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Inspection visit

Routine inspection

GOLDEN CARE LIVING IVLicense 1983200277 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

On 11/09/23, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with A dministrator Catherine D. Espino as the purpose of the visit was explained. The facility is licensed for (6) non-ambulatroy of which (1) may be bedridden and have an approved hospice waiver for (6) ages 60 and over. Facility has a current census of (2). Information on upcoming annual fees was provided. Liability insurance is active. The facility is a single-story structure located in a residential neighborhood. It consists (6) bedrooms of which 2 bedrooms are for staff, (2) full bathrooms, shaded back yard, front yard, there are 3 ramps along side the perimeter of facility laundry area, shed, and a detached 2 car garage. No weapons nor bodies of water on the premises. A supply of perishable and non-perishable food was observed. Emergency Water supply is found in the garage. Resident bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. LPA conducted a records review of 2 staff records, 2 resident records, and 2 medication administration records. Medications were centrally stored and properly locked. The last fire was conducted on 11/03/23, 1 fire extinguisher fully charged, carbon monoxide and smoke detectors observed and are operational. Landline and internet were observed.During today’s visit the discrepancies were observed and documented on 809D. Exit interview conducted with A dministrator Catherine D. Espino , appeals rights explained and a copy of this report was provided.

Citations

7 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.

  • 80019(e)(3)(4)Type A

    Based on observation, nterview, record review, the licensee did not comply with the section cited above in having a care staff not associated at the facility with pending background clearance which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(a)(1)Type B

    Based on observation, the licensee did not comply with the section cited above as kitchen and dinning room were observed to have crumbs and paper and the floor. Pile of laundry were observed on the floor which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87411(c)(1)Type B

    Based on observation, interview, record review, the licensee did not comply with the section cited above as staff (M.E.) has an expired CPR card which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type B

    Based on record review, the licensee did not comply with the section cited above as medication administration records are not being documented properly which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(8)(A-F)Type B

    Based on observation and interview, the licensee did not comply with the section cited above as there is no first aide kit in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87555(b)(25)Type B

    Based on observation the licensee did not comply with the section cited above as toxin were observed not locked and accessible to residents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(f)(1)Type B

    Based on observation, the licensee did not comply with the section cited above as scissors were lobserved accessible to residents which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 13, 2023 inspection of GOLDEN CARE LIVING IV?

This was a inspection inspection of GOLDEN CARE LIVING IV on December 13, 2023. 7 citations were issued: 1 Type A (serious) and 6 Type B.

Were any citations issued to GOLDEN CARE LIVING IV on December 13, 2023?

Yes, 7 citations were issued (1 Type A, 6 Type B). The first citation was for: "Based on observation, nterview, record review, the licensee did not comply with the section cited above in having a care..."

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.