A FAITHFUL HOME OF HUNTINGTON BEACH

6192 KIMBERLY DRIVE, Huntington Beach CA 92647

Facility 306006335 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 24, 2026Licensed

Additional info
Licensee
TONYROSE VENTURES LLC
Administrator
KHOLOMA, THERESA
Contact
KHOLOMA, THERESA
License first date
Jul 6, 2023
License effective date
Jul 6, 2023
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Jul 24, 2026
Most recent deficiency
Jul 24, 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: 2 inspections, 0 complaint investigations, and 2 licensing or administrative records.

Those records contain 1 Type A and 2 Type B deficiencies.

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

Official inspections
2

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
3

More than 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
2

More than 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
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.

Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

87303(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 and interview, the licensee did not comply with the section cited above in one out of five stove burners, which poses a potential health and safety risk to persons in care. LPA observed one out of five stove burners is non-operational and in need of repair.

Official plan of correction

POC Due Date: 07/31/2026 Plan of Correction Administrator stated stove top burner will be repaired/replaced to ensure all five burners are operational, and Administrator will submit proof to CCLD by POC due date via LPA email.

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(a)(11)
Regulation authority
CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, staff interview, and record review, the licensee did not comply with the section cited above in two of four staff records, which poses a potential health and safety risk to persons in care. A record review revealed that two staff members do not have a completed Health Screening Report (LIC503).

Official plan of correction

POC Due Date: 07/31/2026 Plan of Correction Administrator stated health screening will be obtained for staff and proof provided to LPA via email by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medical and dental careType A
Official classification
Type A
Official code
87465(d)(3)
Regulation authority
CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. 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 by not loging PRN, date and dosage medication for R1 which poses an immediate health, safety risk to persons in care.

Official plan of correction

POC Due Date: 07/18/2025 Plan of Correction Licensee to E mail LPA the medication log with date and dosage by POC date

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this 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