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Inspection visit

Complaint

GOLDEN HILLS CARE HOMELicense 3150028941 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The Department requested for R1’s physician’s report. According to R1’s physician’s report, R1 has dementia and is not able to leave the facility unassisted. The Department received interview statements from a total of three (3) facility staff and R1's responsible party. Interview statement received from administrator indicated, administrator was not working when R1 eloped on 6/11/2023. R1 eloped and was found at an elementary school located about six (6) minutes away from the facility due to staff’s lack of supervision. R1 was located by a mail lady. It took staff approximately 22-30 minutes to locate R1. R1's RP indicated there is sufficient staffing to meet R1's needs and that staff are attentive to R1. This incident was a one time occurrence. Based on evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation are found to be SUBSTANTIATED . California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Exit interview conducted and report provided. Appeal rights were provided.

Citations

1 citation 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.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    87411(a) Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: It was determined that staff did not provide adequate care and supervision to R1 which resulted in R1 eloping to an elementary school six minutes away from the facility. It took staff approxmiately 22-30 minutes to locate R1 which poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 31, 2023 inspection of GOLDEN HILLS CARE HOME?

This was a complaint inspection of GOLDEN HILLS CARE HOME on August 31, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GOLDEN HILLS CARE HOME on August 31, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87411(a) Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and compe..."

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.

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