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JC COTTAGES - HOLLYDALE

1013 N HOLLYDALE DR, Fullerton CA 92831

Facility 306005576 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jun 29, 2026Licensed

Additional info
Licensee
JC COTTAGES LLC
Administrator
PARUNGAO, MARIA
Contact
PARUNGAO, MARIA
License first date
Jun 20, 2019
License effective date
Jun 20, 2019
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 3 Type B deficiencies for this facility.

Most recent inspection
Jun 29, 2026
Most recent deficiency
Jun 29, 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 1 Type A and 3 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
4

More than the typical 1

1 in the last 12 months

Type A deficiencies
1

Most this size have none

0 in the last 12 months

Type B deficiencies
3

More than the typical 1

1 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.

All report types
All report typesInspectionComplaintLicensing record
Inspection
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 report for R5 is on the old form and does not include required information, including behavioral expressions, and R5's file also does not have a TB test result, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 07/27/2026 Plan of Correction Licensee stated they will find or obtain R5's TB test results and obtain a new physician's report for R5 on the new form and submit proof to LPA by POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
View official source
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 medications and supplements were inaccessible in the non-lockable staff bedroom, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 07/11/2025 Plan of Correction During the inspection, the licensee secured these medications and LPA confirmed. Licensee stated they will retrain staff on securing dangerous items and submit proof to LPA by 07/17/25.

Corrective action observedRecorded in report dated Jul 10, 2025
Plan of correction recorded
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: 08/07/2025 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 and ensure it is available at the facility.

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 extinguisher has not been serviced or replaced since 2021, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 08/07/2025 Plan of Correction Licensee stated they will service or purchase a new fire extinguisher and submit proof to LPA by POC due date.

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

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