ANNABELLE'S COTTAGE II

6218 W. AVENUE J-12, Lancaster CA 93536

Facility 197607362 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 17, 2026Licensed

Additional info
Licensee
BEST RESOURCES, INC.
Administrator
DAISY HAILEY
Contact
DAISY HAILEY
License first date
Mar 17, 2008
License effective date
Mar 17, 2008
District office
WOODLAND HILLS S.RO · (818) 596-4334
Regional office
31
Clients served
935 - ELDERLY

Summary

The available records show 3 Type A and 14 Type B deficiencies for this facility.

Most recent inspection
Jul 17, 2026
Most recent deficiency
Apr 14, 2026

1 later report, on Jul 17, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

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 14 Type B deficiencies.

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

Official inspections
6

More than the typical 4

2 in the last 12 months

Recorded deficiencies
17

Well above the typical 1

7 in the last 12 months

Type A deficiencies
3

Most this size have none

2 in the last 12 months

Type B deficiencies
14

Most this size have none

5 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
2

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
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87202(a)(1)
Regulation authority
CCR

What the official deficiency says

(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: (1) Nonambulatory persons. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in 2 out of 6 residents identified as non ambulatory residing in ambulatory only bedrooms which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction The licensee will submit LIC 200 and facility sketch identifying which bedrooms they would like to be cleared for non ambulatory by POC due date. Licensee was informed if fire clearance is not approved arrangements need to be made to transfer resident to a proper placement.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
87632(a)
Regulation authority
CCR

What the official deficiency says

(a) In order accept or retain terminally ill residents and permit them to receive care from a hospice agency, the licensee shall have obtained a facility hospice care waiver from the Department... This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the above section by failing to increase their hospice care waiver from 3 to 4 and accepted or retained 4 terminally ill residents, which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction Licensee will submit a Hospice waiver increase request to the department by POC date. If not approved facility will need to make arrangements to transfer resident to appropriate facility.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. 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 in 2 out of 2 caregivers at the facility had expired first aid and CPR certification which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/24/2026 Plan of Correction Licensee agreed to provide copies of active First aid / CPR for the caregivers identified as having an expired certification to the department by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(a)
Regulation authority
CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment, signed by a licensed medical professional acting within the scope of their practice and made within the last year, to be kept in the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 6 residents did not have a completed medical assessment or Physician's Report (LIC602) on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/24/2026 Plan of Correction Licensee agreed to provide a copy of R2's complete Medical Assessment / Physician's Report (LIC602) to the department by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. 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 in 3 out of 6 residents (R4, R5 and R6) that have been residing in the facility for over a year do not have a reappraisal conducted which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/24/2026 Plan of Correction Licensee agreed to provide a copy of R4, R5 and R6's completed reappraisal to the department by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87507(c)
Regulation authority
CCR

What the official deficiency says

(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. 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 in 1 out of 6 residents does not have an admission agreement signed by their responsible person which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/17/2026 Plan of Correction Licensee agreed to provide a signed admission agreement for R1 to the department by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
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 and record review, the licensee did not comply with the section cited above in not documenting quarterly drills conducted which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/24/2026 Plan of Correction Licensee agreed to conducted emergency disaster drill and provide documentation drill was completed by all shifts to the department by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)
Regulation authority
CCR

What the official deficiency says

(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. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in not providing a writing notification to the regional office of resident #3's (R3's) passing which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/25/2025 Plan of Correction Administrator will email a death report to LPA by POC due date and a copy of resident's death certificate when possible.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(a)(11)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above in 3 out of 4 staff files reviewed did not have proper or completed health screening documentation which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/25/2025 Plan of Correction Administrator will provide copies of staff completed health screening (LIC503) regarding physically and mentally capable of performing assigned tasks, and provide a copy of volunteer's TB test results to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87202(a)(2)
Regulation authority
CCR

What the official deficiency says

(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: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by accepting one (1) bedridden resident without having a proper fire clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/15/2024 Plan of Correction Administrator agreed to complete and submit LIC200 along with the facility sketch to Fire Department for a Bedridden and non-ambulatory approval by POC date. Bedridden plan of operation and proof will be submitted to LPA via email by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(a)
Regulation authority
CCR

What the official deficiency says

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and records review, the licensee did not comply with the section cited above by only having one (1) caregiver to assist four (4) out of four (4) residents and not having additional staff to perform necessary work, which poses a health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/22/2024 Plan of Correction Administrator will submit a new LIC500 reflecting all shift coverage for facility that is adequate for all residents in care by email to LPA on POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Dementia careType B
Official classification
Type B
Official code
87705(c)(5)
Regulation authority
CCR

What the official deficiency says

87705(c)(5) Dementia Resident Annual Medical Assessment: (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:…(5)Each resident with dementia shall have an annual medical assessment …Medical Assessment, and a reappraisal done at least annually… This requirement is not met as evidenced by: Deficient Practice Statement Based on observations and records review, the licensee did not comply with the section cited above by not having an annual medical assessment in three (3) out of four (4) residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/22/2024 Plan of Correction Administrator will provide updated Medical Assessments for all four residents via email to LPA 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(a)(2)(D)
Regulation authority
CCR

What the official deficiency says

87307(a)Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:(2)Resident bedrooms shall be provided which meet, at a minimum, the following requirements:(D)Not more than two residents shall sleep in a bedroom. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in allowing one (1) out five (5) residents bedroom to be occupied by a resident and staff in resident's shared bedroom, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/14/2024 Plan of Correction Staff immediately removed air mattress from resident's shared bedroom. POC cleared on today’s visit.

Official record says corrected or clearedOn or before Mar 14, 2024
Plan of correction recorded
View official report
Not classified in the sourceType B
Official classification
Type B
Official code
1569.267
Regulation authority
HSC

What the official deficiency says

The licensee shall provide initial and ongoing training for all members of its staff to ensure that residents’ rights are fully respected and implemented. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and record review the licensee did not comply with the section cited above in two (2) out of three (3) staff records that revealed staff do not have ongoing training on Resident's Bills of Rights to ensure the resident's rights are fully respected and implemented which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/22/2024 Plan of Correction Administrator will conduct in house training of the Resident's Bill of Rights and review Statement Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders document with all staff. Administrator will submit to LPA via email a copy of the training conducted, signed and dated by staff and administrator by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87457(c)(1)(A)
Regulation authority
CCR

What the official deficiency says

87457(c)Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations.(1)The appraisal shall include, at a minimum, an evaluation of the prospective resident's functional capabilities, mental condition and an evaluation of social factors as specified in Sections 87459, Functional Capabilities and 87462 Social Factors.(A)The licensee shall be permitted to use the form LIC 603 (Rev. 6/87), Preplacement Appraisal Information, to document the appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPAs record review the licensee did not comply with the section cited above in two (2) out of three (3) resident's records revealed a missing preplacement appraisal information which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2023 Plan of Correction Licensee will conduct a record review and identify resident files with incomplete or missing documentation. Licensee will send to LPA via email the LIC 603 and LIC625 for those residents missing documentation by POC date 04/21/2023.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType B
Official classification
Type B
Official code
1569.267
Regulation authority
HSC

What the official deficiency says

(d) The licensee shall provide initial and ongoing training for all members of its staff to ensure that residents’ rights are fully respected and implemented. This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews and record review the licensee did not comply with the section cited above in two (2) out of two (2) staff interviews and records revealed staff do not have ongoing training on Resident's Bills of Rights to ensure the resident's rights are fully respected and implemented which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2023 Plan of Correction Licensee will conduct in house training of the Resident's Bill of Rights and review Statement Acknowledging Requirement to Report Suspected Abuse of Dependent Adults and Elders document with all staff. Licensee will submitt to LPA via email a copy of the training conducted, signed and dated by staff and administrator by POC date 04/21/2023.

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(a)(2)(D)
Regulation authority
CCR

What the official deficiency says

87307(a)Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:(2)Resident bedrooms shall be provided which meet, at a minimum, the following requirements:(D)Not more than two residents shall sleep in a bedroom. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in allowing one (1) out five (5) residents bedroom to be occupied by a resident and staff in resident's shared bedroom which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/12/2023 Plan of Correction Staff immediately removed air mattress from resident's shared bedroom. POC cleared on todays visit.

Official record says corrected or clearedOn or before Apr 12, 2023
Plan of correction recorded
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