GUARDIAN SENIOR HOMES ON MADISON

3080 MADISON AVENUE, Costa Mesa CA 92626

Facility 306004794 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Feb 12, 2026Licensed

Additional info
Licensee
KD CARE FACILITY, INC.
Administrator
KHANH DO
Contact
KHANH DO
License first date
Feb 4, 2016
License effective date
Feb 4, 2016
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 6 Type B deficiencies for this facility.

Most recent inspection
Feb 12, 2026
Most recent deficiency
Feb 12, 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 8 reports for this facility: 7 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 1 Type A and 6 Type B deficiencies.

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

Official inspections
7

More than the typical 4

1 in the last 12 months

Recorded deficiencies
7

Well above the typical 1

2 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
6

Well above the typical 1

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

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
Hazardous items and storageType B
Official classification
Type B
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, a bottle of nail polish remover was found unsecured in the bathroom which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/26/2026 Plan of Correction Nail polish remover was removed from the bathroom and secured. Staff stated in-service training on securing chemicals will be conducted by AD and proof will be sent to LPA 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(c)(1)(A)
Regulation authority
CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, two out of five resident files did not include evidence of TB testing which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/26/2026 Plan of Correction Staff stated TB testing will be conducted and proof will be sent 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 B
Official classification
Type B
Official code
1569.695(a)(2)
Regulation authority
HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, staff interview, and inspection of kitchen and garage areas, there is no emergency water available which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/07/2025 Plan of Correction Facility to purchased 5 cases of water and email LPA with pictures and receipt.

Plan of correction recorded
Correction not verified in available records
View official report
Resident rightsType B
Official classification
Type B
Official code
87468.1(a)(2)
Regulation authority
CCR

What the official deficiency says

To be accorded safe, healthful, and comfortable accomodations... This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, there are 2 video cameras with audio active on the second floor in an open area. No signage/notification was observed. Area is accessible to residents via open stairway. Facility dining room is located directly below/next to open stairway. Private conversations could be overheared via open stairway and recorded without the knowlege of the residents which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2025 Plan of Correction Facility and property owner to talk to renter and discuss camera options including total removal or using cameras with no audio. If cameras without audio are used, signage about recording to be installed by the stairway.

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

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Inspection
Dementia careType A
Official classification
Type A
Official code
87705(f)(1)
Regulation authority
CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed unsecured sharps and medications in kitchen. This poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/16/2024 Plan of Correction Licensee to secure noted items and forward proof to LPA by POC due date. Staff secured items during visit.

Corrective action observedRecorded in report dated Feb 15, 2024
Plan of correction recorded
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 record review, the licensee did not comply with the section cited above. The last emergency drill was conducted on 02/17/2023. This poses a potential health, and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction Licensee to conduct an emergency drill for quarter 1 and forward proof to LPA 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
87412(c)
Regulation authority
CCR

What the official deficiency says

Licensees shall maintain in the personnel records verification of required staff training and orientation. 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 one out of two staff. Staff 2 does not have required annual training which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/29/2024 Plan of Correction Licensee to ensure all staff are current on training and forward proof to LPA 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