Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
A FAITHFUL HOME OF CERRITOS
11213 AGNES ST, Cerritos CA 90703
6 bedsLatest official report Jun 23, 2026Licensed
Additional info
- Telephone
- (714) 300-8055
- Licensee
- A FAITHFUL HOME LLC
- Administrator
- THERESA KHOLOMA
- Contact
- THERESA KHOLOMA
- License first date
- Jul 11, 2018
- License effective date
- Jul 11, 2018
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 935 - ELDERLY
Summary
The available records show 11 Type B deficiencies for this facility.
- Most recent inspection
- Jun 23, 2026
- Most recent deficiency
- Jun 23, 2026
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 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 16 reports for this facility: 8 inspections, 8 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 11 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 8
- Recorded deficiencies
- 11
- Type A deficiencies
- 0
- Type B deficiencies
- 11
- Substantiated complaints
- 3
- Repeated topics
- 5
More than the typical 4
1 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size also have none
0 in the last 12 months
Most this size have none
2 in the last 12 months
Most this size 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.
Dementia care
Cited in 2 reports, with 2 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Resident rights
Cited in 2 reports, with 2 deficiencies in total.
Staffing, personnel, and training
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · investigated over 2 visits
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 80087(a)
- Regulation authority
- CCR
What the official deficiency says
80087 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement was not met as evidence by: During visit on 11/12/24 LPA toured R1's room and observed a large bubble in the ceiling of R1's room. 2 staff confirmed there had been a leak in room during rainy season, 2 residents also confirmed leak, R4's family member also confirmed leak. Although Administrator provided a roofing inspection that was conducted 11/14/24, this roof inspection did not disclose inspection of the noticeable bubble in ceiling of R1's bedroom. During visit on 11/22/24 LPA observed bubble on ceiling of R1's room still present, and new damage to R1's recess lighting.
Official plan of correction
Administrator/Licensee to have a repair person who is knowledgeable in water damage and mold to inspect ceiling in R1's room. Copy of the inspection and any needed repairs to be provided and completed by POC due date.
Deadline recorded: Dec 9, 2024. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Dec 9, 2024
Deficiency Dismissed Type B 12/09/2024 Section Cited CCR 80087(a)
Plan of correction recorded
Correction deadline recordedDeadline Dec 9, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Nov 22, 2024 · Control 28-AS-20240919114357
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility. This requirement was not met as evidenced by: Based on interviews R1 was unable to make the decison concerning how long they can use the bathroom. The bathroom time for R1 include showers, washing their face and having a bowel movement , which is potentially a health safety, or personal rights risk to persons in care.
Official plan of correction
The licensee will ensure the resident can make their own choices. Staff training will be conducted regarding residents personal rights. A copy of the traing is due to LPA by POC due date.
Deadline recorded: Oct 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 24, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Oct 22, 2024 · Control 28-AS-20241009132138
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility. This requirement was not met as evidenced by: Based on interviews R1 was unable to make the decison concerning their daily lives, which is potentially a health,which poses an immediate health, safety, or personal rights risk to persons in care.
Official plan of correction
The licensee will ensure the resident can make their own choices. Staff training will be conducted regarding residents personal rights. A copy of the traing is due to LPA by POC due date.
Deadline recorded: Oct 24, 2024. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 24, 2024
Deficiency Dismissed Type B 10/24/2024 Section Cited CCR 87468.2(a)(6)
Plan of correction recorded
Correction deadline recordedDeadline Oct 24, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(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 observation and interview, the licensee did not comply with the section cited above in which the Licensee did not ensure R1's dresser is in good repair, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
The facility shall ensure R1's dresser is in good repair at all times. Photo proof of the correction is due to the LPA by the POC due date.
Deadline recorded: Sep 9, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 9, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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