Senior Care Records.

Facility Evaluation Report

Guardian Angels Homes IV, Santa Ana07/29/2025Licence 306003532

Capacity6
Census6
Date signed07/29/2025 11:52:03 AM
Name of licensing program analystBrandon Lopez
Name of licensing program managerSheila Santos
The inspector’s account

On July 29, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Licensee (LI) Sonia Garcia and Administrator (AD) Jonathan Harlan was notified via telephone and later arrived to assist with the inspection. LPA observed that Jonathan Harlan has a valid Administrator certificate which expires on September 3, 2025.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents. The facility is a single story home with six private resident bedrooms, one staff bedroom, five resident bathrooms, a living room, a dining room, a kitchen, a TV room, a laundry room, and an unattached two car garage. LPA, accompanied by the AD, conducted a tour of the interior portions of the facility. On today's visit, LPA observed six resident in care and two care giving staff present. LPA observed residents relaxing in the TV room. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected all six resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the five resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 116.9 to 118 degrees Fahrenheit. LPA observed the staff bedroom to be kept locked and inaccessible to residents in care.

LPA observed the kitchen has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. CONTINUED ON LIC809-C

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