Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
A FAITHFUL HOME
26642 SALAMANCA DRIVE, Mission Viejo CA 92691
6 bedsLatest official report Jun 16, 2026Licensed
Additional info
- Telephone
- (949) 382-2818
- Licensee
- A FAITHFUL HOME, LLC
- Administrator
- THERESA KHOLOMA
- Contact
- THERESA KHOLOMA
- License first date
- Jun 28, 2016
- License effective date
- Jun 28, 2016
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 5 Type A and 9 Type B deficiencies for this facility.
- Most recent inspection
- Jun 16, 2026
- Most recent deficiency
- Jun 16, 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 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 5 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 14
- Type A deficiencies
- 5
- Type B deficiencies
- 9
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 4
2 in the last 12 months
Well above the typical 1
9 in the last 12 months
Most this size have none
2 in the last 12 months
Well above the typical 1
7 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
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 LPA observations, sharps were found in the kitchen cabinet and bug spray was found in the garage unsecured and accessible to residents which poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2026 Plan of Correction AD stated locks will be placed in the kitchen housing the sharps and a new lock will be placed on the garage door. AD to send proof to LPA
Plan of correction recorded
Correction not verified in available records
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 LPA observations, exit alarms for two resident rooms were non-operational or missing which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2026 Plan of Correction AD stated exit alarms will be replaced by POC due date. AD to send to proof to LPA.
Plan of correction recorded
Correction not verified in available records
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 record review, two out of three staff did not have evidence of a completed health screening which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2026 Plan of Correction
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, no training records were available for one out of three staff which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2026 Plan of Correction AD stated in-service training will be completed by licensee. AD to email 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(a)(2)
- 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: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to, a short-term or long-term power failure. If the facility plans to shelter in place and one or more utilities, including water, sewer, gas, or electricity, is not available, the facility shall have a plan and supplies available to provide alternative resources during an outage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations, there is insufficient emergency food and water to be self reliant for 72 hours which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2026 Plan of Correction AD stated 15 gallons of water and emergency food container will be ordered and stored at the facility. AD to submit proof to LPA
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(d)
- Regulation authority
- HSC
What the official deficiency says
(d) A facility shall review the plan annually and make updates as necessary, including changes in floor plans and the population served. The licensee or administrator shall sign and date documentation to indicate that the plan has been reviewed and updated as necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee has not updated the facility disaster plan since 2019 which poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 06/30/2026 Plan of Correction AD stated licensee will update the disaster including updated staff information. AD to send proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87470(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(a) A licensee shall ensure that infection control practices are maintained as follows: (1) All staff and volunteers shall perform hand hygiene. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, S2 did not comply with the section cited above as S2 did not remove the right glove and wash hands after changing the diaper of R6 and used their hands to open a locked kitchen cabinet which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/18/2025 Plan of Correction House Manager stated that the knives and cabinet door handle will be sanitized and disinfected and will forward proof of infection control in-service training for all staff to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87608 Postural Supports (a)... Postural supports may be used under the following conditions. (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in five out of six residents which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/26/2025 Plan of Correction House Manager to forward proof of bedrail orders for R1, R2, R4, R5, and R6 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
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. 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 file review, the licensee did not comply with the section cited above for two out of two staff in which the LIC503s were missing which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/26/2025 Plan of Correction House Manager to foward proof of the Health Screening Reports (LIC503s) for S1 and S2 to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87456(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (3) Obtain and evaluate a recent medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on Licensing Program Analyst file review, the licensee did not comply with the section cited above in three of four dementia residents which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 07/05/2024 Plan of Correction Facility will obtain updated LIC 602 Physician Reports for two of four residents from medical providers for dementia residents.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202
- Regulation authority
- CCR
What the official deficiency says
87202 Fire Clearance 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: Deficient Practice Statement Based on observation, facility did not maintain the fire clearance approved by County Fire Department. At 11:28 AM, LPAs observed locked padlocks on both backyard exit gates. Observation verified with House Manager. This poses an immediate threat on safety of residents in care.
Official plan of correction
POC Due Date: 05/23/2022 Plan of Correction House Manager directed staff to remove padlocks on both exit gates. Threat reduced. As plan of correction, facility will no longer apply padlocks on both exits. As proof of correction, Administrator will provde training on the regulation cited; and copy of the training will be provided to Community Care Licensing Division (CCLD) on or before 05/23/2022. Civil penalty was assessed. Note: LPA provide copy of regulation for full reference.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1-2)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia This requirement is not met as evidenced by: (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. Deficient Practice Statement Based on observation, the facility did not maintain the knives, over-the-counter medication, cleaning supplies and disinfectants inaccessible to residents with dementia. LPAs observed knives in an open drawer, over-the-counter medication in resident's drawer, and cleaning supplies and disinfectants in a garage with open door. This poses an immediate threat in health and safety of residents in care.
Official plan of correction
POC Due Date: 05/23/2022 Plan of Correction House Manager instructed staff to keep knives in locked cabinet, take over-the-counter medication out of resident's drawer, and to always close and lock garage door. Threat reduced. As plan of correction, administrator will provide training to the regulations cited. Proof of correction will be submitted to Community Care Licensing Division on or before 05/23/2022. Note: LPA provide copy of regulation for full reference.
Plan of correction recorded
Correction not verified in available records
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 87365(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87365(h)(2) Incidental Medical and Dental Care (2) Centerally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centerally stored medication. This requirement was not met as evidence by: Deficient Practice Statement Based on observation, interview and file review, the facility failed to keep the centrally stored medication in a safe and locked place that is not accessible to residents in care, other than employees responsible for the supervision of centrally stored medication. LPAs observed a total of 33 bottles of both sealed and unsealed medication in resident #1's room. This poses an immediate threat on the health and safety of the residents in care.
Official plan of correction
POC Due Date: 05/23/2022 Plan of Correction House Manager instructed to remove all medications from resident's room. Threat reduced. Administrator will provide training to staff on regulations cited. Proof of training will be submitted before or on 05/23/2022 to CCLD. Note: LPA provide copy of regulation for full reference.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87625 Managed Incontinence (3) Ensuring the continent residents are kept clean and dry and that the facility remains free of odors from incontience. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, facility failed to keep residents room clean and odor free from incontinence. LPAs noted a strong offending odor in a room shared by resident #2 and #3. This poses potential threat on health and safety of residents in care.
Official plan of correction
POC Due Date: 05/23/2022 Plan of Correction As Plan of Correction, House Manager will ensure that room is kept clean and odor free at all times. Proof of training on cited regulation will be provided to CCLD on or before 05/23/2022. Note: LPAs provided copy of full regulation for reference.
Plan of correction recorded
Correction not verified in available records
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