Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
HOLY ANGEL HOME CARE 1
1359 SUNFLOWER LANE, Brentwood CA 94513
6 bedsLatest official report Dec 16, 2025Licensed
Additional info
- Telephone
- (925) 626-3861
- Licensee
- EXODYNE INC
- Administrator
- LIU, ALEXANDRIA
- Contact
- LIU, ALEXANDRIA
- License first date
- Dec 11, 2018
- License effective date
- Dec 11, 2018
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 6 Type B deficiencies for this facility.
- Most recent inspection
- Dec 16, 2025
- Most recent deficiency
- Dec 16, 2025
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 391 Contra Costa County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 6 Type B deficiencies.
3 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 9
- Type A deficiencies
- 3
- Type B deficiencies
- 6
- Substantiated complaints
- 0
- Repeated topics
- 1
Fewer than the typical 5
1 in the last 12 months
Well above the typical 3
4 in the last 12 months
More than the typical 1
0 in the last 12 months
More than the typical 2
4 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having chest x-ray for S4 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/06/2026 Plan of Correction Administrator has agreed to obtain a copy of S4's chest x-ray and submit a copy to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above by not having documentation for fire drills conducted which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/06/2026 Plan of Correction Administrator has agreed to conduct a fire drill and submit a copy of the document to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above by not having current first aid training for S4 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/06/2026 Plan of Correction Administrator has agreed to obtain current first aid training for S4 and submit completion certificate to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(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: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not having medication available for R3 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 01/06/2026 Plan of Correction Administrator has agreed to obtain medications for R3 and obtain a current medication list for R3. Administrator will submit picture proof and current medication list to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having bleach disinfectant spray, fabuloso multi-purpose cleaner, laundry detergent and Windex window cleaner in an unlocked garage which poses an immediate health, safety risk to persons in care.
Official plan of correction
POC Due Date: 12/05/2024 Plan of Correction Caregiver immediately removed items and placed items in a locked cabinet located in the garage. Deficiency cleared during visit.
Official record says corrected or clearedRecorded in report dated Dec 4, 2024
Plan of correction recorded
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in having scissors in an unlocked kitchen drawer which poses an immediate health, safety risk to persons in care.
Official plan of correction
POC Due Date: 12/05/2024 Plan of Correction Caregiver immediately removed scissors and placed them in a locked cabinet. Deficiency cleared during visit.
Official record says corrected or clearedRecorded in report dated Dec 4, 2024
Plan of correction recorded
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(f)
- Regulation authority
- CCR
What the official deficiency says
87412 Personnel Records (f) All personnel 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 is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in not having two (2) out of three (3) personnel records available to licensing to inspect during business hours which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/09/2024 Plan of Correction Administrator agreed to have all personnel records available to licensing to inspect during normal business hours and will send a self-certifying email to CCLD by POC date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having unlocked medication which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 12/16/2022 Plan of Correction Staff locked medications during inspection. Deficiency cleared during inspection.
Official record says corrected or clearedRecorded in report dated Dec 16, 2022
Plan of correction recorded
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(2)(C)
- Regulation authority
- CCR
What the official deficiency says
Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function....The following provisions shall apply: (2) Resident bedrooms shall be provided which meet, at a minimum, the following requirements: (C) No bedroom of a resident shall be used as a passageway to another room, bath or toilet. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by using bedroom #3’s closet being use as facility storage, staff was using bedroom #3 as passageway to access this storage which poses a potential personal rights violation to persons in care.
Official plan of correction
POC Due Date: 12/23/2022 Plan of Correction Administrator stated she will send a sketch stating that closet is for storage and bathroom is staff only. Staff needs to use outside door and not use bedroom #3 as passageway.
Plan of correction recorded
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology