Angelic Dwelling Care Home

Allegation investigated: Facility did not provide proper eviction notices for residents in care.

On March 18, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility unannounced for the purpose of conducting an initial complaint investigation into the above allegation and delivering findings. LPA was greeted, introduced self, and was granted entry into the facility after stating the purpose of the visit to staff. Administrator (Admin) Rhoena Fajard, was present and assisted with the visit. LPA reviewed and obtained copies of facility documents including: Resident Roster, Staff Roster, Facility Lease Agreement, Residents' Emergency Info & Contact Sheets, Physician's Reports, Admissions Agreements, and Power of Attorney documents. Interviews were successfully conducted with three staff and six witnesses. Continue to LIC9099-C.... Unsubstantiated The investigation revealed the following: Regarding the allegation, Facility did not provide proper eviction notices for residents in care, it is alleged that the facility told residents’ families that, as of March 20, 2026, residents will need to find alternate placement. During the course of the investigation, interviews were conducted with three staff and six witnesses. Three out of three staff denied the allegation, stating families were not told they need to find alternative placement and move residents out of the facility by March 20, 2026. Admin stated that in December 2025, residents’ families were informed that the Admin is looking for an alternative location, while continuing to work with the property owner to ensure residents do not need to vacate the current facility. On March 13, 2026, a meeting was held with Admin and all residents’ families, where five out of five residents’ families were informed that the Admin will remain at the current facility location for a minimum of six months, until the new/prospective property owner acquires a licensee with CCLD. Admin stated they are still looking for an alternative location and will submit a Change of Location application with CCLD, when a new location is acquired and prior to the new/prospective facility owner obtaining a license with CCLD. Admin stated families were informed that the facility lease agreement ended at the current facility location and although they are now on a month-to-month lease, residents do not need to vacate until provided with written notice. Admin stated they were also informed that written notice would be provided 60 days in advance, per admissions agreement, should residents need to vacate. Witness 1 (W1), corroborate this by stating they are working with Admin to ensure the best outcome for residents in care. W1 stated residents will not need to vacate at this time, and added that when a specific vacate date is established, the Admin will be provided with more that 60 days notice, so they will have ample time to notify residents’ families, if/when alternative placement is required. Based on LPAs observations, interviews which were conducted, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted with Administrator Rhoena Fajard, a copy of this report, was provided at the end of the visit.the state’s words, verbatim · CDSS document, Mar 18, 2026 · control 22-AS-20260316110957

Type of visit: Required - 1 Year

On January 30, 2026, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Licensee/Administrator (LI) Rhoena Fajardo was present and assisted with today’s inspection. Administrator Rhoena Fajardo has an administrator certificate that expires April 10, 2026. The facility is licensed to operate for six (6) non-ambulatory residents age 60 and over, with a Hospice waiver for four. The building is a two-story home located in a residential neighborhood. It consists of the following: three (3) shared resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living room area, kitchen, a covered patio with seating, and an attached two car garage. During the visit, LPA toured the inside and outside of the physical plant with LI Fajardo. There were no bodies of water or obstructions on the premises. All rooms were inspected, beds and bedding supplies were in good condition, and storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. A comfortable temperature of 72 degrees F was maintained throughout the facility. Bathrooms were found to be clean and operational, with water temperatures measured between 106.3 degrees F and 106.5 degrees F. The smoke alarms and carbon monoxide detectors were operable. First aid kit is maintained and contains all the necessary elements. CONTINUE TO LIC809-C.... Emergency safety drills were last conducted on January 20, 2026. The facility has one (1) fire extinguisher that was charged, mounted, and last serviced November 11, 2025. Current Liability Insurance was provided during the visit with a policy start date of March 21, 2025, through March 21, 2026. A working telephone (714)349-6183 remains available and the facility has a device that can be used for video teleconference purposes. LPA conducted an audit of five (5) resident files (R1-R5), three (3) staff files (S1-S3), and medication and medication administration record review. Resident and staff interviews were conducted. Based on today's observations, no deficiencies are being cited. An exit interview was conducted with Licensee Rhoena Fajardo, and a copy of this report were provided to staff at exit.the state’s words, verbatim · CDSS document, Jan 30, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by caregiver Marilou Escalona. Lead caregiver staff Liezl Parajuli arrived shortly to assist with the visit and explained the reason for the visit. Administrator Rhoena Fajardo is on vacation. Facility is licensed for 6 non-ambulatory residents, with a hospice waiver for four. Currently there are five residents, of which four are on hospice during today's visit. At around 11:30, LPA Tea reviewed five resident files and two staff files. There were discrepancies noted in the review of staff files. Administrator certificate expires on April 10, 2026. There are no records of required quarterly disaster drills. LPA Tea along with caregiver toured the facility around 12:06 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a two-story home that consists of 3 resident bedrooms, 2 bathrooms, living room, dining area, kitchen, sunroom and attached garage. The second story is staff only area where residents do not reside at. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms, and they are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.6 degrees F and 106.8 degrees F. 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 bandages, dressings, tweezers, thermometer, and scissors. Kitchen was inspected. Kitchen appliances are operational during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. LPA also observed toxin substances to be locked and inaccessible to clients in care under the kitchen sink and in the garage. The fire extinguisher in the kitchen is fully charged. LPA toured the outside grounds and there is ample seating with shade and the exit Continuation of annual inspection on LIC809C gate on the right side of the facility is self-latching and operational. LPA observed emergency supplies, food and water supply in the garage. Facility provides activities based on resident interests. The residents play card games and bingo, they paint and go outside sometimes. At the time of annual visit, residents were watching television and eating lunch. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order but not properly documented. LPAs interviewed residents regarding their quality of care and spoke to staff present regarding care provided. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility staff and a copy of these reports were given to the facility along with a copy of the LIC 858; 859;809-D, 9102 and Appeal Rights.the state’s words, verbatim · CDSS document, Jan 24, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On today's date, Licensing Program Analysts (LPAs) LPA Rosie Quiroz and LPA Michael Tea conducted an unannounced visit for the purpose of conducting a required Annual inspection. LPAs were greeted and granted entry into the facility by Caregiver 1 (CG1). LPAs met with Licensee/Administrator (L/AD) Rhoena Fajardo and discussed purpose of today's visit. This is a a Residential Care Facility for the Elderly, licensed to provide services to age range 60 and over, approved for capacity of (6) six Non-Ambulatory residents and has a Hospice waiver approved for 4 hospice residents. There are currently four (4) residents in care at this time, of which (1) one is receiving hospice care services. There are no active COVID-19 cases in the facility at this time. AD Rhoena Fajardo has an Administrator certificate with expiration date of April 10, 2024. AD Rhoena Fajardo indicated currently in process of renewing Administrator certificate, and agreed to submit copy of renewal to Community Care Licensing upon completion. LPAs along with (AD) Fajardo toured the interior and exterior of the facility. During today's inspection tour, LPAs observed 3 of 4 Residents in the living room with staff supervision and 1 of 4 residents in their bedroom. LPA Quiroz interacted and interviewed with Caregiver and 4 of 4 residents during today's visit. LPAs nspected resident's bedrooms and bathrooms. The water temperature in resident's bathrooms were recorded to be between 105.3 and 105.4 degrees Fahrenheit. LPAs inspected resident's bedrooms and appeared to be clean. Facility temperature in resident's bedrooms and throughout the facility was recorded to be within normal limits. LPAs observed the emergency and disaster and evacuation plan. Facility has supply of emergency food, water and PPE in the garage area readily available for staff and residents in care. Fire extinguisher observed last serviced on November 14, 2023. LPAs observed functional and operational washer and dryer in the garage area. Medications, sharps and disinfectants were observed to be locked and secured. LPAs toured the outside of the facility and observed seating and shaded area in the backyard for residents and visitor's enjoyment. (SEE LIC 9102-TV) LPAs reviewed 4 of 4 resident records and 4 of 4 personnel files. CONTINUED ON LIC 809-C PAGE... CONTINUED... While conducting resident records review for Resident 1 (R1), LPAs observed LIC 602- Physician report for Resident 1 dated 11/22/2022. (SEE LIC 809-D). While reviewing centrally stored medications for Resident 4, LPAs observed two medications and 2 supplement medications not listed on Medication Administration Records. This was verified with L/AD Fajardo (SEE LIC 809-D) Citations and Technical Violations issued during today's visit. During today's visit, LPAs provided Consultation on Title 22 and Infection control. An exit interview was conducted with (L/AD) Rhoena Fajardo, and a copy of this report, LIC 809-D pages, LIC 9102 Technical Violation, Appeal Rights, LIC 858- Client/Resident's records review and LIC 859- Staff Records Review were provided at exit.the state’s words, verbatim · CDSS document, Apr 2, 2024

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.