Guardian Angels Homes II

Allegation investigated: Resident sustained unexplained injuries or bruising in care Staff behaved inappropriately with resident in care

On March 9, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to continue the investigation into the allegations listed above and to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Licensee Sonia Garcia and Administrators Jonathan Harlan and Kelly Francia were notified via telephone and later arrived to assist with the inspection. During the course of the investigation, the Department interviewed residents, interviewed staff, reviewed and collected pertinent documents to the complaint. Regarding the allegation, resident sustained unexplained injuries or bruising in care, the following has been concluded: It was alleged that Resident #1 (R1) sustained unexplained injuries or bruising in care. The Department was unable to conduct an interview with R1 due to R1 passing away on June 18, 2024. The Department conducted five resident interviews. One resident was unable to be qualified for an interview. Four out of the five resident interviews were unable to provide any useful information for the complaint. CONTINUED ON LIC9099-C Unsubstantiated However, the four residents reported that staff treat them well. The Department conducted four staff interviews. One staff was unable to provide any useful information for the complaint due to not being employed at the time R1 resided at the facility. However, three out of the four staff interviewed denied the allegation. Regarding the allegation, staff behaved inappropriately with resident in care, the following has been concluded: It was alleged that Staff #1 (S1) behaved inappropriately to R1. The Department was unable to conduct an interview with R1 due to R1 passing away on June 18, 2024. The Department was also unable to conduct an interview with S1 due to S1 ending his employment with the facility on December 17, 2023. The Department conducted five resident interviews. One resident was unable to be qualified for an interview. Four out of the five resident interviews were unable to provide any useful information for the complaint. However, four residents reported that staff have treated them appropriately. The Department conducted four staff interviews. One staff was unable to provide any useful information for the complaint due to not being employed at the time R1 resided at the facility. However, three out of the four staff interviewed denied the allegation. Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the two allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Licensee Sonia Garcia and Administrators Jonathan Harlan and Kelly Francia. A copy of the report was provided at time of visit.the state’s words, verbatim · CDSS document, Mar 9, 2026 · control 22-AS-20250220160315

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, and an attached 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 playing Bingo in the dining 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 109.5 to 109.7 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 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 closet by the entryway of the facility and it has all the required components. LPA observed the facility has a three day emergency food and water supply stored in the closet by the entryway of the facility. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the two car garage to be used for storage and laundry. LPA observed chemicals and toxins to be stored in a locked cabinet in the garage. 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 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

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the reason of the visit. Administrators Kelly Francia and Jonathan Harlan arrived later to assist with the visit. During the inspection, LPA and staff conducted a tour of the physical plant and observed the following: The facility is a one-story home with six private bedrooms in addition to one staff room. There are five bathrooms throughout the facility, either accessible through the hallways or en-suite in two of the bedrooms. All bathrooms are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. LPA observed all beds have linen and blankets. One bed is observed to be equipped with full bed rails and another one with half rails. Physician order and hospice plan of care reviewed as well as physician order for the half rails. There are currently five residents admitted to the facility, one of which is receiving hospice care. Bathrooms faucets and toilets are operational. Water temperature was measured to be approximately 120F in two bathrooms and 112F in a third. Facility uses a central tankless heater. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Drills are conducted quarterly, and are documented and reviewed during the visit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke and carbon monoxide detectors tested operational. Fire extinguisher present is fully charged and has been maintained in 2024. There is ample, adequately shaded outside space with outdoor furniture present. There are self-latching gates on both sides of the property. The routes of egress are free of obstructions. There are no bodies of water on the premises. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Medication, cleaning products and sharp items are confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed to be accurate and up to date with the resident's prescription orders. LPA reviewed five resident files and two staff files. Three staff and two resident interviews conducted. Resident records include all necessary components. All staff members on the facility's roster are confirmed to be cleared and associated with this particular licensed location. Training records, health screenings and CPR training are on file and up to date. Training provided meets the regulatory requirements for initial and annual training. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. A Technical Violation Advisory Note issued along with a consultation of securing the medications until the time of administration. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 24, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.