Senior Care Records.

Facility Evaluation Report

Jidde Residential Home III, Anaheim05/12/2025Licence 306004689

Capacity6
Census4
Date signed05/12/2025 01:04:22 PM
Name of licensing program analystSamer Haddadin
Name of licensing program managerAlisa Ortiz
The inspector’s account

Case Management Deficiency Report – Amendment:

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced Case Management Deficiency visit. The purpose of this visit was to amend a previous complaint report. LPA Haddadin was greeted and granted entry into the facility by House Manager (HM) Sarah Pinero.

LPA Haddadin had previously conducted a substantiated complaint investigation on April 24th, 2025, under Complaint Control Number: 22-AS-20250411093950. This Case Management Deficiency report serves to amend the Deficiency Page from that investigation, changing the citation from its original classification as a (B) Potential health and safety violation to an (A) Immediate health and safety violation.

Due to the previous substantiated findings, the facility is being cited for a violation of Title 22, Division 6 of the California Code of Regulations.

An exit interview was conducted with the House Manager (HM). A copy of this report, along with information regarding appeal rights, was provided at the conclusion of the visit.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction