MOMS AND DADS

6177 NORSTADT WAY, Buena Park CA 90620

Facility 306004379 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jan 23, 2026Licensed

Additional info
Licensee
ACE JAZER, INC.
Administrator
ACE JACER EDORA TABLANG
Contact
ACE JACER EDORA TABLANG
License first date
Jan 19, 2012
License effective date
Jan 19, 2012
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
985 - RCFE / HOSPICE

Summary

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

Most recent inspection
Jan 23, 2026
Most recent deficiency
Jan 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 984 Orange County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 2 Type A and 0 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
2

More than the typical 1

1 in the last 12 months

Type A deficiencies
2

Most this size have none

1 in the last 12 months

Type B deficiencies
0

Fewer than the typical 1

0 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.

Complaint

Allegations0 substantiated · 7 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(5)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. 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 2 out of 3 resident medications were pre poured in a pill container form more than 24 hours worth of medication which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/24/2026 Plan of Correction Administrator Yap agrees to review the regulation requirement with her med staff and send a signed statement of acknowledgement and understanding. AD Yap agrees to only pre pour 1-days work of meds in the residents pill container.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on ovservation and interview, the Licensee did not comply with the section cited above in two out of two bathrooms, which poses an immediate health, safety or personal rights risk to persons in care. LPA observed Bathroom #1 was measured at 140.6 F and Bathroom #2 measured at 140.6 degrees F.

Official plan of correction

POC Due Date: 02/01/2025 Plan of Correction Administrator will obtain the correct temperature gauge and maintain a temperature log testing temperatures every two hours from 6pm on January 31, 2025 to 6pm on February 1, 2025. Administrator stated they will submit water temperature logs and pictures to CCLD via email to eboni.bentley@dss.ca.gov by POC due date February 1, 2025.

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