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Inspection visit

Follow-up on corrections

GOLDEN LEAF MANORLicense 1976063062 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Jose Villalobos conducted the case management visit to address deficiencies observed during the annual inspection. LPA met with Staff Samantha Alex and the purpose of the visit was discussed. During the visit, LPA was not able to access staff files as they were locked in an office and no staff were able to unlock the room. LPA also observed Staff #1 (S1) to be living on site in the facility without a criminal record clearance. Facility had previously been cited for S1 not being cleared on 5/23/23. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 809-D. Immediate civil penalties of $3000 shall be assessed for a maximum of 30 days as Staff #1 is still not criminally record cleared as this is a subsequent violation within a 12 month period of a civil penalty, 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 other inspection of GOLDEN LEAF MANOR on December 21, 2023. 2 citations were issued: 1 Type A (serious) and 1 Type B.

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

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87355 Criminal Record Clearance(e) All individuals subject to a criminal record review pursuant to Health and Safety Cod..."

What type of inspection was this?

This was a other inspection. other 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.