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Inspection visit

complaint

GOLDEN AGE VILicense 5070054921 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

According to staff, R1 approached them, pulled their hair, and struck them in the face while they were still assisting R2. In an effort to release R1's grip, the staff member attempted to hold R1’s hands. Additionally, during an interview, R1’s responsible party confirmed that R1 has a history of being physically aggressive toward facility staff. However, the responsible party denied any allegations that a staff member bit a resident. Based on the information gathered, it is unclear if the staff bit resident. Allegation: Staff took residents phone away. It was alleged that the facility staff took residents phone away. During the course of this investigation, the department conducted interviews. Based on interviews conducted, it was reported that Resident 1 (R1) consistently attempted to contact emergency services using their personal phone. It was determined that both R1’s responsible party and emergency services agreed that R1 should use the facility phone when seeking assistance. This agreement helped reduce the frequency of unnecessary calls to emergency services. R1’s responsible party also denied any claims that facility staff had taken away R1’s personal phone. Based on the information gathered, it is unclear if the facility staff took residents phone away. Based on information provided through interviews and records reviewed, this allegation is deemed UNSUBSTANTIATED, meaning that there was not a preponderance of evidence to prove or disprove that the allegation occurred as reported. There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.

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.

  • 87211(a)(1)Type B

    (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.

FAQ · About this visit

Common questions about this visit

What happened during the September 22, 2025 inspection of GOLDEN AGE VI?

This was a complaint inspection of GOLDEN AGE VI on September 22, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to GOLDEN AGE VI on September 22, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not l..."

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.