Fire safety and emergency preparedness
Cited in 2 reports, with 4 deficiencies in total.
CHERI GROVE
1171 CHERI DRIVE, La Habra CA 90631
6 bedsLatest official report Mar 17, 2026Licensed
Additional info
- Telephone
- (562) 694-4507
- Licensee
- A&L HOLDINGS, INC.
- Administrator
- DARLYN COLESIO
- Contact
- DARLYN COLESIO
- License first date
- Jan 29, 2013
- License effective date
- Jan 29, 2013
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY
Summary
The available records show 3 Type A and 11 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 3 Type A and 11 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 14
- Type A deficiencies
- 3
- Type B deficiencies
- 11
- Substantiated complaints
- 0
- Repeated topics
- 2
About the same as most this size
1 in the last 12 months
Well above the typical 1
7 in the last 12 months
Most this size have none
1 in the last 12 months
Well above the typical 1
6 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.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
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, LPA observed the gate from the pool going east to the garden to be bolted shut and also a bolt placed, but not locked, on the sliding door from the covered patio, 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, AD removed the lock from the covered patio but was unable to find the key to unlock the deadbolt on the gate going from the pool to the garden. Licensee stated they will submit a photograph of the lock removed from the gate and conduct training on not locking exit gates and submit proof to LPA by POC due date.
Corrective action observedRecorded in report dated Mar 17, 2026
Plan of correction recorded
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, S1's health screening does not have a TB result and the x-ray TB results in S1's file are inconclusive and recommend another scan to be done which is not documented, 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 completed health screening for S1 including complete TB results to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
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 documents, S3 has not completed any hours of continuing annual training since January 2025, 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 complete S3's training and submit 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
- 1569.69(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, S3 has not completed any hours of continuing medication training since January 2025, 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 complete S3's medication training and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
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 include 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 obtain new physician's reports on the new form for these residents and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)(1)
- Regulation authority
- CCR
What the official deficiency says
(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1 and R2 are more than a year old and there is no documentation of an annual routine visit within the past year in their files, 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 obtain new physician's reports or records of an annual routine visit for these residents and submit 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 documents, the facility did not conduct any emergency disaster drills between May 20, 2025 and January 16, 2026, meaning the drills were not conducted quarterly 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 a statement of understanding regarding the quarterly emergency disaster drill requirement to LPA by POC due date..
Plan of correction recorded
Correction not verified in available records
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 documents, the licensee did not ensure S1's staff file contained documented evidence of the required 20-hour annual training, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 02/03/2025 Plan of Correction Licensee stated they will complete and document S1's required training and submit proof 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)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents and admission, R1 is being given supplements including calcium with no doctor's orders on file and is not being given medications including Acetaminophen without discontinuation orders and R2 was not given their iron and vitamin C supplements after December 2024 despite the doctor's order not being discontinued, which poses a potential health risk to persons in care.
Official plan of correction
POC Due Date: 02/03/2025 Plan of Correction Licensee stated they will obtain up-to-date medication lists from the residents' doctors, accurately track medication administration for residents, and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not ensure supplements were secured in the non-lockable staff bedroom and sharps and toxins were secured in the kitchen where the key to the padlocks could not be located during the inspection, which poses an immediate safety risk to persons in care.
Official plan of correction
POC Due Date: 05/30/2024 Plan of Correction During the inspection, the licensee secured these items and LPA confirmed. Licensee stated they will conduct staff training on securing dangerous items and will submit proof to LPA by POC due date.
Corrective action observedRecorded in report dated May 29, 2024
Plan of correction recorded
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, the licensee has been using a full bedrail on the bed of R1 who is not on hospice and could not locate doctors' orders for half bedrails for all 4 residents who are using half bedrails, which poses an immediate personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/30/2024 Plan of Correction During the inspection, the licensee removed the full bedrail and LPA confirmed. Licensee stated they will submit doctors' orders for half bedrails for all 4 residents to LPA by 06/26/24.
Corrective action observedRecorded in report dated May 29, 2024
Plan of correction recorded
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
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 documents, the licensee did not ensure the two fire extinguishers were certified yearly when they were last serviced on 03/14/23, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2024 Plan of Correction Licensee stated they will have the fire extinguishers serviced or replaced and will submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(a)
- Regulation authority
- HSC
What the official deficiency says
(a) The administrator designated by the licensee pursuant to paragraph (11) of subdivision (a) of Section 1569.15 shall be present at the facility during normal working hours. A facility manager designated by the licensee with notice to the department, shall be responsible for the operation of the facility when the administrator is temporarily absent from the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, no one present or associated with the facility has a valid administrator's certificate, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2024 Plan of Correction Licensee stated they will appoint a certified administrator 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(f)(1)
- Regulation authority
- HSC
What the official deficiency says
(f) A facility shall have both of the following in place: (1) An evacuation chair at each stairwell, on or before July 1, 2019. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the facility has two stories but does not have an evacuation chair, which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 06/26/2024 Plan of Correction Licensee stated they will purchase and install an evacuation chair and submit proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
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