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Inspection visit

Follow-up on corrections

GOLDEN HERITAGE SENIOR CARE IVLicense 3427016861 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Vincent Moleski and Triel Lindstrom arrived unannounced to follow up on a complaint investigation but discovered an unrelated deficiency. LPA Moleski spoke with facility administrator Lyenna Bigelow over the phone and explained the purpose of the visit. Bigelow sent LPA Moleski a handwritten incident report on 9/9/25. The incident report stated that on 8/17/25 "diet orders were not followed" for a resident (R1). Bigelow said that R1 was served a large amount of rice, despite having dietary restrictions on carbohydrates. "Staff did not follow proportions correctly," Bigelow said. LPA Moleski reviewed R1's LIC 602 and observed they had a physician-ordered diabetic diet. In an interview, R1's placement agent said they had witnessed improper foods being served to R1 inconsistent with a diabetic diet. This facility is hereby cited per 22 CCR Section 87555(b)(7). An exit interview was held with Bigelow. Bigelow said staff member Aisake Jemesa could sign this report in her absence. Appeal rights and a copy of this report were left with Jemesa.

Citations

4 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.

  • 87219(a)Type B

    "(a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include:" This requirement was not met as evidenced by: Based on interviews and observation, activities were not provided to residents in care, which poses a potential health, safety, and/or personal rights risk.

  • 87625(b)(3)Type B

    "(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: ... (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence." This requirement was not met as evidenced by: Based on interviews, observation and record review, the facility contained strong incontinence odors on at least one occasion, which poses a potential health, safety, and/or personal rights risk.

  • 87555(b)(7)Type A

    "(7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided." This requirement was not met as evidenced by: Based on record review and interviews, a resident's physician-ordered diet was not adhered to on at least one occasion, which poses an immediate health, safety, and/or personal rights risk.

  • 87465(a)(4)Type A

    "(4) The licensee shall assist residents with self-administered medications as needed." This requirement was not met as evidenced by: Based on interviews, observation, and record review, at least one resident's medications were mismanaged, which poses an immediate health, safety, and personal rights risk.

FAQ · About this visit

Common questions about this visit

What happened during the September 9, 2025 inspection of GOLDEN HERITAGE SENIOR CARE IV?

This was a other inspection of GOLDEN HERITAGE SENIOR CARE IV on September 9, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GOLDEN HERITAGE SENIOR CARE IV on September 9, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: ""(a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of ..."

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.