Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
ANGELIC DWELLING CARE HOME
17709 BEECH STREET, Fountain Valley CA 92708
6 bedsLatest official report Mar 18, 2026Licensed
Additional info
- Telephone
- (949) 413-3049
- Licensee
- ANGELIC DWELLING CARE HOME LLC
- Administrator
- FAJARDO, RHOENA
- Contact
- FAJARDO, RHOENA
- License first date
- Jan 22, 2021
- License effective date
- Jan 22, 2021
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 2 Type A and 5 Type B deficiencies for this facility.
- Most recent inspection
- Jan 30, 2026
- Most recent deficiency
- Jan 24, 2025
2 later reports, from Jan 30, 2026 through Mar 18, 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 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 5 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 7
- Type A deficiencies
- 2
- Type B deficiencies
- 5
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 4
1 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size also have none
0 in the last 12 months
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.
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's review of staff records. There is no annual staff training. This could pose as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 02/14/2025 Plan of Correction Provide proof of 20 hours of annual staff training to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's review of medication. The centrally stored medication list needs to be updated and documented properly. Expired medication needs to be discarded and noted. This could pose as a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 02/14/2025 Plan of Correction Facility will created and organize new monthly centrally stored medication list and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
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 LPA's review of records. There are no records of quarterly disaster drills. This could pose as a potential health and safety risk to the residents in care.
Official plan of correction
POC Due Date: 02/14/2025 Plan of Correction Facility will conduct disaster drill and document and provide proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(d)
- Regulation authority
- CCR
What the official deficiency says
CARE OF PERSONS WITH DEMENTIA 87705(d): Each resident with dementia shall have a annual medical assessment as specified in section 87458, medical assessment, and reappraisal done atleast annually, both of which shall include a reassessment of the resident dementia care needs. This requirement is not met as evidenced by: LPAs observed LIC 602 for resident 1 dated 11/22/2022, R1 has a diagnose of dementia. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/05/2024 Plan of Correction L/AD Rhoena Fajardo will obtain copy of R1's updated physician report and submit to CCLD by POC due date of 4/5/2024.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
INCIDENTAL MEDICAL AND DENTAL CARE 87465(e): For every prescription and non prescription, 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... This requirement is not met as evidenced by: During today's visit, LPAs observed 2 supplemental vitamins and 2 medications in centrally stored medications not listed on Resident 4's Medication Administration Record. Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/05/2024 Plan of Correction L/AD Rhoena Fajardo will read and understand CCR 87465, and obtained updated MAR's for Residents in care and submit to CCLD by 4/5/2024.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(i)(1)(A-C)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintanence and Operation. (i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: (A) Operate from each resident's living unit. (B) Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff. (C) Identify the specific resident living unit. Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 3 out of 3 bedrooms with 2 beds each which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/18/2022 Plan of Correction Licensee to ensure it complies with this section by installing a signal system pursuant to Title 22 regulation and submit written proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(1)
- Regulation authority
- CCR
What the official deficiency says
87355(e)(1) Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearnace or a criminal record exemption as required by the Department. Deficient Practice Statement Based on observation and interview the licensee did not comply with the section cited above in 2 out of 2 individuals which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/18/2022 Plan of Correction Licensee to ensure it complies with this section and obtain a Criminal Record Clearance for the 2 caregivers present at the facility at the time of this inspection and submit written proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
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