306003778-7-21-2026-22-AS-WVAS-DW7VET-20260721162251

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306003778
Report Date: 07/21/2026
Date Signed: 07/21/2026 04:24:18 PM

Document Has Been Signed on 07/21/2026 04:24 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME:	D & D HOMES		FACILITY NUMBER:	306003778
ADMINISTRATOR/ DIRECTOR:	LEILANI MAE DAGDAG		FACILITY TYPE:	735
ADDRESS:	10202 DALE AVE		TELEPHONE:	(714) 827-2737
CITY:	STANTON	STATE: CA	ZIP CODE:	90680
CAPACITY: 5		CENSUS: 4	DATE:	07/21/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Leilani Mae Dagdag (Administrator)		TIME VISIT/ INSPECTION COMPLETED:	04:37 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by facility staff. LPA explained the purpose of the visit, and Administrator (AD) Leilan Dagdag was notified of LPA Vanegas arrival, and arrived shortly after to assist LPA with the annual inspection. LPA began a tour of the facility and observed the following. AD has a valid administrator certificate valid from November 04, 2024 through November 03, 2026. The facility is a one storied home equipped with five bedrooms all of which are utilized by clients in care, two bathrooms, and an attached one car garage. LPA observed kitchen area to be clean and free of any mildew and debris. LPA observed kitchen area to consist of a gas stove, refrigerator, microwave, and a dishwasher. All appeared to be in good repair, and tested operational. LPA observed the facility to have a two day supply of perishable food, a seven day supply of non-perishable food and a sufficient amount of emergency water on hand. LPA observed all client bedrooms to be large enough to walk about freely, and for the bedrooms to be large enough to accommodate all required furnishings including the following: A chest of drawers, a bed, clean linens in good repair; meaning no strains or tears, a reading lamp, a chair, and enough storage space to store personal belongings. LPA observed bedrooms to be free of any obstructions blocking entry ways, and free of any hazards. LPA observed all resident restrooms to have all required furnishings such as a shower chair, slip resistant floor matts, and grab bars. LPA observed water faucets, and toilets to be in good repair and tested operational. LPA observed hot water to test between 109.8 and 111.2 degrees Fahrenheit. CONTINUED ON LIC 809-C.

Kevin Saborit-Guasch
William Vanegas
	DATE: 07/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are 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 deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: D & D HOMES	FACILITY NUMBER: 306003778
	VISIT DATE: 07/21/2026

NARRATIVE

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LPA observed all fire extinguishers to be fully charged and have an updated service tag attached to them. LPA observed all smoke detectors and carbon monoxide detectors to be in good repair and tested operational. LPA observed first aid kit to have all required items including the following: Scissors, tweezers, adhesive tape, bandages, a thermometer, and a first aid manual.

LPA conducted a tour of the exterior of the facility and observed the following. The backyard of the facility is large enough to participate in outdoor activities upon client request. LPA observed the backyard to be free of any obstructions and hazards, LPA observed the facility to have an outdoor shaded sitting area that is located away from traffic. LPA observed side exits to be free of any obstructions and for the side doors to be self latching an unlocked.

LPA reviewed four client files and three staff files. All files (Client and Staff) had all required documents, and annual staff training was completed and up to date. LPA reviewed P&I accompanied by AD and observed the amount of the cash on hand exceeds the amount of the surety bond on file. A deficiency was issued on today's date. LPA reviewed medications accompanied by AD and observed all medications to be documented correctly. Per LPA review all medications are being administered per physicians report.

Based on observations made during today's inspection deficiencies will be issued per title 22 chapter 6 division 8 of the California Code of Regulations. An exit interview was conducted with AD and a copy of this report, and appeal rights were provided to the facility.

NAME OF LICENSING PROGRAM MANAGER: Kevin Saborit-Guasch
NAME OF LICENSING PROGRAM ANALYST: William Vanegas
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/21/2026 04:24 PM - It Cannot Be Edited

Created By: William Vanegas On 07/21/2026 at 04:13 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: D & D HOMES	FACILITY NUMBER: 306003778
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/21/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

80026(h)(1)

Safeguards for Cash Resources, Personal Property and Valuables

(h) Each licensee shall maintain accurate records of accounts of cash resources, personal property, and valuables entrusted to his/her care, including, but not limited to the following: (1) Records of clients' cash resources maintained as a drawing account, which shall include a current ledger accounting, with columns for income, disbursements and balance, for each client. Supporting receipts for purchases shall be filed in chronological order. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review the licensee did not comply with this section as LPA reviewed the cash on hand exceeds the amount that is approved in the surety bond; which poses a potential personal rights risk to persons in care.
	POC Due Date: 08/11/2026
	Plan of Correction
1 2 3 4	Administrator agrees to open a bank account for resident and will deposit extra cash on hand into the bank account. Administrator agrees to send proof of correction to L.P.A via email by P.O.C due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Kevin Saborit-Guasch
NAME OF LICENSING PROGRAM MANAGER:

	William Vanegas
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/21/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2026

LIC809 (FAS) - (06/04)

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