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Inspection visit

Routine inspection

ADELYA SENIOR HOME IIILicense 3060047792 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Sam Haddadin conducted an unannounced required annual inspection using the CARE Inspection Tool. Upon arrival at the facility, LPA Haddadin was greeted and granted entry by Caregiver (CG) Connie Martinez. The facility is licensed to serve six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility also has a hospice waiver for three (3) residents. The facility is a single-story structure located in a residential neighborhood and consists of five (5) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, a living area, dining area, kitchen, attached garage, and an outdoor covered patio area. At the time of the visit, there were five (5) residents in care. During the inspection, LPA toured the interior and exterior areas of the facility. All bathrooms were observed to be clean, sanitary, and operational. Hot water was tested and measured between 103.9 degrees Fahrenheit and 104.2 degrees Fahrenheit and a deficiency was cited for the hot water. The kitchen was observed to be clean and organized, with an adequate food supply, including at least a two-day supply of perishable food and a seven-day supply of non-perishable food. Knives and cleaning supplies were secured in a locked kitchen cabinet and were inaccessible to residents. All kitchen appliances were observed to be operational and in working condition. The fire extinguishers were observed to be fully charged, with the most recent purchase date recorded as May 20, 2026. Smoke detectors and carbon monoxide detectors were tested and found to be operational. The first aid kit contained the required supplies. Medication was observed to be locked and secured in a cabinet located in the hallway. Facility records did not show documentation of any emergency drills being conducted. LPA inspected the garage and observed that it was being used for storage. One vehicle was parked inside the garage, and bed frames and other boxes were stored around the vehicle. The garage was filled with storage items, and boxes were stacked approximately halfway around the vehicle, which prevented LPA from fully accessing areas of the garage. The condition of the garage was observed to be unsafe, unclean, and a potential fire hazard; a deficiency was cited per title 22. Residents’ bedrooms were inspected and contained the required furnishings. The backyard included a covered patio with a seating area. No bodies of water were observed. The exit gate was operational, and no hazards or obstructions were observed in the backyard. A review of resident files revealed no discrepancies. Staff files were also reviewed and found to be complete, with the required documentation maintained in each file. Based on observations made during the inspection, deficiencies are being cited pursuant to Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report, along with appeal rights, was provided to Caregiver Connie Martinez at the conclusion of the inspection.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(a)Type A

    Maintain facility in clean, safe, sanitary condition

    Based on the licensee did not comply with the section cited above, the garage was observed to be unsafe, unclean, and a potential fire hazard which poses an immediate health, safety risk to persons in care.

  • Provide resident hot water for personal care

    Based on the licensee did not comply with the section cited aboveBased on observation, the licensee did not comply with the section cited above by not having hot water of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).which poses an immediate health and safety to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 10, 2026 inspection of ADELYA SENIOR HOME III?

This was an inspection of ADELYA SENIOR HOME III on June 10, 2026. 2 citations were issued: 2 Type A (serious).

Were any citations issued to ADELYA SENIOR HOME III on June 10, 2026?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Based on the licensee did not comply with the section cited above, the garage was observed to be unsafe, unclean, and a..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.