Inspection
No deficiencies recorded in this report
ADELINE'S GUEST HOME
2108 CARLETON CIRCLE, Placentia CA 92870
6 bedsLatest official report Jun 1, 2026Licensed
Additional info
- Telephone
- (714) 504-0697
- Licensee
- MONCERNA, ADELINE V.
- Administrator
- ADELINE V. MONCERA
- Contact
- ADELINE V. MONCERA
- License first date
- Jun 26, 2006
- License effective date
- Jun 26, 2006
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY
Summary
The available records show 2 Type B deficiencies for this facility.
- Most recent inspection
- Jun 1, 2026
- Most recent deficiency
- Oct 25, 2023
3 later reports, from Jun 14, 2024 through Jun 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 984 Orange County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 2
- Type A deficiencies
- 0
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 4
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size also have none
0 in the last 12 months
More than the typical 1
0 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.
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
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(d)
- Regulation authority
- CCR
What the official deficiency says
(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. 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 as LPA observed AD does not have a current, unexpired AD certificate, and staff present was unable to confirm if AD had renewed their certificate or competed certification requirements which poses a potential personal rights risk to persons in care.
Official plan of correction
POC Due Date: 11/24/2023 Plan of Correction Staff Lee stated AD will provide LPA with copies of documentation that AD has met certification requirements via email by POC 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 staff interview, the licensee did not comply with the section cited above as a disaster drill log was not available for review, and staff present was unable to confirm the frequency of drills conducted which poses a potential safety risk to persons in care.
Official plan of correction
POC Due Date: 10/24/2023 Plan of Correction Staff Lee stated AD will provide LPA with documentation of drills conducted which include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This documentation will be maintained and will be available upon request.
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