Angel's Love RCFE

Type of visit: Required - 1 Year

On 03/24/2026 at 4:00pm, Licensing Program Analyst LPA L. Hall conducted an unannounced annual required inspection. LPA met with Administrator, Marcelina Badeo, and explained the reason for the visit. The administrator currently holds a certificate (#7010409740) that expires on 06/02/2027. The facility’s fire clearance was approved for five (5) Non ambulatory and one (1) Bedridden residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (6) bedrooms and three (3) bathroom. Two (2) bedrooms are occupied by staff. LPA observed pool in the back yard is inaccessible to residents. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 105.3 degrees Fahrenheit. Night lights are maintained in hallways and passages. Residents’ bathrooms are equipped with grab bars no and non slip mats Continued on LIC809C. Continued from LIC809C. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/19/2026. Emergency Disaster Plan was last reviewed 03/08/2026. First aid kit was observed to be complete. Fire drill was last conducted on 03/06/2026. The following forms to be updated and submitted to CCLD by 3/31/2026: LIC610E Emergency Disaster Plan (last page) Liability Insurance LIC308 Designation of facility responsibility LIC500 Personnel report A copy of the Administrator certificate. No deficiencies were observed during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 24, 2026

Allegation investigated: Licensee did not ensure residents were provided 60 day written notice for rent increase Staff does not ensure the food served is of good quality

On 10/1/2025 at 1:45pm, Licensing Program Analyst (LPA), L. Hall arrived unannounced to deliver a complaint finding for the allegations above. LPA met with Adora Teves, Caregiver, and explained the reason for the visit. Administrator, Marcelina Badeo, arrived at 2:23pm. During the course of the investigation the Department conducted interviews with staff, witnesses, residents, obtained and reviewed records. Allegation: Licensee did not ensure residents were provided 60 day written notice for rent increase. Continued on LIC9099C. Substantiated Continued from LIC9099. During the initial interview W1 stated R1’s rent was being raised, and the facility did not provide anything writing or give a 60-days’ notice. S1 stated during the interview that R2, R4, and R5’s was being increased not R1. S1 stated a notice was given to the three (3) residents. LPA reviewed the rate increase notices and observed the notices indicated it was given February 21, 2025, and would be effective on April 1, 2025, therefore, the required 60-days’ notice was not given. Allegation: Staff does not ensure the food served is of good quality During the initial interview W1 stated the facility only serves ethnic foods and if the residents don’t like the food they are served peanut butter and jelly. S1 stated the residents have a variety of foods for breakfast, lunch, and dinner is pretty much set. If a resident does not like what is made, they are given options such as buying their own food, a sandwich, or sometimes staff will purchase something. R1 stated the food is ok and is given a sandwich if he doesn’t like what is cooked. R2 stated the food is ok but feels more snacks are needed. LPA toured kitchen and observed there was a lot of pork, ¼ gallon of milk, 1 gallon of orange juice, not enough perishables or snacks. Based on interviews which were conducted, record review, and observation the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. A copy of the appeal rights and this report provided. Continued from LIC9099A. with the bank staff and reviewing R1’s bank statements it revealed the person that was taking R1’s money and it wasn’t anyone at the facility. R1 stated during interview that he helps a family member financially and that’s why he doesn’t have any money to pay rent or buy his medication. Allegation: Staff does not ensure residents’ medications are properly managed During the initial interview W1 stated R1’s medication was out for three (3) days, and the pharmacy had not been paid. S1 stated R1 could not pay for the medication and S1 bought the medication because it was necessary. S1 stated R1 told her he would pay her back when he could. LPA reviewed hand-written notes and invoices from Sycamore Medical Pharmacy that indicated the amount owed by R1 but paid by S1. During the interview on 9/25/2025, W1 stated that the misunderstanding regarding the medications have been corrected. The pharmacy is not being paid directly. Allegation: Staff verbally threaten to evict residents in care During the initial interview W1 stated that S1 threaten to evict residents due to them not complying to pay an additional $1000.00 per month. S1 stated she was increasing the rent for R2, R4, and R5 by $500.00 per month. S1 stated increases had not occurred since those residents moved into the facility. W1 stated after interviewing on 9/25/2025, the resident wasn’t threatened it was an explanation of the reason to be evicted. Continued on LIC9099C. Continued from LIC9099C. Allegation: Staff does not ensure residents are spoken to in an appropriate manner During the initial interview W1 stated S1 is disrespectful to all the residents when talking to them. S1 stated she or either of the other staff have spoken to the residents in an inappropriate manner. R1 and R4 stated all the staff treat them nicely. Neither did the residents observe or hear any staff being disrespectful. Allegation: Staff do not have the ability to communicate with residents in care During the initial interview W1 stated the staff at the facility does not speak fluent English and the residents are not able to communicate their needs effectively. S1 stated all her staff speaks English and there has not been a problem communicating with the staff. During interviews with R1 and R4, both stated there isn’t any problem communicating with the staff. During past and present visits, the LPA observed communication between the staff and the residents and did not observe any problems. Based upon the interviews conducted and the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is no preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of report was given.the state’s words, verbatim · CDSS document, Oct 1, 2025 · control 15-AS-20250805145625

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.655 · Plan of correction due date: Oct 8, 2025

§1569.655 Increase in fee rates for elderly residents; 60 days’ written notice stating amount of and reasons for increase; application of section This requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above in issuing a legal 60-day eviction letter, which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: Administrator agreed to issue a correct 60-day notice to increase fees and submit a copy of the notices to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(5) · Plan of correction due date: Oct 8, 2025

(b) The following food service requirements shall apply: (5) Meals shall consist of an... variety of foods and shall be planned with consideration for cultural... background and food habits of residents. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having a variety of foods for the residents which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: On today's date LPA observed a variety of perishable and non-perishables foods for the residents. Deficiency cleared.

Type of visit: Case Management - Other

On 10/1/2025 at 2:30pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Marcelina Badeo, Administrator and explained the reason for the visit. While LPA L. Hall was delivering findings for complaint 15-AS-20250805145625 on 10/1/2025. During record review LPA observed S2 was not associated to the facility. The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights providedthe state’s words, verbatim · CDSS document, Oct 1, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(e)(3) · Plan of correction due date: Oct 8, 2025

e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above in having S2 associated to the facility which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: Administrator agreed to associate S2 to the facility and submit proof to CCLD by POC date.

Type of visit: Required - 1 Year

On 03/27/2025 at 1:10pm, Licensing Program Analysts LPAs L. Hall and Y. Brown conducted an unannounced 1-year required inspection. LPAs met Jessie Del Rosario, Caregiver. LPAs spoke with Administrator, Marcelina Badeo, via telephone and explained the reason for the visit. Administrator arrived at 3:15pm. The administrator currently holds a certificate (#6035565740) that expires on 06/02/2025. The facility’s fire clearance was approved for five (5) Non ambulatory and one (1) Bedridden residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) bedrooms and three (3) bathroom. Two (2) bedrooms are occupied by staff. LPA observed pool in the back yard is accessible to residents. Fence has gate with lock, but other side not connected. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.2 degrees Fahrenheit. Night lights are maintained in hallways and passages. Residents’ bathrooms are equipped with grab bars no and non slip mats Continued on LIC809C. Continued from LIC809C. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/22/2025. Emergency Disaster Plan was last posted on 03/8/2025. First aid kit was observed to be complete. Fire drill was last conducted on 3/20/2025. The following forms to be updated and submitted to CCLD by 4/3/2025: LIC 610E Emergency Disaster Plan Residents roster Updated facility sketch for patio room and door for #6 Liability Insurance LIC308 Designation of facility responsibility LIC500 Personnel record LPAs observed the following deficiencies: At 1:25pm, LPAs observed that S3 was not associated to the facility. A 1:25pm, LPAs observed four (4) unlocked kitchen cabinets containing medication, and refrigerator in unlocked storage room with medicine. At 1:27pm, LPAs observed facility had six (6) bananas, 1/2 gallon of milk, 1/2 loaf of bread, 20 canned foods. LPAs did observe facility had frozen meats, a bag of carrots, and lemons. At 1:30pm, LPAs observed laundry room unlocked with Febreeze, cleaning vinegar, Clorox, and Carpet shampoo. LPAs also observed hallway closet unlocked containing two (2) gallons of Clorox. At 1:40pm, LPAs observed the swimming pool in the back yard was accessible on the left hand side of the gate. Continued on LIC809C. Continued from LIC809C. At 3:30pm, LPAs observed during record review facility did not submit a hospice notification for R1, R5, and R6. At 4:00pm, LPAs observed R1 did not have a chest of drawers, R5 and R6 did not have a night stand. Civil penalties of $1000.00 will be assessed on today's date ($500 for 87355(e) and $500 for 87307(e)(2)(A). Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421IM, LIC421BG, and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 27, 2025

Type of visit: Required - 1 Year

On 04/18/2024 at 1:45PM, Licensing Program Analysts LPAs L. Hall and L. Holmes conducted an unannounced Annual 1-year required inspection. LPAs met with Administrator, Marcelina Badeo, and explained the reason for the visit. The administrator currently holds a certificate (#6035565740) that expires on 06/02/2025. The facility’s fire clearance was approved for five (5) Non ambulatory and one (1) Bedridden residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) bedrooms and three (3) bathroom. Two (2) bedrooms are occupied by staff. LPA observed pool in the back yard is inside a locked fence. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.4 degrees Fahrenheit. Night lights are maintained in hallways and passages. Residents’ bathrooms are equipped with grab bars no and non slip mats Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/30/2024. Emergency Disaster Plan was last posted on 09/02/2023. First aid kit was observed to be complete. Fire drill was last conducted on 6/10/2022. Continued on LIC809C. Continued from LIC809C LIC 610E Emergency Disaster Plan Residents roster Updated facility sketch for patio room and door for #6 Liability Insurance LIC308 Designation of facility responsibility LIC500 Personnel record LPAs observed the following deficiencies: At 2:10pm, LPAs observed during record review R3 and R4's files are not completed. At 3:00pm, LPAs observed during record review S3 did not have health screening or TB test. At 3:00pm, LPAs observed facility did not have 7-days perishables and 2 days non perishable food supply. At 3:55pm, LPA observed wooden planks, shovels, pruner, home defense, paint rollers, and a gallon paint in backyard. Deficiencies cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy the appeal rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 18, 2024

Allegation investigated: Facility smoke alarms are in disrepair.

On 1/12/2024 at 9:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings regarding the allegation above. LPA met with Administrator, Marcelina Badeo and informed her of the reason for the visit. During the course of investigation, LPA interviewed 1 resident, 1 staff, and complainant. Interview with staff revealed that smoke detectors were removed about 3-4 days ago and new smoke detectors were installed yesterday, 1/11/2024. LPA observed purchase receipt for smoke detectors dated 1/10/2024. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. Substantiatedthe state’s words, verbatim · CDSS document, Jan 12, 2024 · control 15-AS-20240111081809

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: Jan 13, 2024

Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by removing smoke detectors for a few days which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jan 12, 2024

Plan of correction: Licensee installed new smoke detectors in all rooms on 1/11/2024. Deficiency cleared.

Type of visit: Case Management - Deficiencies

On 1/12/2023 at 11:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a case management visit. LPA met with Administrator, Marcelina Badeo. During the course of investigation for complaint (#15-AS-20240111081809), the following deficiency was observed. LPA observed R2 has full bed rail and not on hospice care. LPA reviewed R2's file and observed R2 has an order for half bed rail. Facility does not have an exception for R2 having full bed rails granted. Staff removed full bed rail during visit. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Jan 12, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87608(a)(5)(B) · Plan of correction due date: Jan 13, 2024

Postural Supports. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having full bed rails for R2 who is not on hospice care which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jan 12, 2024

Plan of correction: Staff have removed full bed rail during visit. Deficiency cleared.

Type of visit: Case Management - Incident

On 12/7/2023 at 2:05pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 12/4/2023. LPA met with Reymund Tulabot, Caregiver. Administrator arrived at 2;35pm and LPA explained the purpose of the visit. S1 called and spoke with LPA on 12/4/2023 regarding the incident and followed up with an incident report the same day. During telephone conversation with S1 it was stated that S4 was a volunteer at the facility and gave the wrong plate containing crushed medication in pureed food to R1. LPA checked guardian in the regional office and observed that S4 was not associated to the facility. Upon arrival S3 answered the door. LPA checked guardian and observed S3 was not associated to the facility. During visit LPA called the regional office to verify if both S3 and S4 were fingerprinted and it was confirmed they were not. LPA reviewed R1 and R2's file and both physician's reports did not indicate any special diet and only one showed meat should be cut. There was not any other documentation for food preparation. LPA obtained the following for R1 and R2 during visit: admission agreement; physician's report, appraisal needs and services plan, facility roster, and staff roster. Continued on LIC809C. Continued from LIC809. LPA cited for the following: S3 and S4 not fingerprinted or associated to facility. Camouflaging medication without consent. Medical assessment not indicating any special diet or food preparation. *An immediate civil penalty of $700.00 will be assessed on today's day for both S3 and S4 not being fingerprinted or associated to facility* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421BG, and this report providedthe state’s words, verbatim · CDSS document, Dec 7, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(d) · Plan of correction due date: Dec 8, 2023

87355 Criminal Record Clearance (d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement under penalty of perjury. This requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above in having S3 and S4 fingerprinted and associated which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Dec 7, 2023

Plan of correction: Administrator agreed to get S3 and S4 fingerprinted and submit document of completion to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87458(b)(4) · Plan of correction due date: Dec 15, 2023

87458 Medical Assessment (b) The medical assessment shall include, but not be limited to: (4) Identification of physical limitations of the person... provided by the licensee, including any medically necessary diet limitations. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having consent to puree food for R1 and R2 which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Dec 7, 2023

Plan of correction: Administrator agreed to obtain documentation to puree food for R1 and R2 and submit documentation to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(5)(D) · Plan of correction due date: Dec 15, 2023

87465 (a) A plan for incidental medical... care shall be developed by each facility. The plan shall encourage routine medical... (5) Facility staff... Assistance with self administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent... This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in not hiding medication in food which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Dec 7, 2023

Plan of correction: Administrator will obtain order to crush and camoflauge medication for both R1 and R2 and submit documentation to CCLD by POC date.