Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportGARDEN GROVE GUEST HOME LLC
12882 SHACKELFORD LANE, Garden Grove CA 92841
47 bedsLatest official report Nov 1, 2026Licensed
Additional info
- Telephone
- (714) 430-3534
- Licensee
- GARDEN GROVE GUEST HOME, LLC
- Administrator
- CONNOR KELLEY
- Contact
- CONNOR KELLEY
- License first date
- Sep 14, 2021
- License effective date
- Sep 14, 2021
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type B deficiencies for this facility.
- Most recent inspection
- Jan 13, 2026
- Most recent deficiency
- Jan 13, 2026
2 later reports, from Jun 11, 2026 through Nov 1, 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 9 Orange County facilities licensed for 16 to 49 beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 17 reports for this facility: 6 inspections, 10 complaint investigations, and 1 licensing or administrative record.
Those records contain 0 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 3
- Type A deficiencies
- 0
- Type B deficiencies
- 3
- Substantiated complaints
- 1
- Repeated topics
- 0
Fewer than the typical 7
3 in the last 12 months
Fewer than the typical 5
2 in the last 12 months
Fewer than the typical 2
0 in the last 12 months
About the same as most this size
2 in the last 12 months
Fewer than the typical 2
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.
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.
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportRecords and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(e)
- Regulation authority
- CCR
What the official deficiency says
87506(e) Resident Records Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was not met as evidence by: LPA observed the last documentation done for R1 in July 2023, but did not observe R1s completed file. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee stated that they will create a policy regarding the cited regulation and retaining documentation and conduct an in service with facility management and send proof to LPA by POC due date.
Deadline recorded: Feb 3, 2026. A deadline is not proof that correction was completed.
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211(a)(1) Reporting Requirements (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence... This requirement was not met as evidence by: LPA did not observe an incident report for R1 for an incident that happned on April 25, 2024. This poses a potential health, safety and personal rights risk to residents in care.
Official plan of correction
Licensee stated they will conduct an in service on reporting requirements to all staff and send proof to LPA by POC due date.
Deadline recorded: Jan 2, 2026. A deadline is not proof that correction was completed.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 0 unsubstantiated · 3 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
Per CCR Section 87628(a) on Diabetes: " The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing (...), and is able to administer his/her own medication (...) or has it administered by an appropriately (...) skilled professional. This requirement is not met as evidenced by multiple statements indicated med tech staff are conducting injections personally rather than hand-on-hand. This constitutes a potential risk to the health, safety and personal rights of residents in care.
Official plan of correction
Licensee intends to apply for a Department-issued waiver in order to continue providing care to its residents who have become unable to manage their condition independently.
Deadline recorded: Dec 16, 2024. A deadline is not proof that correction was completed.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource 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