AMERIDGE RESIDENTIAL CARE

620 E. FERN DRIVE, Fullerton CA 92831

Facility 306004780 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Mar 17, 2026Licensed

Additional info
Licensee
AMERIDGE RESIDENTIAL CARE, INC.
Administrator
ANGELO BUENAVENTURA
Contact
ANGELO BUENAVENTURA
License first date
Jan 15, 2016
License effective date
Jan 15, 2016
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
935 - ELDERLY

Summary

The available records show 11 Type A and 13 Type B deficiencies for this facility.

Most recent inspection
Mar 17, 2026
Most recent deficiency
Mar 17, 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 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 11 Type A and 13 Type B deficiencies.

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

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
24

Well above the typical 1

9 in the last 12 months

Type A deficiencies
11

Most this size have none

1 in the last 12 months

Type B deficiencies
13

Well above the typical 1

8 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
3

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)
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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the facility's west backyard exit gate, which is marked as the exit path for emergencies on the fire clearance, was locked with a deadbolt and the facility's east backyard exit gate also had a deadbolt on it, although it was not locked, which poses an immediate safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 03/18/2026 Plan of Correction During the inspection, the licensee removed the deadbolts and LPA confirmed. Licensee stated they will conduct training on not locking exterior exit doors and submit proof to LPA by POC due date.

Corrective action observedRecorded in report dated Mar 17, 2026
Plan of correction recorded
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the facility's fire extinguishers were purchased over a year ago and have not been inspected, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will service or replace the fire extinguishers and submit 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
87411(f)
Regulation authority
CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, S3's health screening does not indicate whether or not they have TB, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will submit a new health screening that is complete 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
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the first aid certificates for S2 and S3 expired about a month ago, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will renew their first aid training and submit proof to LPA 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
1569.69(b)
Regulation authority
HSC

What the official deficiency says

(b) Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, S2 and S3 only have 2.5 hours of medication training in the past year, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will complete their medication training and submit proof 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)(7)
Regulation authority
CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (7) A description of any known behavioral expression as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, and R3 are on the old form and do not contain required information, including behavioral expressions, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will submit updated physician's reports on the new form for these residents 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
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 documents, the appraisals for R1 and R3 have not been updated in over a year, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will submit reappraisals for these residents to LPA 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(a)
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: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and admission, the licensee could not locate the facility's emergency disaster plan digitally and admitted there is no printed copy at the facility as required, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will submit their emergency disaster plan to LPA and a photograph of a physical copy of it at the facility 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 documents and admission, the licensee is unable to provide records showing quarterly emergency disaster drills, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2026 Plan of Correction Licensee stated they will submit emergency disaster drill records to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Hazardous items and storageType A
Official classification
Type A
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 observation, the licensee did not ensure toxins, including bleach, were inaccessible in the non-lockable garage, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 01/31/2025 Plan of Correction During the inspection, the licensee secured these items and LPA confirmed. Licensee stated they will retrain staff on securing dangerous items and submit proof to LPA by 02/06/25.

Corrective action observedRecorded in report dated Jan 30, 2025
Plan of correction recorded
View official report
Health conditions and treatmentsType A
Official classification
Type A
Official code
87608(a)(5)(A)
Regulation authority
CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and admission, Resident #1 (R1) had a full bedrail on their bed but is not on hospice, which poses an immediate personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/31/2025 Plan of Correction During the inspection, the licensee removed the full bedrail and LPA confirmed. Licensee stated they will conduct staff training on bedrails and submit proof to LPA by 02/06/24.

Corrective action observedRecorded in report dated Jan 30, 2025
Plan of correction recorded
View official report
Health conditions and treatmentsType A
Official classification
Type A
Official code
87633(a)(1)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility, when all of the following conditions are met: (1) The licensee has received a hospice care waiver from the department. This requirement is not met as evidenced by: Deficient Practice Statement Based on admission and documents, the facility has a hospice waiver for 2 but currently has 3 residents on hospice, which poses an immediate health risk to persons in care.

Official plan of correction

POC Due Date: 01/31/2025 Plan of Correction Licensee stated they will submit a hospice waiver increase request to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87470(c)
Regulation authority
CCR

What the official deficiency says

(c) An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the facility does not have an Infection Control Plan, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction Licensee stated they will review Provider Information Notice (PIN) 22-18-ASC, as well as related PINs, and submit the Infection Control Plan 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
87303(a)
Regulation authority
CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the facility's fire extinguishers were purchased in 2022 and have not been inspected since, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction Licensee stated they will purchase new fire extinguishers or have the fire extinguishers inspected and submit proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Background checksType B
Official classification
Type B
Official code
87355(e)(3)
Regulation authority
CCR

What the official deficiency says

(e) 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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on Guardian records and admission, Staff #1 (S1) Mileah L Evangelista has been working at the facility for over a year and is background cleared, but is not associated to the facility, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction Licensee stated they will associate S1 to the facility and submit proof to LPA 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
1569.69(a)(2)
Regulation authority
HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure 2 out of 2 staff had documented medication training, which poses a potential health risk to persons in risk.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction Licensee stated they will review PIN 23-16-ASC, complete the medication training for staff, and submit proof to LPA 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 documents and admission, the licensee has not been conducting emergency disaster drills, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 02/27/2025 Plan of Correction Licensee stated they will conduct an emergency disaster drill immediately, submit proof to LPA by POC due date, and will conduct emergency disaster drills quarterly moving forward.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Records and plan of operationType A
Official classification
Type A
Official code
87208(d)
Regulation authority
CCR

What the official deficiency says

(d) A licensee who accepts or retains bedridden persons shall include additional information in the plan of operation as specified in Section 87606(f). This requirement is not met as evidenced by: Licensee stated they did not submit Plan of Operations with bedridden plans as they did not obtain their license with bedridden approval. Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/20/2024 Plan of Correction Licensee agrees to submit updated Plan of Operations to LPA by POC due date

Plan of correction recorded
Correction not verified in available records
View official report
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: Facility had medications pre poured until 2/18/2024 Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 6 out of 6 persons which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/14/2024 Plan of Correction Licensee will conduct an in service training to advise of regulation and provide proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
1569.695(b)
Regulation authority
HSC

What the official deficiency says

(b) A facility shall provide training on the plan to each staff member upon hire and annually thereafter. The training shall include staff responsibilities during an emergency or disaster. This requirement is not met as evidenced by: Licensee stated they have not had a drill since 2021. Deficient Practice Statement Based on interview, the licensee did not comply with the section cited above which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2024 Plan of Correction Licensee agreed to conduct a drill and provide LPA proof of in service by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType A
Official classification
Type A
Official code
87606(c)
Regulation authority
CCR

What the official deficiency says

(c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). This requirement is not met as evidenced by: Facility does not have fire clearance for bedridden residents. Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses an immediate health and safety rights risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2024 Plan of Correction Licensee agreed to submit for updated fire clearance and provide proof to LPA by POC date.

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

What the official deficiency says

(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 as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. This requirement is not met as evidenced by: Residents files did not contain updated LIC 602 Medical Assessment. Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 6 out of 6 persons in care which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2024 Plan of Correction Licensee agreed to obtain updated LIC 602 or another updated medical form by POC due date.

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. To obtain this waiver the licensee shall submit a written request for a waiver to the Department on behalf of any residents who may request retention, and any future residents who may request acceptance, along with the provision of hospice services in the facility. This requirement is not met as evidenced by: Licensee did not request an updated waiver increase from CCLD prior to accepting residents. Deficient Practice Statement Based on record review, the licensee did not comply with the section cited which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2024 Plan of Correction Licensee agreed to submit a request for increase of hospice waiver from 2 to 6. Licensee will submit to LPA Mendivil by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87202(a)
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. This requirement is not met as evidenced by: LPA Mendivil observed office/ staff lounge room utlized as a bedroom , as bedroom has a bed, dresser and personal affects of a staff member. Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2024 Plan of Correction Licensee agreed to remove bed and replace with sofa for staff to utilize as a breakroom and provide proof 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