KATHLEEN CARE HOME

1531 KIOWA CREST DRIVE, Diamond Bar CA 91765

Facility 197606887 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Sep 4, 2025Licensed

Additional info
Licensee
ORLANDO J. VALERA, INC.
Administrator
ORLANDO J. VALERA
Contact
ORLANDO J. VALERA
License first date
Sep 26, 2007
License effective date
Sep 26, 2007
District office
MONTEREY PARK ASC · (323) 980-4934
Regional office
28
Clients served
985 - RCFE / HOSPICE

Summary

The available records show 3 Type A and 5 Type B deficiencies for this facility.

Most recent inspection
Sep 4, 2025
Most recent deficiency
Sep 4, 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 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 3 Type A and 5 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
6

More than the typical 4

1 in the last 12 months

Recorded deficiencies
8

Well above the typical 1

3 in the last 12 months

Type A deficiencies
3

Most this size have none

1 in the last 12 months

Type B deficiencies
5

Most this size have none

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

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.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medical and dental careType A
Official classification
Type A
Official code
87465(e)
Regulation authority
CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in that Resident #1 (R1) has a written order from the Physician for PRN medication (Calcium Carbonate-Vit D3), but the label on the PRN medication being administered is incorrect. Resident #2 (R2) is taking nonprescription PRN (CBD + THC Chill chews) without a written order from a physician and not on the medication list which poses/posed an immediate health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 09/05/2025 Plan of Correction Administrator shall ensure that all residents have current medication list from their physicians. Administrator will send R1's doctor order for the PRN and proof of the correct PRN medication for R2 to LPA/CCL by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87506(a)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in that Staff failed to sign the Medication Administration Record (MAR) at the proper time and date (8am/Sep. 4, 2025) for R2 which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Administrator shall provide in-service training to all staff on how to properly document the Medication Administration Record (MAR), as well as develop a policy requiring that (2) people verify medication records. Administrator to send a copy of the training log, along with the topics covered, and a sign-in sheet of staff who participated to CCL/LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the licensee did not comply with the section cited above in that (1) out of (5) residents have half bed rails in their beds and there was no bed rail physician's order on file which poses/posed a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Administrator will submit a copy of the physician's order to use half bed rail for R2 and photos to LPA/CCL by POC due date.

Plan of correction recorded
Correction not verified in available records
View official 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 due to sharp knives that were accessible which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2021 Plan of Correction The administrator immediately locked the drawer. The administrator stated that he will place a sign on the drawer that says " Keep locked at all times " and will send a picture to CCL by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType A
Official classification
Type A
Official code
87465(e)
Regulation authority
CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. 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 four out of four residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2021 Plan of Correction The administrator immediately contacted the family members to obtain the written prescription orders which will be received by 11/4/21.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(f)(3)
Regulation authority
CCR

What the official deficiency says

(f) Solid waste shall be stored and disposed of as follows: (3) All containers, except movable bins, used for storage of solid wastes shall have tight-fitting covers on the containers; shall be in good repair; shall have external handles; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above due to food that was uncovered and/or did not contain a label with expiration date of the food which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/12/2021 Plan of Correction The administrator stated that he will place labels and covers on every food item and send a picture to CCL by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(2)
Regulation authority
CCR

What the official deficiency says

(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. 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 one out of four stove burners which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/12/2021 Plan of Correction The administrator stated that he will repair the burners and take a picture and send to CCL by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType B
Official classification
Type B
Official code
87555(b)(23)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above due to some food items not containing a cover or lid with expiration dates posing a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/12/2021 Plan of Correction The administrator stated that all food will be covered and contain labels with expiration date. The adminsitrator will send a picture to CCL by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report

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