A HUMBLE ABODE INC

25703 WHISPERING TREES WAY, Valencia CA 91355

Facility 197610405 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report May 22, 2026Licensed

Additional info
Licensee
A HUMBLE ABODE INC
Administrator
BUNGABONG, SILICA
Contact
BUNGABONG, SILICA
License first date
May 2, 2023
License effective date
May 2, 2023
District office
WOODLAND HILLS S.RO · (818) 596-4334
Regional office
31
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 2 Type A and 3 Type B deficiencies for this facility.

Most recent inspection
May 22, 2026
Most recent deficiency
May 1, 2025

1 later report, on May 22, 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 9 reports for this facility: 5 inspections, 2 complaint investigations, and 2 licensing or administrative records.

Those records contain 2 Type A and 3 Type B deficiencies.

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

Official inspections
5

More than the typical 4

1 in the last 12 months

Recorded deficiencies
5

More than the typical 1

0 in the last 12 months

Type A deficiencies
2

Most this size have none

0 in the last 12 months

Type B deficiencies
3

Most this size have none

0 in the last 12 months

Substantiated complaints
1

Most this size 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
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

This requirement is not met as evidenced by: During the tour LPA observed multiple half rail beds being used by residents but without a written order from a physician indicating the need for the postural support. Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/12/2025 Plan of Correction Submit a written order from a physician indicating the need for the postural support (half bedrail).

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

This requirement is not met as evidenced by: During record review, LPA also observed multiple missing documentations for one (01) out o four (04) residents. Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/12/2025 Plan of Correction 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 and email a copy of missing records to the LPA by the above POC due date.

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

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Inspection
Incident reportingType B
Official classification
Type B
Official code
87211(a)(1)(D)
Regulation authority
CCR

What the official deficiency says

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require,...(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... (D)Any incident which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by; Based on interviews, facility did not submit incident report to the Dept. which poses a potential health, safety and personal rights risk to resident in care.

Official plan of correction

The Licensee will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to CCR Title 22 87211 Reporting Requirements; The written letter must be sent to the LPA by the POC due date.

Deadline recorded: Dec 4, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 4, 2023
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited

Medical and dental careType A
Official classification
Type A
Official code
87465(a)(2)
Regulation authority
CCR

What the official deficiency says

Incidental Medical and Dental Care(a) A plan for incidental medical…care..shall be developed by each facility. The plan shall…provide for assistance in obtaining such care, by compliance with the following:(2) The licensee shall provide assistance in meeting necessary medical...needs. This requirement is not met as evidenced by; Based on interviews, facility did not provide assistance in meeting necessary medical needs after a serious incident which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

The Licensee will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to CCR Title 22 87465 Incidental Medical and Dental Care; The written letter must be sent to the LPA by the POC due date.

Deadline recorded: Dec 1, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 1, 2023
Correction not verified in available records
View official report
Basic services and supervisionType A
Official classification
Type A
Official code
87464(f)(6)
Regulation authority
CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (6) Arrangements to meet health needs, …, as specified in Section 87465, Incidental Medical and Dental Care Services... This requirement is not met as evidenced by: Based on interviews, facility did not arrange to meet residents’ health needs after a serious incident which poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

The Licensee will review regulation and submit a written letter certifying that, moving forward, they will ensure to follow and adhere to CCR Title 22 87464 Basic Services; The written letter must be sent to the LPA by the POC due date.

Deadline recorded: Dec 1, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Dec 1, 2023
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this 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