Inspection visit

Routine inspectionJune 19, 2024

GOLDEN HORIZON SENIOR CARELicense 36188130914 citations on this visit

14 citations recorded

Inspector’s narrative

What the inspector wrote

On 06/19/2024 at 09:20 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Licensee/Administrator Ebraheem Hamed and was granted entry to the facility. At the time of the visit there was two (2) staff present, and sixteen (16) residents present. LPA Brown explained the purpose of the visit to Licensee/Administrator Ebraheem Hamed. The facility is eleven (11) bedroom, seven (7) bathroom home with a kitchen/dining area, living room, activity room and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of twenty-two (22) ambulatory residents. The current census is twenty-one (21) residents. LPA Brown was accompanied by Licensee/Administrator Ebraheem Hamed to conduct a general overall inspection, which included, but was not limited to the following: Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA Brown observed sufficient lightning. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms. Moreover, during the tour of the facility, LPA Brown observed the knives drawer not locked and accessible to residents in care. Deficiency will be issued. In addition, LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 113 degrees Fahrenheit. LPA Brown observed one (1) window screen in disrepair. Technical Violation issued. LPA Brown observed movable waste bin in the kitchen does not have a cover. Deficiency will be issued. ***Continuation in LIC809C *** The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCLD complaint poster, Ombudsman Poster, Labor Laws and the Emergency Disaster plan were posted in a common area. Also, LPA Brown observed that the facility does not have signal system. Deficiency will be issued. All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall: There was a designated storage space for resident/staff files. There is a cabinet with the resident’s medications locked in the Office room. Food Service : Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Care & Supervision : The facility has an administrator present in the facility. LPA Brown observed sufficient number of staff to provide care and supervision to the residents in care. Record Review : LPA reviewed eight (8) resident files for pre-placement appraisals, admission agreements, updated physician reports, and needs and services plans. LPA Brown observed five (5) of eight (8) files reviewed for physician’s reports do not have Physician signature date. Deficiency will be issued. LPA reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) test results. LPA Brown found that Staff #2 (S2) and Staff #4 (S4) do not have Health Screening Report and Tuberculosis Test Result in their facility file as there's no physician signature in their Health Screening Reports. Deficiency will be issued. Furthermore, LPA Brown observed Staff #2 (S2) and Staff #4 without current cardiopulmonary resuscitation (CPR) training and first aid training Deficiency will be issued. Lastly, LPA Brown did not observe required trainings provided to the staffs at the facility. Deficiency will be issued. Also, three (3) residents medications were audited and LPA Brown observed that there's one medication not listed in Resident #2 (R2) Medication Administration Record (MAR) at the facility and LPA Brown observed that the facility's dispensing or giving R2's medications. Deficiency will be issued. To add to that, LPA Brown observed that Resident #9 (R9) medication was dispensed/given but Staff #2 (S2) did not sign/update R9's MAR. Deficiency will be issued. An exit interview was conducted where this report, (LIC809), LIC809D, LIC9102 and Appeal Rights were discussed and provided to Licensee/Administrator Ebraheem Hamed.

Citations

14 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.

1569.696(a)(2)Type A
Based on observation, interview, record review, the licensee did not comply with the section cited above by not providing the required four hours of training per year to staffs which poses an immediate health, safety or personal rights risk to persons in care.
87465(a)(6)Type A
Maintain records of centrally stored medication dosages
Based on observation, interview, record review, the licensee did not comply with the section cited above by not having a record of one (1) medication for Resident #2 (R2) in R2's Medication Administration Record (MAR) at the facility and LPA Brown observed that the facility's dispensing or giving R2's medication which poses an immediate health, safety or personal rights risk to persons in care.
87465(c)(2)Type A
Give PRN medication by physician order
Based on observation, interview, record review, the licensee did not comply with the section cited above by not updating Resident #9 (R9) Medication Administration Record (MAR) after dispensing/giving R9's medication per physician's directions which poses an immediate health, safety or personal rights risk to persons in care.
87303(i)(1)Type B
Provide signal systems for large or multi-floor facilities
Based on observation, interview and record review, the licensee did not comply with the section cited above by not having the required signal system which poses a potential health, safety or personal rights risk to persons in care.
87219(a)Type B
Encourage resident participation in varied planned activities
Based on observation, interview, record review, the licensee did not comply with the section cited above not having the required planned activities for the residents at the facility which poses a potential health, safety or personal rights risk to persons in care.
87458(a)Type B
Obtain baseline medical assessment before resident admission
Based on observation, interview, record review, the licensee did not comply with the section cited aboveby not having a completed Physician Report with Physician Signature Date for five (5) of eight (8) residents which poses a potential health, safety or personal rights risk to persons in care.
1569.618(c)(3)Type A
Based on observation, interview, record review, the licensee did not comply with the section cited aboveby not ensuring that Staff #2 (S2) and Staff #4 (S4) have current cardiopulmonary resuscitation (CPR) training and first aid training which poses an immediate health, safety or personal rights risk to persons in care.
1569.625(b)(1)Type A
Based on observation, interview and record review, the licensee did not comply with the section cited above by not providing the required 40 hours of training to staff which poses an immediate health, safety or personal rights risk to persons in care.
1569.696(a)(1)Type A
Based on observation, interview, record review, the licensee did not comply with the section cited above by not providing the required four hours of training to staffs on the care, supervision, and special needs of those residents, prior to providing direct care to residents which poses an immediate health, safety or personal rights risk to persons in care.
87309(a)(1)Type A
Store disinfectants separately from food supplies
Based on observation, interview, record review, the licensee did not comply with the section cited above by not locking the multiple knives in the kitchen drawer, and making it accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.
87411(d)Type A
On-the-job training requirements
Based on observation, interview, record review, the licensee did not comply with the section cited above by not providing the required on the job training to Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) which poses an immediate health, safety or personal rights risk to persons in care.
87412(a)(11)Type A
Include required health screening documents
Based on observation, interview, record review, the licensee did not comply with the section cited above by not having a Health Screening Report completed for Staff #2 (S2) and Staff #4 (S4) which poses an immediate health, safety or personal rights risk to persons in care.
87412(a)(12)Type A
Include hazardous health condition records
Based on observation, interview, record review, the licensee did not comply with the section cited above by not having Staff #2 (S2) and Staff #4 (S4) complete a Tuberculosis (TB) test signed by a physician and no TB Test result maintained in S2 and S4 facility file which poses an immediate health, safety or personal rights risk to persons in care.
87303(f)(4)Type B
Based on observation, interview, record review, the licensee did not comply with the section cited above by having a movable waste bin in the kitchen without a cover which poses 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 June 19, 2024 inspection of GOLDEN HORIZON SENIOR CARE?

This was an inspection of GOLDEN HORIZON SENIOR CARE on June 19, 2024. 14 citations were issued: 10 Type A (serious) and 4 Type B.

Were any citations issued to GOLDEN HORIZON SENIOR CARE on June 19, 2024?

Yes, 14 citations were issued (10 Type A, 4 Type B). The first citation was for: "Based on observation, interview, record review, the licensee did not comply with the section cited above by not providin..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated July 13, 2026. If you believe any information is inaccurate, report it here.

Routine inspection·June 19, 2024