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Inspection visit

complaint

GOLDEN CARE LIVING IIILicense 1983200242 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

The investigation revealed the following: Regarding the allegation “Staff did not check on resident every 2 hours for incontinence care”, it is being alleged that Resident 1 (R1) was not assisted with incontinence care on 10/15/2024 from 2:00 AM to 6:00 AM. Interviews conducted revealed the following: 5 out 5 residents indicated that staff does not check on them or assist them from 2:00 AM to 6:00 AM. 4 out 5 residents indicated that there is no night staff. R1 indicated that she was not assisted with incontinence care at night. 3 out of 3 staff indicated that they do not work from 2:00 AM to 6:00 AM. 3 out of 3 staff indicated that their “Daily Time Sheet” is correct. Records reviewed of Daily Time Sheets revealed the following: “Daily Time Sheet Caregiver 1” “Covered Dated Oct. 1-15, 2024” demonstrates that Caregiver 1 works from 7:00 AM to 7:00 PM; according to the time sheet Caregiver 1 worked on 10/15/2024 from 7:00 AM to 7:00 PM. “Daily Time Sheet Caregiver 2” “Covered Date” Oct. “1-15, 2024” demonstrates that Caregiver 2 works from 8:00 AM to 8:00 PM; according to the time sheet Caregiver 2 worked on 10/15/2024 from 8:00 AM to 8:00 PM. “Daily Time Sheet” for Caregiver 3 “Covered Date Oct. 1-15, 2024” demonstrates that Caregiver 3 works from 8:00 AM to 8:00 PM; according to the time sheet Caregiver 3 did not work on 10/15/2024. Resident 1’s records revealed the following: “Physician’s Report for Residential Care Facilities for the Elderly” indicated that R1 needs incontinence assistance; “Resident Appraisal for Residential Care Facilities for the Elderly” states “Services Needed” with incontinence care; “Appraisal/Needs And Services Plan” states “Physical/Health: Incontinent, Provide Assistance on their Toileting Needs, Time Frame: Length of stay, Method of Evaluating Progress: Daily Observation and Monitoring”; “Admission Agreements for Residential Care Facilities for the Elderly” states that R1 will be receiving assistance with “toileting” and “other personal care needs.” Regarding the allegation “Staff did not check on resident every 2 hours for incontinence care”, the preponderance of the evidence standard has been met therefore the allegation is substantiated. Regarding the allegation “Staff did not answer residents calls for assistance”, it is being alleged that R1 called for help on 10/15/2024 from 2:00 AM to 6:00 AM and staff did not assist R1 with R1's incontinence care needs. Interviews conducted revealed the following: 5 out 5 residents indicated that staff does not check on them or assist them from 2:00 AM to 6:00 AM. 4 out 5 residents indicated that there is no night staff. R1 indicated that she called for assistance at night time and staff did not assist them. 3 out of 3 staff indicated that they do not work from 2:00 AM to 6:00 AM. 3 out of 3 staff indicated that their “Daily Time Sheet” was correct. Records reviewed of Daily Time Sheets revealed the following: “Daily Time Sheet Caregiver 1” “Covered Dated Oct. 1-15, 2024” demonstrates that Caregiver 1 works from 7:00 AM to 7:00 PM; according to the time sheet Caregiver 1 worked on 10/15/2024 from 7:00 AM to 7:00 PM. “Daily Time Sheet Caregiver 2” “Covered Date” Oct. “1-15, 2024” demonstrates that Caregiver 2 works from 8:00 AM to 8:00 PM; according to the time sheet Caregiver 2 worked on 10/15/2024 from 8:00 AM to 8:00 PM. “Daily Time Sheet” for Caregiver 3 “Covered Date Oct. 1-15, 2024” demonstrates that Caregiver 3 works from 8:00 AM to 8:00 PM; according to the time sheet Caregiver 3 did not work on 10/15/2024. Resident 1’s records revealed the following: R1 requires assistance with Activities of Daily Living (ADLs) and incontinence care, and the facility agreed to “Provide Assistance on R1’s Toileting Needs” and “Provide Assistance on R1’s Activities of Daily Living” throughout R1’s “Length of Stay” through staff “Daily Observation and Monitoring.” “Regarding the allegation “Staff did not answer residents calls for assistance”, the preponderance of the evidence standard has been met therefore the allegation is substantiated. Deficiencies cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted, and a copy of this report was left with the Caregiver Daniel Aliony along with their appeal rights.

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.

  • 87625(b)(2)Type B

    Managed Incontinence (b) In addition... the licensee shall be responsible for the following: (1) Ensuring that residents who can benefit from scheduled toileting are assisted or reminded to go to the bathroom at regular intervals rather than being diapered. (2) Ensuring that incontinent residents are checked during those periods of time when they are known to be incontinent, including during the night. This has not been met as evidenced by:Based on interviews and record review, the licensee did not comply with the section cited above by not ensuring that R1’s incontinent care needs were checked at night time, which poses a potential health, safety, and personal rights risks to persons in care.

  • 87411(a)Type B

    Personnel Requirements (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided...facility require such additional staff for the provision of adequate services. This has not been met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above by not having night staff to assist R1 with their care needs, which poses a potential health, safety, and personal rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 30, 2024 inspection of GOLDEN CARE LIVING III?

This was a complaint inspection of GOLDEN CARE LIVING III on October 30, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to GOLDEN CARE LIVING III on October 30, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Managed Incontinence (b) In addition... the licensee shall be responsible for the following: (1) Ensuring that residents..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.