Angela's Care Home

87507(c) Admission Agreements; Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any [...] no later than seven days following admission...This requirement is not met as evidenced by: Licensee, Dulce, Redford, did not ensure all Admission Agreements had the required signatures within seven days of client admittance.

California Code of Regulations, 87303(e)(2), Maintenand and Operation: Faucets used by residents for personal care such as shaving and grooming shall deliver hot water...This requirement is not met as evidenced by: The Administrator, Dulce Reford, did not ensure that hot water was readily available for the clients in care. The facility's water was shut off due to non-payment.

Based on observation, interview, and record review, the licensee did not comply with the section cited above in three of three record reviews, which poses a potential health, safety or personal rights risk to persons in care.

Based on three reviewed staff files, the licensee did not comply with the section cited above where one of those files did not have a chest x-ray nor intradermal test completed, which poses a potential health, safety or personal rights risk to persons in care.

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance... This requirement was not met as evidenced by: Based on interview, record review and observation LPA found (2) uncleared staff working at the facility who stated they had been working since 09/13/2025. This poses an immediate health, saftey, or personal rights risk to residents in care.

87109 Transferability of License (b)...the property and business shall not be transferred until the buyer qualifies for a license or provisional license...(1)The seller shall notify, in writing, a prospective buyer of the necessity to obtain a license...if the buyer’s intent is to continue operating the facility...The seller shall send a copy of this written notice to the licensing agency.(2)The prospective buyer shall submit an application for a license...within five days of the acceptance of the offer.. This requirement was not met as evidenced by: Based on interview and record review the property was transferred to S2 and a notification of change in ownership was not provided to the department. This poses an immediate health safety or personal rights risk to residents in care.

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the...fire department...Prior to accepting or retaining any of the following types of persons...(2) Bedridden persons This requirement was not met as evidenced by: Based on interview, observation and record review the facility has (1) bedridden resident in care and does not have proof of bedridden clearance. This poses an immediate health saftey or personal rights risk to residents in care.

87211 Reporting Requirements (a) Each licensee shall furnish...such reports...including...(1)A written report...submitted to the licensing agency... within seven days of the occurrence of...(A)Death of any resident from any cause...This requirement was not met as evidenced by: Based on interview observation and record review the licensee did not report a resident death in a timely manner. This poses an immediate health saftey or personal rights risk to residents in care.

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance...This requirement was not met as evidenced by: Based on interview, records review and observation the licensee did not ensure S2 and S3 were associated to the facility prior to working at the facility. This poses an immediate health safety or personal rights risk to residents in care.

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (C) An Infection Control Training Plan. This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above due to no infection control plan being retained at the facility during the time of the visit which poses a potential health, safety or personal rights risk to persons in care.

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons. This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above with R1 who is bedridden. The licensee is not approved for bedridden clearance which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above there was no personnel record retained at the facility at the time of the visit which poses a potential health, safety or personal rights risk to persons in care.

Based on interview there was no staff files for (1) staff, and incomplete file for (2) staff. This poses a potential health saftey or personal rights risk to clients in care.

Based on interview and record review, the licensee did not comply with the section cited above in with staff not having documented training in their file which poses a potential health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above with (1) resident who did not have a personal property form in their file which poses a potential health, safety or personal rights risk to persons in care.

Based on record review and interview, the licensee did not comply with the section cited above due to no infection control plan being retained at the facility during the time of the visit which poses a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above by not having awake staff at the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above with (1) resident who is bedridden. The licensee is not approved for bedridden clearance which poses an immediate health, safety or personal rights risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above with (1) of (5) resident who did not have a care plan signed by their representative which poses a potential health, safety or personal rights risk to persons in care.

Based on interview, the licensee did not comply with the section cited above by not conducting a fire drill within the required time frame which poses a potential health, safety or personal rights risk to persons in care.

(a) ...shall have...the following personal rights: (1)...reasonable level of personal privacy in accommodations…This requirement was not met as evidenced by: Based on interview and observation, the private shower in the master bathroom is being used by all staff and residents. This poses a potential personal rights, health or saftey risk to residents incare.

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of...not more than 120 degree F (49 degree C). This requirment was not met as evidenced by: Based on observation the water temperature in the facility restrooms read 122F and 125F. This poses a potential health saftey or personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in 1 of 4 residents (R1) which poses an immediate safety risk to persons in care. LPA Colvin observed that according to R1's file, R1 is bedridden. The facility does not have a fire clearance for bedridden residents.

Based on record review, the licensee did not comply with the section cited above in 3 of 3 staff files, which poses an immediate health, safety or personal rights risk to persons in care. LPA Colvin observed that there were no staff files present for either the two staff present during today's inspection or for the Acting Administrator.

Based on record review, the licensee did not comply with the section cited above in 1 staff member (acting Administrator) which poses an immediate safety risk to persons in care. LPA Colvin observed that Acting Administrator Aurora Cuasay is not associated to the facility.

Based on record review, the licensee did not comply with the section cited above in 1 of 3 staff (S1) which poses a potential health risk to persons in care. LPA Colvin observed that S1's CPR Certification is expired.

Based on observation, the licensee did not comply with the section cited above in 2 of 2 resident bathrooms, which poses a potential health or personal rights risk to persons in care. LPA Colvin observed that the hot water in the resident bathrooms was measuring at 100.9 degrees.

PERSONAL RIGHTS (a)..each client shall have personal rights which include..(3)..withholding of shelter.. This requirement is not being met as evidenced by: Based on LPA interviews, Licensee did not provide R1 the means to have shelter. This poses a potential health and safety risk and personal rights to residents in care.

Incidental Medical and Dental Care: (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interview with Licensee, Resident was admitted to the facility with pressure injuries, without an assessment. Staff were alleged to have been caring for R1; however, the Licensee admitted that R1 had eventually moved to skilled nursing due to the inability to care for R1's wounds. This poses an immediate health and safety and/or personal rights risk to residents in care.

Capacity:A license shall be issued for a specific capacity which shall be the maximum number of residents which can be provided care at any given time. This requirement was not being met as evidenced by: Based on interview with Licensee, Licensee indicated that they are over capacity by one resident. This presents an immediate health and safety risk to residents in care.

Medical Assessments: (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment.This requirement was not being met as evidenced by: Based on interview with Licensee, R1 was not offered a proper assessment upon admission to the facility. Licensee understood that R1's pressure injuries got worse under her care. Licensee indicated that R1 was turned every 2-3 hours, but the wound to her coccyx got larger. Even though R1 was allegedly to have been assessed, Licensee does not have documentation to prove that it did. This poses a potential health and safety risk to residents in care.

Managed Incontinence:(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following:(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not being met as evidenced by: Based on observation and staff interview, LPA found that R1 had incontinent challenges and those needs were not being met by Licensee. This is a potential personal rights risk to residents in care.

Resident Records(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement was not being met as evidenced by: Based on the lack of resident record for R1, Licensee could not prove that R1's records were being dispensed as required. This is a potential health and safety risk for residents in care.

Personal Rights of Residents in All Facilities:(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(16) To receive or reject medical care or other services. This requirement was not being met as evidenced by: Based on LPA interview with Licensee, Licensee indicated that they contacted Hospice to intiate services for R1. This is a potential personal rights risk for residents in care.

Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement was not being met as evidenced by: Based on staff interview, Licensee indicated that the death report for R1 was not submitted to the Department. This is a potential health and safety risk to residents in care.

Hospice Care of Terminally Ill Residents:(h) For each terminally ill resident receiving hospice services in the facility, the licensee shall maintain the following in the resident’s record: (4) A copy of the resident’s current hospice care plan approved by the licensee, the hospice agency, and the resident, or the resident’s Health Care Surrogate Decision Maker if the resident is incapacitated. This requirement was not being met as evidenced by: Based on document review, and LPA observation, and staff interview, R1 did not have any records related to the needs, and care that R1 had received by the Licensee. This is a potential health and safety risk to residents in care.

Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department or Based on record review, LPA found that S1 did not have an approved clearance to provide care to residents. This is an immediate risk to residents in care.

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observations and interviews, the Licensee did not ensure that the facility grounds were sanitary.