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Inspection visit

Routine inspection

GOLDEN LEAF MANORLicense 197606306
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Staff Samantha Alex . The following 12 (CARE) tool domains were utilized during the inspection: LPA was able to completed three (3) of (12) CARE tool domains such as the following: Physical Plant/Environment Safety: (2) Living rooms, kitchen, dining area, (6) bedrooms of which (3) are for resident use, (4) bathrooms, (1) office, outdoor kitchen/laundry area and a detached storage room. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are enclosed ponds in the backyard. Cleaning supplies and toxic substances are inaccessible. Water temperature readings measured within title 22 regulations. Resident Rights - Information Required postings observed Food Service: Sanitation practices and kitchen cleanliness was observed. Kitchen has utensils for clients to use and to store their meals LPA was unable to gain access to the office. LPA was unable to gain access to staff files. LPA to return at a later to complete remaining domains. Per Title 22 Regulations, the deficiencies observed are documented on separate LIC 809. An exit interview was conducted and a copy of this report and appeal rights provided to Staff Samantha Alex .

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87355(e)(1)Type A

    87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or...: This requirement is not met as evidenced by: Staff #1 does not have a criminal record clearance or association to the facility and resides on the property, this poses an immediate health and safety risk to resident(s) in care.

  • 87412(a)Type B

    87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee.... This was not met as evidenced by: LPA was unable to access staff files as the staff files were locked in an office and no staff had a key. Licensee had the key but could not be present during visit, this poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 21, 2023 inspection of GOLDEN LEAF MANOR?

This was a inspection inspection of GOLDEN LEAF MANOR on December 21, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to GOLDEN LEAF MANOR on December 21, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.