ADELYA SENIOR HOME

16912 SAGA DRIVE, Yorba Linda CA 92886

Facility 306004712 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Feb 18, 2026Licensed

Additional info
Licensee
LARICEL,LLC
Administrator
LAWRENCE LINDSEY
Contact
LAWRENCE LINDSEY
License first date
Feb 23, 2015
License effective date
Feb 23, 2015
District office
ORANGE COUNTY RO · (714) 703-2840
Regional office
22
Clients served
935 - ELDERLY

Summary

The available records show 2 Type A and 8 Type B deficiencies for this facility.

Most recent inspection
Feb 18, 2026
Most recent deficiency
Feb 18, 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: 4 inspections, 2 complaint investigations, and 0 licensing or administrative records.

Those records contain 2 Type A and 8 Type B deficiencies.

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

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
10

Well above the typical 1

1 in the last 12 months

Type A deficiencies
2

Most this size have none

0 in the last 12 months

Type B deficiencies
8

Well above the typical 1

1 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

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
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interviews, and record review, the licensee did not comply with the section cited above. LPA observed S1's and S2's CPR/First Aid training expired on March 22, 2025. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/04/2026 Plan of Correction Licensee stated they will provide a completed CPR and First Aid training for S1 to CCLD via email to edward.kim@dss.ca.gov by POC due date March 4, 2026.

Plan of correction recorded
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report
Inspection
Licensing and administrationType B
Official classification
Type B
Official code
1569.319(a)
Regulation authority
HSC

What the official deficiency says

(a) A licensee of a facility that has internet service shall provide at least one internet access device, such as a computer, smart phone, tablet, or other device, that can support real-time interactive applications, is equipped with videoconferencing technology, including microphone and camera functions, and is dedicated for resident use. 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. LPA observed the facility did not have internet access device such as a computer, smart phone, tablet, or other device that is dedicated to the residents. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/17/2025 Plan of Correction Licensee states they will purchase an internet access device that is dedicated for resident use and provide proof to CCLD via email to edward.kim@dss.ca.gov by POC due date 2/17/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(5)(B)
Regulation authority
CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in one out of four residents. LPA observed in resident 4 (R4) had full bed rails with no hospice record for full rails. This poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/17/2025 Plan of Correction Licensee states they will provide the hospice order and care plan for the full bed rails for Resident 4 (R4) to CCLD via email to edward.kim@dss.ca.gov by POC due date 2/17/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType A
Official classification
Type A
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 the stove was not in good repair. The burners on the stove needed to be lit with a lighter to light the flame on the burners. Based on observation the smoke detector in resident room #1 was not in good working order. , the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2024 Plan of Correction The licensee will get the stove repaired and replace the smoke detector in the residents room. Confirmation the stove and smoke detector was repaired will be sent to LPA Haley by 1:00PM February 22, 2024.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation of the hot water reaching temperatures above regulation requirements in both resident bathrooms, the licensee did not comply with the section cited above, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/22/2024 Plan of Correction The licensee will adjust the hot water temperatures to comply with regulation guidelines. Confirmation the hot water temperature was adjusted will be email to LPA Haley by 1:00PM February 22, 2024.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(c)
Regulation authority
CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation of a ripped window screen in resident room #3, the licensee did not comply with the section cited above which poses a potential health and safety rights risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2024 Plan of Correction The licensee will have the screen replaced or repaired by 1:00PM February 23, 2024. Licensee will email LPA Haley a photo of the replaced screen by the POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(2)
Regulation authority
CCR

What the official deficiency says

(2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation of the printer in the dining room, the printer in not in good repair and copies of requested documents (resident roster and LIC500) could not be provided during the visit.

Official plan of correction

POC Due Date: 02/23/2024 Plan of Correction The licensee with have the printer in the kitchen repaired or removed by 1:00PM February 23, 2024.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(6)
Regulation authority
CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation of an old bed frame and old mattress in the back yard that need to be disposed of, the licensee did not comply with the section cited above which poses potential safety risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2024 Plan of Correction The licensee will have the items removed by 1:00PM February 23, 2024. The licensee will email LPA Haley a photo once the clutter debris have been removed.

Plan of correction recorded
Correction not verified in available records
View official report
Basic services and supervisionType B
Official classification
Type B
Official code
87219(a)
Regulation authority
CCR

What the official deficiency says

(a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. The activities made available shall include: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews, the licensee did not comply with the section cited above which poses a personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/23/2024 Plan of Correction The licensee will incorporate additional activities for the residents by 1:00PM February 23, 2024. The licensee will email LPA Haley a list of the new activities to be incorporated in the community and a plan to ensure the residents all have the opportunity to participate in activities.

Plan of correction recorded
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Inspection
Medical and dental careType B
Official classification
Type B
Official code
87465(f)(1)
Regulation authority
CCR

What the official deficiency says

(f) Emergency care requirements shall include the following: (1) The name, address, and telephone number of each resident's physician and dentist shall be readily available to that resident, the licensee, and facility staff. 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 in three out of five resident files which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/15/2022 Plan of Correction Facility needs to update forms and email LPA Claudia Gutierrez a copy of forms completed by 04/15/2022.

Plan of correction recorded
Correction not verified in available records
View official 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