. CONTINUED ON LIC9099-C Bedrooms: The Department inspected all residents’ bedrooms. The Department observed all bedrooms were clean and in good repair. The Department observed all rooms have the required furniture including a bed, dress, nightstand, chair, and ample storage space for resident’s personal belongings. The Department observed the beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. The Department observed an additional supply of linens, in good repair, stored in a closet in the hallway. All bedrooms were observed with ample lighting. Bathrooms: The Department inspected all bathrooms and fount them to meet Title 22 regulations and were operable. The Department observed the showers are clean and free mold and mildew. The Department observed resident hygiene boxes stored in a closet in the hallway. The Department observed an additional supply of hygiene products stored in the closet in the hallway. The Department observed an ample supply of towels, hand towels, wash cloths and linen in the facility. The Department observed safety handrails secured and properly placed in the facility. The Department observed an ample supply of incontinent products and supplies. The Department observed cleaning supplies secured in locked cabinets under the sinks. The water temperature measured in bathroom #1 (113.4 F) in bathroom #2 (115.5 F) in bathroom #3 (110.7 F). Kitchen: The Department inspected the kitchen and observed it to be clean and sanitary. The Department observed all appliances are operable and in good repair. The Department observed an ample supply of dishware, cookware, and cutlery in good repair. CONTINUED ON LIC9099-C The Department observed a 3- day supply of perishable foods, and a 7- day supply of nonperishable foods properly stored, labeled, and dated. The Department observed cleaning supplies and toxins secured in the locked cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 110.5 F. Common Areas: The Department observed in the living room there are four (4) recliners and two (2) chairs available for residents’ use. The Department observed games and activities available for residents. The dining room has a large table with chairs to accommodate all residents. The Department observed the facility was appropriately furnished during the visit. The Department did observe a screened fireplace inaccessible to residents. All walkways and hallways inside the facility were observed clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature of 74-degrees Fahrenheit. Files The Department reviewed the file for four (4) residents and found they contained the required documents. The Department reviewed the Administrator and three (3) staff files and found they contained the required documents, training, and certifications. The Administrator Certificate is valid till 07/19/2027. Medications The Department observed medications secured in a locked cabinet in the kitchen and are inaccessible to residents. The Department observed medications in their original packaging. The Department reviewed the medication and Medication Administration Record (MAR) and found them consistent with properly documented records. CONTINUED ON LIC9099-C Safety The Department observed smoke and carbon monoxide detectors are operable. The Department observed two (2) fully charged fire extinguishers lasted serviced on. The last fire prevention was conducted by the Torrance Fire Department on 07/23/2026. The last emergency drill was conducted 07/06/2026. The Department reviewed the facility’s liability insurance through Acord that is valid till 12/09/202. The Department reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E) that was last updated on 04/01/2026. The Department inspected the First Aid kit and observed it containing the required items and a current manual. The facility has an operational landline telephone. All exits are marked with an EXIT sign. All doors have an alarm that chimes when a person tries to exit and the facility door is opened. The Department observed all required postings posted in the hallway at the entrance of the facility. Infection Control During the visit, The Department observed the facility’s infection control practices. The Department observed a sanitizing station at the entrance of the facility that has a visitor log, hand sanitizer, thermometer, and masks. The Department observed the facility has a 30 - day supply of Personal Protective Equipment (PPE). The Department observed all required infection control signs were posted in the facility. During today’s visit, The Department did not observe or cite any deficiencies. An exit interview was conducted with Licensee, Leia Joaquin, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 30, 2026

Allegation investigated: Staff did not address a resident's change in medical condition Staff did not prevent a resident from being hit while in care

*This report serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected on report created 7/14/25. On 7/14/25 Licensing Program Analyst (LPA) Felisa Shirley, conducted an unannounced complaint visit to the address listed above. LPA Shirley arrived and spoke to the Administrator, Leia Joaquin and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: On 7/14/25 LPA requested and reviewed copies of the following records: Resident files, Resident Roster, Staff roster, Identification and Emergency Information, Admission Agreements, Physician’s Report, Preplacement Appraisal, Appraisal Needs and Services, Weight Record, and After Visit Summaries. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-6. S-7 is listed on the roster but is an on call only employee and has not worked at the facility as of yet and was not interviewed. LPA Shirley interviewed Resident 1 - Resident 3. Resident 4,5 and 6 were not available for interview. Con'd on 9099-C Unsubstantiated The investigation revealed the following: Allegation: Staff did not address a resident's change in medical condition It is alleged that R1 was able to walk prior to her admission to this facility, had weight loss and staff did not address the changes. A review of R1’s admission agreement, LPA Felisa Shirley observed that R1 moved into the facility listed above on 5/4/25. On 5/4/25, per the facility’s client weight record, R1 weighed 104.8lbs. Per Kaiser’s medical assessment dated, 5/8/25, the doctor recorded a history of R1’s weight fluctuation from 7/12/23 (112lb 3.4oz), 4/15/24 (112lb 7oz), thru 5/8/25 (107 lb 5.8oz). R1 was non-ambulatory due to both physical and mental conditions per Physician report, dated 5/8/25. LPA Shirley observed the section, Physical Health status for Motor Impairment/Paralysis and saw that due to R1’s gait instability a walker was ordered on 5/8/25. LPA Shirley reviewed the Resident Appraisal for R1 and observed the Physical Disabilities section and it stated that a front wheel walker was ordered due to balance issues. During file review, LPA Shirley observed that R1 had a check-up on 5/19/25. During that check-up, Kaiser Home Health ordered physical therapy. LPA interviewed staff, staff 1 – staff 6 (S-1 – S-6). Of those interviewed, 6 out of 6 denied the allegation. LPA interviewed resident 1 – resident 3 (R-1 – R-3). Of those interviewed, 2 out of 3 denied the allegation. Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. Con'd on 9099-C Allegation: Staff did not prevent a resident from being hit while in care It is alleged that R1 was hit while in care. During interviews, LPA Shirley interviewed the Administrator and was told that there is no history of elder abuse and no reports of abuse. On 7/14/25 LPA Felisa Shirley reviewed R1’s Preplacement Appraisal, dated 5/5/25. Upon review, LPA observed that R1 has difficulty communicating due to memory issues from dementia. LPA Shirley reviewed R1’s Physician’s Report dated, 5/8/25. During record review LPA Shirley observed that R1 was diagnosed as having dementia. Per interview with the Administrator, R1 was confused a lot and frequently call out for persons not there. Per Appraisal/Needs and Services dated 5/4/25, R1 can’t verbalize her needs due to memory issues. LPA spoke to W1 and was told that R1’s base prior to being admitted to this facility was confusion and didn’t always recognized family members. LPA interviewed staff, staff 1 – staff 6 (S-1 – S-6). Of those interviewed 6 out of 6 denied the allegation. LPA interviewed resident 1 – resident 3 (R-1 – R-3). Of those interviewed, 3 out of 3 denied the allegation. Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies were cited for these allegations. An exit interview was conducted and a copy of this report was provided to Elvira Brondial.the state’s words, verbatim · CDSS document, Aug 14, 2025 · control 11-AS-20250707102935

Allegation investigated: Staff did not address a resident's change in medical condition Staff did not prevent a resident from being hit while in care

On 7/14/25 Licensing Program Analyst (LPA) Felisa Shirley, conducted an unannounced complaint visit to the address listed above. LPA Shirley arrived and spoke to the Administrator, Leia Joaquin and the purpose of the visit was discussed. LPA was granted access to the facility. The investigation consisted of the following: On 7/14/25 LPA requested and reviewed copies of the following records: Resident files, Resident Roster, Staff roster, Identification and Emergency Information, Admission Agreements, Physician’s Report, Preplacement Appraisal, Appraisal Needs and Services, Weight Record, and After Visit Summaries. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-6. S-7 is listed on the roster but is an on-call only employee and has not worked at the facility as of yet and was not interviewed. LPA Shirley interviewed Resident 1 - Resident 3. Resident 4,5 and 6 were not available for interview. Con'd on 9099-C Unsubstantiated The investigation revealed the following: Allegation: Staff did not address a resident's change in medical condition On 7/14/25, LPA Felisa Shirley reviewed R1’s Admission Agreement and observed that R1 moved into the facility listed above on 5/4/25. LPA Shirley reviewed R1’s Physician report, dated 5/8/25. During record review, LPA observed that R1 was non-ambulatory due to both physical and mental conditions. LPA Shirley observed the section, Physical Health status for Motor Impairment/Paralysis and saw that due to R1’s gait instability a walker was ordered on 5/8/25. LPA Shirley reviewed the Resident Appraisal for R1 and observed the Physical Disabilities section and it stated that a front wheel walker was ordered due to balance issues. During file review, LPA Shirley observed that R1 had a check-up on 5/19/25. During the check-up, Kaiser Home Health for Physical Therapy was ordered. LPA interviewed staff, staff 1 – staff 6 (S-1 – S-6). LPA asked, does staff address residents change in medical conditions while in care. Of those interviewed 6 out of 6 stated yes. LPA interviewed resident 1 – resident 3 (R-1 – R-3). LPA asked residents, does staff address your changes in medical conditions while in care. Of those interviewed, 2 out of 3 answered yes, and 1 answered no. Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. Con'd on 9099-C Allegation: Staff did not prevent a resident from being hit while in care On 7/14/25 LPA Felisa Shirley reviewed R1’s Preplacement Appraisal, dated 5/5/25. Upon review, LPA observed that R1 has difficulty communicating due to memory issues from dementia. LPA Shirley reviewed R1’s Physician’s Report dated, 5/8/25. During record review LPA Shirley observed that R1 was diagnosed as having dementia. During interviews, LPA Shirley ask R1 has anyone hit her while in care and R1 answered no. LPA interviewed staff, staff 1 – staff 6 (S-1 – S-6). LPA asked, does staff prevent residents from being hit while in care. Of those interviewed 6 out of 6 stated yes. LPA interviewed resident 1 – resident 3 (R-1 – R-3). LPA asked residents, does staff prevent residents from being hit while in care. Of those interviewed, 3 out of 3 answered yes. Based on records review, interviews and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies were cited for these allegations. An exit interview was conducted and a copy of this report was provided to Elvira Brondial.the state’s words, verbatim · CDSS document, Jul 14, 2025 · control 11-AS-20250707102935

Type of visit: Required - 1 Year

On 06/05/2025, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced annual visit using the CARE Inspection Tool. LPA met with lead caregiver Elvira Brondial, and the purpose of today’s visit was explained. LPA was granted entry into the facility. We were later joined by Licensee, Leia Joaquin. The facility is licensed to serve six (6) bedridden elderly adults ages 60 and above, with an approved hospice waiver for one (1) resident. Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of six (6) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living room, dining room, kitchen, attached garage, and an outside area. During the inspection, LPA observed all walkways around the outside of the facility were observed clean, clear, and free of debris, obstructions, and hazards. LPA observed a table with an umbrella and chairs for residents use. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all resident bedrooms. LPA observed all bedrooms were clean and in good repair. LPA observed all rooms have the required furniture including a bed, dress, nightstand, chair, and ample storage space for resident’s personal belongings. LPA observed the beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an additional supply of linens, in good repair, stored in a closet in the hallway. All bedrooms were observed with ample lighting. Bathrooms LPA inspected all bathrooms and fount them to meet Title 22 regulations and were operable. LPA observed the showers are clean and free mold and mildew. LPA observed resident hygiene boxes stored in a closet in the hallway. LPA observed an additional supply of hygiene products stored in the closet in the hallway. LPA observed an ample supply of towels, hand towels, and wash cloths. LPA observed safety handrails are secured. LPA observed an ample supply of incontinent products and supplies. LPA observed cleaning supplies secured in a locked cabinets under the sinks. The water temperature measured 106.8-degrees, 107.2-degrees, and 114.3-degrees Fahrenheit. Kitchen LPA inspected the kitchen and observed it to be clean and sanitary. LPA observed all appliances are operable and in good repair. LPA observed an ample supply of dishware, cookware, and cutleries in good repair. LPA observed a 3-day supply of perishable foods, and a 7-day supply of nonperishable foods properly stored, labeled, and dated. LPA observed cleaning supplies and toxins secured in the locked cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 116.2-degrees Fahrenheit. Common Areas LPA observed in the living room there are four (4) recliners and two (2) chairs available for resident use. LPA observed games and activities available for residents. The dining room has a large table with chairs to accommodate all residents. LPA observed the facility was appropriately furnished during time of visit. LPA did observe a screened fireplace inaccessible to residents. All walkways and hallways inside the facility were observed clean, clear, and free of obstructions and hazards. The facility was maintained at a comfortable temperature of 74-degrees Fahrenheit. Files LPA reviewed the file for four (4) residents and found they contained the required documents. LPA reviewed the Administrator and three (3) staff files and found they contained the required documents, training, and certifications. The Administrator Certificate is valid till 07/19/2025. LPA informed Licensee Licensing Fees were overdue. LPA provided the PIN to pay fees online was provided the confirmation of payment. Medications LPA observed medications secured in a locked cabinet in the kitchen and are inaccessible to residents. LPA observed medications in their original packaging. LPA reviewed the medication and Medication Administration Record (MAR) for four (4) residents and observed four (4) out of four (4) resident’s medications are consistent with properly documented records. Safety LPA observed smoke and carbon monoxide detectors are operable. LPA observed two (2) fully charged fire extinguishers lasted serviced on 03/29/2025. The last fire prevention was conducted by the Torrance Fire Department on 08/23/2024. The last emergency drill was conducted 06/02/2025. LPA reviewed the facility’s liability insurance through Acord that is valid till 02/02/2025. LPA reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC610E) that was last updated on 06/04/2025. LPA inspected the First Aid kit and observed it contained the required items and a current manual. The facility has an operational landline telephone. All exits are marked with an EXIT sign. All doors have an alarm that chimes when a door exiting the facility is opened. LPA observed all required postings posted in the hallway at the entrance of the facility. Infection Control During the visit, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the entrance of the facility that has a visitor log, hand sanitizer, thermometer, and masks. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA observed all required infection control signs were posted in the facility. During today’s visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Licensee, Leia Joaquin, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 5, 2025

Type of visit: Case Management - Other

On 06/05/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Case Management Visit to the facility listed above. LPA met with Lead Caregiver, Elvira Brondial and the purpose of today’s visit was explained. LPA conducted a Case Management Visit due to an SOC341 that was submitted to Community Care Licensing regarding Resident R1. The reporting party provided the following information: the resident had recently moved into an assisted living facility and has progressively deteriorated physically and mentally. The patient was ambulatory prior to moving into the facility and is now in a wheelchair. Resident R1 had bruising due to a fall on 05/16/2025. Additionally, it was reported staff hit resident R1. During today’s visit, LPA inspected the facility, interviewed Staff S1- S3, interviewed Residents R2-R5, and reviewed Resident R1’s documents at the facility. LPA reviewed Resident R1’s Physician’s Report dated 05/08/2025, that indicates R1 is non-ambulatory, indicated Motor Impairment due to gait instability and indicates R1 requires assistance with activities of daily living (ADLs). Additionally, in the Physician’s Report it was indicated that R1 has been Confused/Disoriented, displaying Inappropriate Behavior, Wandering Behavior, and Sundowning. During interviews with Residents R2-R4, were asked if they have any concerns with health and safety living in this facility, three (3) out of three (3) stated they have no health and safety concerns. Additionally, Residents R2-R4 were asked if staff have hit them or if they have seen staff hit another resident, three (3) out of three (3) stated they have not been hit or have seen staff hit a resident. During interviews with Staff S1-S3, were asked if they have or if they have seen staff hit a resident, three (3) out of three (3) stated they have not hit a resident nor have they seen another staff hit a resident. LPA did not observe any Health and Safety concerns. LPA did not observe or cite any deficiencies. An exit interview was conducted with Lead Caregiver, Elvira Brondial, and a copy of this report was providedthe state’s words, verbatim · CDSS document, Jun 5, 2025

Type of visit: Required - 1 Year

On 07/13/24 at 8:45 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with lead caregiver Elvira Brondial. The Licensee Leia Joaquin joined shortly after. The facility is licensed to operate for (6) bedridden elderly adults ages 60 and above. The facility is approved for (1) hospice resident. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (2) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, an outside seating area, and a garage. The Caregiver accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Continue to LIC809-C. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 116.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher, last serviced March 27, 2024 was observed in the kitchen area. Caregiver tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional. 5 staff records were reviewed, 5 out of 5 staff records had current first aid certificates. 5 resident records were reviewed and, 5 out of 5 resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. Deficiencies are being cited based on LPA observation and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. LPA Cloyd did not observe Staff #1 associated to the facility in Guardian. The issue was discussed with the Licensee. An exit interview was conducted, technical assistance provided, Plans of Corrections were developed and reviewed and a copy of this report and appeal rights were discussed and left with the Licensee Leia Joaquin.the state’s words, verbatim · CDSS document, Jul 13, 2024