Illustration — no photo of this home on file yet

The Hills of Valencia

Small home·Licensed for 6·Placentia, California

Licensed since 2024Licence #306006548
  • Care approvals on fileWheelchair · Dementia · HospiceState licensing record · September 13, 2026
  • Estimated starting rate$5,300 a monthCovelight estimate · likely $4,350–$6,500
  • Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitAugust 25, 2026CDSS inspection record

The Hills of Valencia is a small care home in Placentia — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2024. Bedridden care is not on file.

Built from CDSS public records · September 13, 2026. Every fact below names its source and date.

Quick answers and the state record

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about The Hills of Valencia

Is The Hills of Valencia licensed?

The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.

How many residents is The Hills of Valencia licensed for?

6 residents — a small home, per CDSS records as of September 13, 2026.

Has The Hills of Valencia been cited?

0 Type A and 0 Type B citations since 2024, per CDSS records as of September 13, 2026. Those records count 23 state visits over the same years.

Is The Hills of Valencia still open?

This license was on the CDSS roster as of September 28, 2026.

What does The Hills of Valencia cost?

$5,300 a month to start is a Covelight estimate, likely $4,350–$6,500. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Covelight’s estimate starts from the rates 12 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

Among 188 other homes of a similar licensed size across Orange County that publish a starting rate, the middle half runs $4,500 to $6,000 a month, and the middle figure is $5,000 (n = 188 other homes publishing a starting rate).

Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.

A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.

Does The Hills of Valencia take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by The Hills of Valencia, Inc., per CDSS records as of September 13, 2026.

Is there a hospital nearby?

UCI Health-Placentia Linda is 0.9 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.

Can The Hills of Valencia keep a resident on hospice?

Hospice care is approved on this license, covering up to 5 residents, per CDSS records as of September 13, 2026.

The Hills of Valencia license and inspection record

  • Name on the license: “HILLS OF VALENCIA, THE”, per the CDSS roster as of May 25, 2025.
  • License #306006548. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
  • Licensed for 6 residents — a small home, per CDSS records as of September 13, 2026.
  • Licensed to The Hills of Valencia, Inc., per CDSS records as of September 13, 2026.
  • First licensed in 2024, per CDSS records as of September 13, 2026.
  • 23 state inspection visits since 2024, per CDSS records as of September 13, 2026.
  • 0 Type A and 0 Type B citations on file since 2024, per CDSS records as of September 13, 2026. The same records count 23 state visits in that period.
  • 0 complaints and 0 substantiated allegations on file since 2024, per CDSS records as of September 13, 2026.
  • The most recent state visit on file is August 25, 2026, per CDSS records as of September 13, 2026.
Type A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved · covers up to 6 residents
  • Dementia / memory careApproved by the state
  • Hospice careApproved · covers up to 5 residents
  • BedriddenNot on file · ask the home

State licensing record · September 13, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording
APPROVED FOR: AGE RANGE 60 AND OVER. SIX (6) NON-AMBULATORY RESIDENTS IN ROOMS 1, 2, 4, AND 5. ROOM 3 FOR STAFF USE ONLY. HOSPICE WAIVER FOR FIVE (5).

983 - RCFE / DEMENTIA

CDSS record, verbatim · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file · covers up to 5 — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 13, 2026

  • If memory loss develops

    Dementia-care designation on file

    Ask: “Can we read the dementia care disclosure and discuss how daily support works?”

    State licensing record · September 13, 2026

3 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

What it costs here

Covelight estimate

$5,300a month to start

Likely $4,350–$6,500

From 12 nearby homes that publish rates · this home’s rate is not on file

Likely monthly total

$5,300a month

Likely $4,350–$6,650

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Room
Daily care
Sharing the room
  • Starting monthly rate$5,300likely $4,350–$6,500

    Covelight’s estimate starts from the rates 12 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

  • Basic help with daily careUsually includedup to $600

    Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $4,350–$6,650
$5,300
First monthWith a one-time move-in fee · likely $5,050–$9,750
$7,300
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
  • Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
  • Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
  • SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
  • VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
  • Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
Avoid surprises on the billWhat changes the price, and what to ask
  • The care level

    Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.

  • What is billed separately

    Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.

  • Move-in costs

    A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.

  • Increases

    California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing

Covelight’s estimate starts from the rates 12 small homes within 3 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.

12 homes like this within 3 miles publish starting rates mostly between $4,500–$7,950.

  • Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
  • Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
  • Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
  • Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
  • We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
  • It cannot see this home’s specials, how it assesses care, or which rooms are open.
Show the 12 nearby homes behind this estimate

Where it is

  • 1359 Valencia Avenue, Placentia, CA 92870Address from the public record · September 13, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2024, the state has filed 23 documents for this home, and its records count 23 visits since 2024. The most recent is a facility evaluation report, dated August 25, 2026.

On file since
2024
State visits
23
Most recent visit
August 25, 2026

Beside homes the same size

  • Type A citations0typical 0
  • Type B citations0typical 0
  • Substantiated allegations0typical 0
  • Total complaints0typical 0

“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2024.

Year by year
YearVisitsDocumentsSubstantiated20261818020254402024110

The last 36 months — 23 of 23 documents

202618 state visits · 18 documents
Aug 25, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Janet Del Rosario and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and three residents. During interview, one of two staff stated they are still owed the entire pay period from July 15, 2026 to July 31, 2026 and one of two staff stated they are currently paid up to date. Per two of two staff, facility utilities have been and continue to be operational and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. LPA observed notice of Department commencing proceedings to revoke the license of the facility posted in the entranceway. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared and will be re-cited as Licensee did not comply with the POC. Based on observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Aug 25, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Aug 26, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 25, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Aug 14, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by caregiver after explaining the purpose of the visit. Administrator (AD) Catherine Hsi was notified via telephone and later arrived to assist with the inspection. LPA observed the Administrator certificate was current and expires August 28, 2027. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, with a hospice waiver for five. The facility is a one-story home with four resident bedrooms, two staff bedrooms, three restrooms, and an attached garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: LPA observed a residents sitting in the backyard and/or resting in their respective bedrooms. LPA observed four residents in care and two staff present. LPA was notified one resident is currently in the hospital. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the facility entrance. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway storage closet. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 83.3 and 83.6 degrees Fahrenheit; a deficiency was cited on today's date. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC809C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service date of March 6, 2026 and located by the facility entrance. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. LPA observed knives and sharps to be stored in a locked kitchen drawer. The garage is used for storage with a portion of the garage converted to a medication room which is kept locked and inaccessible to residents. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents under the kitchen sink and the garage. LPA observed the First Aid Kit had all the required components. LPA observed the facility conducted their last emergency disaster drill on August 3, 2026 and is conducted every 3 months. During medication review Staff 1 stated Resident 4 was administered one tablet of Senna Plus 8.5mg in the morning and one tablet in the evening. Per physicians order's resident is to take two tablets by mouth twice daily and hold if loose stools occur. Medication is therefore not being administered per physician's orders; a deficiency was cited on today's date. While waiting for the AD, LPA began review of the records. LPA reviewed five resident records. All the required documentation were present and current in the resident files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and were associated to the facility. Based on the observations made during today’s inspection, deficiencies are being cited. An exit interview was conducted and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Aug 14, 2026

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Aug 6, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Janet Delrosario and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and three residents. During interview, one of two staff stated they are currently paid up to date and one of two staff stated this is their third day on the job and they are not yet due to be paid. Per two of two staff, facility utilities have been and continue to be operational and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. LPA observed notice of Department commencing proceedings to revoke the license of the facility posted in the entranceway. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared and will be re-cited as Licensee did not comply with the POC. Based on observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Aug 6, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Aug 7, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 6, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Jul 17, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Janet Delrosario and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with one staff and three residents. During their interview, staff stated they are currently paid up to date, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. Individual Jacqueline Tan was observed to also be present and working as the second staff, however, criminal background clearance has yet to be completed: a Deficiency was cited on today’s date. LPA observed notice of Department commencing proceedings to revoke the license of the facility posted in the entranceway. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared and will be re-cited as Licensee did not comply with the POC. Based on observations made during today’s inspection, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Immediate civil penalty is also being assessed. See the attached LIC421BG. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jul 17, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Jul 18, 2026

(e) All individuals... shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department.. This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as an individual without California clearance or a criminal record exemption is currenlty working at the facility, which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 17, 2026

Plan of correction: Criminal background check for Individual will be completed immediately and a copy will be provided to LPA via email by POC date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87213 · Plan of correction due date: Jul 18, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 17, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Jun 15, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Yumi Lumuthang and the purpose of the inspection was discussed. During today’s inspection, residents were observed socializing in common areas and resting in their respective bedrooms. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and two residents. Two of two residents stated they did not have any concerns. During their interview, one of two staff stated this is their first week of employment at the facility and are not yet due to be paid and one of two staff stated they are currently paid up to date. Per two of two staff, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. LPA observed notice of Department commencing proceedings to revoke the license of the facility posted in the entranceway. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared and will be re-cited as Licensee did not comply with the POC. Based on observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jun 15, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Jun 16, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 15, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

May 18, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed socializing in common areas. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff. During their interview, one of two staff stated they were owed approximately seven percent of their earnings from the last pay period and one of two staff stated they have been paid full and complete wages, and are currently paid up to date. Per two of two staff, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. Deficiency under Title 22 Regulation 87213 pertaining to Finances has not been cleared and will be re-cited as Licensee did not comply with the POC. Administrator (AD) Heddy Oyson was contacted by phone and informed that legal notices sent via certified mail by the Department must be posted in the facility and residents notified within ten days. AD stated they had yet to receive legal notices by mail, however, stated they understood and would inform LPA once legal notices were received. (Cont. LIC809-C) Based on observations made during today’s inspection, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, May 18, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: May 19, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 18, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

May 6, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff. During their interview, one of two staff stated today is their first day of employment at the facility and are not yet due to be paid. One of two staff stated they have been paid full and complete wages and are currently paid up to date, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. Deficiency under Title 22 Regulation 87213 pertaining to Finances has not been cleared and will be re-cited as Licensee did not comply with the POC. Based on observations made during today’s inspection, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, May 6, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: May 7, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 6, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Apr 14, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms and having breakfast. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff. During their interview, two of two staff stated they have been paid full and complete wages and are currently paid up to date. Per two of two staff, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of today’s date, the full extent of the records requested were not received by the Department. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY IS BEING ASSESSED. Based on observations made during today’s inspection, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties are also being assessed, see LIC421FC. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Apr 14, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Apr 15, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 14, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Apr 6, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms and having breakfast. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff. During their interview, one of two staff stated they were paid late and incomplete wages for the last pay period and stated they were unsure when they would be paid in full. One of two staff stated they have been paid up to date. Per two of two staff, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of today’s date, the full extent of the records requested were not received by the Department. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY IS BEING ASSESSED. Based on observations made during today’s inspection, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties are also being assessed, see LIC421FC. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Apr 6, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Apr 7, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 6, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Apr 1, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed having breakfast consisting of oatmeal with fruit, boiled eggs, and pita bread. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and three facility residents. During their interview, two of two staff stated they were partially paid for the last pay period on March 27, 2026, which should have been paid on March 22, 2026. Per two of two staff, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of today’s date, the full extent of the records requested were not received by the Department. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY IS BEING ASSESSED. Based on observations made during today’s inspection, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties are also being assessed, see LIC421FC. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Apr 1, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 87213 · Plan of correction due date: Apr 2, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 1, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Mar 24, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed socializing and sunbathing in the backyard. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and three facility residents. During their interview, two of two staff stated they have yet to be paid for the last pay period, which should have been paid between March 22, 2026, and today’s date. Per two of two staff facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of today’s date, the full extent of the records requested were not received by the Department. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY IS BEING ASSESSED. Based on observations made during today’s inspection, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties are also being assessed, see LIC421FC. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Mar 24, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Mar 25, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 24, 2026

Plan of correction: Licensee to provide all records to LPA via email by POC date.

Mar 18, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed having breakfast consisting of sausage, egg, toast, and fruit. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. Water temperature tested at 105.8 degrees Fahrenheit. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and facility residents. During their interview, two of two staff stated they have been paid up to date, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of today’s date, the full extent of the records requested were not received by the Department. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY ASSESSED. Based on observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties are also being assessed, see LIC421FC. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Mar 18, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Mar 19, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 18, 2026

Plan of correction: Staff Flores stated all records will be provided to LPA via email by POC date.

Mar 10, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed having lunch. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and facility residents. During their interview, two of two staff stated they were paid incomplete wages for the last pay period, however, stated facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. LPA was provided with a copy of current liability insurance and Deficiency cited under Health and Safety Code 1569.605 pertaining to Liability Insurance has been CLEARED. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of today’s date, the full extent of the records requested were not received by the Department. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY ASSESSED. Based on observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties are also being assessed, see LIC421FC. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Mar 10, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Mar 11, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 10, 2026

Plan of correction: Staff Flores stated all records will be provided to LPA via email by POC date.

Mar 4, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Henry Bautista and Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms and having lunch. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and facility residents. During their interview, two of two staff stated they were paid full and complete wages for the last pay period and stated facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. Administrator (AD) Heddy Oyson was contacted by phone and stated they were unable to provide LPA with a copy of current liability insurance as they were still in the process of obtaining it. Deficiency cited under Health and Safety Code 1569.605 pertaining to Liability Insurance has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY ASSESSED. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of the agreed upon due date, the full extent of the records requested were not received by the Department. Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. CIVIL PENALTY ASSESSED. (Cont. LIC809-C) Based on observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties are also being assessed, see LIC421FC. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Mar 4, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.605 · Plan of correction due date: Mar 5, 2026

On and after July 1, 2015, all residential care facilities for the elderly... shall maintain liability insurance covering injury to residents and guests... This requirement is not met as evidenced by: Based on AD interview, the Licensee did not comply with the section cited above as liability insurance for the facility is not currently being maintained, which poses an immediate safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 4, 2026

Plan of correction: AD stated liability insurance will be obtained and a copy provided to LPA via email by POC date.

From the deficiency page — Deficiency type: Type A · Section cited: HSC87213 · Plan of correction due date: Mar 5, 2026

87213 Finances The licensee shall have a financial plan that conforms to the requirements of Section 87155... and that assures sufficient resources to meet operating costs for care of residents... This requirement is not met as evidenced by: Based on record review, the Licensee did not comply with the section cited above as financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 4, 2026

Plan of correction: AD stated all records will be provided to LPA via email by POC date.

Feb 26, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

On February 26, 2026, Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to conduct a Case Management - Health Checks inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Heddy Oyson was notified via telephone. On today's visit, LPA observed that facility currently has a census of five residents. LPA observed residents watching television, sleeping in the living room, and taking walks. LPA, accompanied by a care giving staff, conducted a tour of the physical plant of the facility. LPA inspected the five bedrooms (2 shared bedrooms, 2 private bedrooms, and one staff bedroom), living room, kitchen, dining room, and an attached one car garage. LPA observed them to be free of hazards. The garage is used for laundry and also as a garage. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a dresser, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the three bathrooms located in the facility. LPA observed three bathrooms to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Hot water temperature measured between 111.3 and 111.5 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply located in the pantry. LPA observed kitchen appliances to be clean and operational. LPA observed the four burner convection stove turns on. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA observed all of the facilities utilities, such as the electricity, water, gas, and internet, to be operational during the visit. Continued on LIC 809-C LPA additionally conducted interviews with two staff and four residents. Two out of the two staff interviewed stated that they received two partial payments, both or which were delayed. As of February 26, 2026, two out of two staff have been paid in full. LPA observed that there remains an outstanding annual fee in the amount of $742.00. LPA reminded primary caregiver that the amount was due on September 25, 2025 and advised her to inform the administrator to make a payment as soon as possible. LPA spoke with administrator, Heddy Oyson, on the phone and requested financial records, utility bills, and payroll records from October 2025 to February 2026. LPA observed liability insurance had an expiration date of February 1, 2026. Based on this inspection, deficiencies were observed at this time in the areas evaluated per Title 22 Division 6 of the California Code of Regulations. See LIC809-D for deficiencies. Additionally, civil penalties will be assessed on today's visit for failure to correct in the total amount of $1,200.00. This report was reviewed with administrator via telephone and a copy of this LIC809, LIC809-D, and LIC421 report was provided and left at facility. Administrator provided provided verbal consent for caregiver to sign on her behalf. Appeal Rights were reviewed, and a copy provided at the facility.the state’s words, verbatim · CDSS document, Feb 26, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.605 · Plan of correction due date: Feb 27, 2026

On and after July 1, 2015, all residential care facilities for the elderly... shall maintain liability insurance covering injury to residents and guests... This requirement is not met as evidenced by: Based on interview and observation, the Licensee did not comply with the section cited above as liability insurance for the facility has an expiration date of 02/01/2026, which poses an immediate safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 26, 2026

Plan of correction: Licensee will obtain a renewal of liability insurance and send a copy of the certificate to CCLD via email by POC date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87213 · Plan of correction due date: Feb 27, 2026

87213 Finances: The licensee shall have a financial plan that conforms to the requirements of Section 87155, .. and that assures sufficient resources to meet operating costs for care of residents.. This requirement is not evidenced by: Based on interviews conducted, the Licensee did not have an adequate financial plan in place to ensure staff are paid in full and without delay. This poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 26, 2026

Plan of correction: The Administrator/Licensee to submit a financial plan to ensure that staff receive their pay for previous pay that is due, and for pay periods moving forward. The financial plan shall be submitted to CCLD via email or fax by POC date.

Feb 19, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Henry Bautista and Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, residents were observed resting in their respective bedrooms. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. LPA observed liability insurance certificate for the facility to be expired. LPA spoke with Licensee Allen Medina by phone, who stated they were unable to provide LPA with a copy of current liability insurance as they were still in the process of obtaining it. Interviews were conducted with two staff and facility residents. During their interview, two of two staff stated they were paid incomplete or partial wages for the last pay period, however, stated facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. The Department requested the Licensee to provide the following by 3 p.m., February 6, 2026: Records from October 2025 through January 2026, including financial records and staff payroll records. As of the agreed upon due date, the full extent of the records requested were not received by the Department. Based on observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Feb 19, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 87213 · Plan of correction due date: Feb 20, 2026

The licensee shall have a financial plan... that assures sufficient resources to meet operating costs...; shall maintain adequate financial records... and... submit... financial reports... upon... request of... licensing... This requirement is not met as evidenced by: Based on staff interviews, the Licensee did not comply with the section cited above as staff were paid incomplete wages and financial records and staff payroll records were not received by the Department, which poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 19, 2026

Plan of correction: Licensee stated all records will be provided to LPA via email by POC date.

From the deficiency page — Deficiency type: Type A · Section cited: HSC1569.605 · Plan of correction due date: Feb 20, 2026

On and after July 1, 2015, all residential care facilities for the elderly... shall maintain liability insurance covering injury to residents and guests... This requirement is not met as evidenced by: Based on Licensee interview, the Licensee did not comply with the section cited above as liability insurance for the facility is not currently being maintained, which poses an immediate safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 19, 2026

Plan of correction: Licensee stated liability insurance will be obtained and a copy provided to LPA via email by POC date.

Feb 4, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA met with Staff Glecelle Flores and the purpose of the inspection was discussed. During today’s inspection, LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and facility residents. During their interview, two of two staff stated they are currently being paid full and timely wages, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable. LPA obtained a copy of the following resident documents for four of four residents: Emergency Face Sheet, Physician Report, and Reappraisal. Administrator to provide LPA with a copy of four of four resident admission agreements by close of business on February 5, 2026. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Feb 4, 2026
Jan 8, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit to the facility for the purpose of conducting a Case Management inspection. LPA was greeted and granted entry by Staff Maria Glecelle Flores. LPA met with Administrator (AD) Joanna Gomez and the purpose of the inspection was discussed. LPA observed the facility has electricity, gas, water, internet, and phone service. LPA observed the facility to have a two-day supply of perishable and a seven-day supply of non-perishable foods as required by regulation. Interviews were conducted with two staff and AD. During their interview, two of two staff and AD stated the utilities have been and continue to be operational, and food supply is maintained at a two-day supply perishable and seven-day supply non-perishable. AD stated they would obtain copies of facility utility bills paid to date, payroll records for facility staff, food receipts, and lease/rent payment from Licensee for the months November and December 2025, and January 2026 and provide LPA with a copy via email by close of business on January 8, 2026. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jan 8, 2026
20254 state visits · 4 documents
Oct 29, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of following up regarding facility’s current resources to meet operating costs. LPA was greeted and granted entry by Staff Glacelle Flores and the purpose of the inspection was discussed. Administrator (AD) Joanna Gomez was contacted by phone and arrived at approximately 2:00 p.m. Interviews were conducted with two staff and AD. During their interview, two of two staff and AD denied any knowledge of the facility’s current financial status and stated the utilities have been and continue to be operational, and food supply is maintained at a two-day supply perishable and seven-day supply non-perishable. During today’s inspection, LPA observed the facility to have electricity, gas, water, internet and phone service. LPA observed there is a two-day supply of perishable and a seven-day supply of non-perishable foods. LPA conducted file review for four of four residents and observed one of four residents is currently on a special diet and special diet is being followed as directed per physician. AD provided LPA with copies of facility utility bills paid to date and food receipt summaries for August, September, and October. AD stated they would obtain copies of payroll records for facility staff and lease/rent payment from Licensee for the months August, September, and October and provide LPA with a copy via email by close of business on October 30, 2025. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Oct 29, 2025
Sep 10, 2025Facility evaluation reportReport on file

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Henry Bautista. Administrator (AD) Joanna Gomez was contacted by phone and arrived at approximately 8:50 a.m. and the purpose of the inspection was discussed. During the inspection, LPA and Staff Glacelle Flores conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story house with four resident bedrooms, two staff rooms, two full size bathrooms, one half bathroom, and attached two car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. The backyard has a shaded sitting area. LPA observed residents having breakfast in the dining room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. 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 detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag dated July 8, 2025. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. Medication was observed to be centrally stored and locked. LPA reviewed four of four resident files and three staff files. LPA interviewed residents and staff. 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. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 10, 2025
Jun 20, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a Health and Safety inspection. LPA was greeted and granted entry by Staff Henry Bautista. Administrator (AD) Joanna Gomez arrived at 9:55 a.m. and the purpose of the inspection was discussed. During the inspection LPA and AD conducted a tour of the facility and observed the following: All resident bedrooms had the required furnishings. LPA observed resident beds had linens and blankets. LPA observed the facility has electricity, gas, water, internet and phone service. Water temperature tested between 104.1-105.4 degrees Fahrenheit, and faucets and toilets were operational. 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 detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag dated January 9, 2025. There is a backyard with a shaded sitting area and no obstacles or hazards were observed. Licensee to provide LPA with copies of facility current mortgage/lease payment and utility bills paid to date by close of business on June 23, 2025. Based on observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Jun 20, 2025
May 22, 2025Facility evaluation reportReport on file

Type of visit: Office

On today's date, Licensing Program Managers (LPM) Alisa Ortiz and Licensing Program Analysts (LPAs) Michael Tea and Brandon Lopez met with Licensee Allen Medina, Maricel Nepomuceno, and Keak Vongphakdy on this day for the purpose of discussing financial operations and distress and reporting requirements. The following was discussed: o Licensee's responsibilities of facility oversight o Licensee's requirement to maintain control of facility and property o Licensee’s responsibility to maintain financially solvent o Licensee’s responsibility to communicate with the Department o Report of suspected dissolution of partnership The following was agreed upon during today's meeting: · Licensees has clarified the dissolution of partnership is not related to license but rather a separate business deal. The dissolution of partnership will not impact Licensees facilities. · The Licensees has reported they are in communication with landlords for property’s leased and will maintain a valid lease and control of property. · The Licensees will maintain payment of all facility bills and ensure sufficient staffing to meet resident’s needs. The Licensee will communicate any health and safety concerns related to the residents in care to the Department immediately. The following items are to be provided to the Department: · Updated LIC 500 Personnel Report identifying all current working staff and their agreed upon schedules by close of business May 29, 2025. · Current lease agreements with letters from landlords voiding any outstanding evictions or unlaw detainers by close of business May 23, 2025. · A copy of loan contract to support financial solvency by close of business May 29, 2025. An exit interview was conducted Licensee Allen Medina, Maricel Nepomuceno, and Keak Vongphakdy. A copy of this report, LIC 809, was provided to Licensee Allen Medina, Maricel Nepomuceno, and Keak Vongphakdy.the state’s words, verbatim · CDSS document, May 22, 2025
20241 state visit · 1 document
Sep 13, 2024Facility evaluation reportReport on file

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection. LPA met with designated Administrator (AD) Joanna Gomez and Licensee Marciel Nepomuceno. An application to operate an Residential Care Facility for the elderly (RCFE) for (6) capacity, (0) ambulatory, (6) non-ambulatory, and (0) bedridden residents was received by CCL on March 14, 2024. Structure: The facility is a one-story house with four resident bedrooms, one staff bedroom, one staff office, two full size bathrooms, one half bathroom, a living room, a kitchen, a dining room, and attached two car garage. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the entranceway. There is a backyard with an exit gate on one side of the house. There is a shaded seating area and LPA did not observe any obstacles or hazards in the backyard. Resident Bedrooms All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets. Signal system There is no signal system. Toxins: All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and will be stored and locked in the garage. Medications, First-Aid Kit & Book: Medication will be stored in a locked closet. First aid kit is stored with medication. The first aid kit has all the required elements. Resident & Staff Files: Records will be kept in a locked closet with medication. Pool/Jacuzzi: No bodies of water were observed. Fire Extinguisher: Fire extinguisher is fully charged with service tag dated July 29, 2024. Reading Material, Games, Equipment & Materials: The facility has magazines, activity books, arts and crafts supplies, board games, puzzles, and other recreational materials for resident use stored in living room and dining room. Fire clearance: Was approved by a fire inspector of Placentia Fire Department on June 24, 2024. Special conditions noted, “Updated floor plan provided at the time of inspection. For clarification, exit #2 is for staff at the time of needing exit only. No occupants are to exit through the garage. On-site representative verified and acknowledged this requirement.” Component III: Conducted at the Pre-Licensing visit, information provided about how to operate the facility within compliance and reporting requirements. Bedrooms Staff: There is one staff bedroom. Bathrooms: All bathrooms have working plumbing. Hot water measured between 112.6- and 115.8-degrees Fahrenheit. Linens & Hygiene Supplies: A supply of extra linen was stored in the hallway storage. Emergency Phone Numbers, Exit Plan & Menu: Posted and available, means of exiting, and emergency phone numbers. Food menu is also posted and available. Food Service: A supply of 2-day perishable and 7-day of non-perishable food was observed and will be maintained on hand. Smoke Detectors: Smoke detectors and carbon monoxide detectors tested operational. Appliances: Electric burner stove, dishwasher, refrigerator, microwave, washer, and dryer are operational. The designated AD was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted and a copy of this report was provided to designated AD.the state’s words, verbatim · CDSS document, Sep 13, 2024
What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents and the questions below stand in their place.

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