Golden Road Assisted Living

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Galarza conducted an announced Case Management visit. The purpose of the visit was to follow-up on the facility closure request. On May 7, 2026, the department received written notification of facility closure. The purpose of the visit was explained to Assistant Administrator Mauricio Santos. The last residents were relocated on September 10, 2025. Licensee was informed that the original license is not transferable. A copy of the original license was surrendered to LPA during the visit. Confirmation of facility closure was provided to Licensee. An exit interview was conducted with Assistant Administrator Mauricio Santos. A copy of the report was issued.the state’s words, verbatim · CDSS document, May 12, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Galarza conducted an unannounced annual inspection visit. The purpose of the visit was explained to Assistant Administrator Mauricio Santos. The facility serves elderly residents ages 60 and older. The following were observed/inspected: Infection Control: The Infection Control Plan was reviewed and includes environmental cleaning and disinfection activities. Facility has sufficient Personal Protective Equipment. Operational Requirements: A Dementia and hospice waiver for 4 residents has been approved. A fire clearance for 3 non-ambulatory and 3 bedridden resident. Facility does not handle resident P & I monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 10/6/2025. Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood. The facility is owner operated and consists of 5 bedrooms; 4 for residents [3 private & 1 shared) and 1 staff bedroom for licensee, 3 bathrooms, living room, dining room, kitchen, outdoor covered patio area, laundry room, and a 3 car detached garage in the rear of the property presently being used as storage area. Smoke and carbon monoxide detectors were tested and are operational. The facility has one (1) fire extinguisher. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. The facility has a 1st Aid Kit and Manual. Cleaning supplies, knives, and toxic substances are inaccessible to residents. The last Emergency Disaster drill was conducted on 3/9/2025. Exit doors are free of any obstruction and there are no pools or large bodies of water. Staffing: A total 4 staff members provide care and supervision to the clients. Personnel Records/Staff Training: Administrator certificate expires 3/26/26. Assistant Administrator's certificate expires 1/16/2026. Staff have criminal background clearance and training. Four (4) staff files were reviewed. Proof of staff training, health clearance, and 1st Aid/CPR training is current. Resident Records/Incident Reports: A total of six (6) resident files were reviewed. They contained admission agreements, Physician's Reports, Appraisals, TB clearance, Physician's Orders, medical consent. Medication Administration records are in place. RCFE and Ombudsman complaint posters are posted in the main entryway of the facility. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. The facility does not have a Resident Council. Food Service: Sufficient food supply is stored in the kitchen and pantry areas consisting of: 2-day perishables, 7-day non-perishables, and emergency food supplies. Residents have modified diets. Incident Medical and Dental: Centrally stored resident medications were reviewed. 30-day supply of medications was observed. Medical and dental transportation is provided by family. Disaster Preparedness: Emergency and Disaster Plan LIC 610E was reviewed. Facility has a First Aid Kit and Manual. Residents with Special Health Needs: Two (2) resident receives hospice services and one (1) resident receives home health services. All residents have Dementia. No residents have prohibited health conditions. All residents have half bed rails for mobility assistance. No deficiencies were observed. An exit interview was conducted with Assistant Administrator Mauricio Santos. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jul 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to Administrator Ana Santos. Assistant Administrator Mauricio Santos Jr arrived shortly after. There are currently 4 elderly residents 60 years and older residing in the facility. The following 12 Care Compliance and Regulatory Enforcement (CARE) tool domains were utilized during the inspection. Infection Control: The facility has an Infection Control Plan. A visitor sign-in sheet is in place. Operational Requirements: An Infection Control Plan has been added to the Plan of Operation. The facility has a Dementia Waiver in place and an approved Hospice Waiver for 4 residents. A fire clearance for 6 non-ambulatory adults 60 and over; of which three (3) may be bedridden in rooms 2, 3, and 4 only. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place and expires 10/6/2023. A surety bond is not applicable. Facility does not handle resident's money. Liability Insurance in the amount of ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 10/6/2024. Facility has an American Red Cross 1st Aid kit and manual. No Surety bond is in place. Facility does not handle resident monies. *Narrative continues next page. Physical Plant/Environment Safety: The facility is a single story home located in a residential neighborhood that is licensed for six (6) non- ambulatory residents, of which 3 may be bedridden. The facility is owner operated and consists of 5 bedrooms; 4 for residents [3 private & 1 shared) and 1 staff bedroom for licensee, 3 bathrooms, living room, dining room, kitchen, outdoor covered patio area, laundry room, and a 3 car detached garage in the rear of the property presently being used as storage area. The interior and exterior physical plant was inspected. Exit doors are free of any obstruction and there are no pools or large bodies of water. The kitchen drawers containing knives/sharp objects was unlocked, and under the kitchen sink and bathroom sink cabinets were unlocked with cleaning products. The facility has one (1) fully charged fire extinguisher and fire sprinklers. The last fire inspections was 4/28/2023. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Staffing: A total of 5 caregiver staff provide care and supervision to the clients. Personnel Records/Staff Training: Administrator certificates expired 3/26/2024. Completed course work documents were sent to the recertification unit on 11/19/2023. Personnel files/training were reviewed. Proof of staff training, health clearance, criminal background clearance and 1st Aid/CPR training were verified. Staff (S4) is not associated and was hired on 3/8/24. Resident Records/Incident Reports: A total of four (4) resident files were reviewed. They contained admission agreements, Physician's Reports, TB clearance, Physician's Orders, medical consent, and medication records. Hospice residents (R2-R4) did not have Appraisal Needs/Services Plans on file. RCFE complaint poster and Personal rights are posted; however it was not 20" x 26". Technical Advisory was issued. ***Narrative continues next page*** Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Activities are individualized. The facility does not have a Resident Council. Food Service: Sufficient food supply is stored in the kitchen and pantry areas consisting of: 2-day perishables, 7-day non-perishables, and emergency food supplies. One (1) resident has a physician order for a modified diet. Incident Medical and Dental: Four (4) centrally stored resident medications were reviewed to verify there is a 30-day supply of medications. Medical and dental transportation is provided by families. Disaster Preparedness: The emergency disaster plan is not updated to the current LIC 610E form. The last disaster drill logs was conducted on 8/14/2023; not within the required quarterly basis. Residents with Special Health Needs: Three (3) residents are receiving hospice services. Zero (0) resident receive home health services. Postural support physician orders were not observed in all resident files. Full and half bed rails for mobility assistance were observed in all resident rooms. No residents have prohibited health conditions. Hospice residents (R2- R4) only had appraisals completed upon admission. Per California Code of Regulations, Title 22, deficiencies were cited. Exit interview was conducted with Administrator Ana Santos. A copy of the report and appeal rights were issued.the state’s words, verbatim · CDSS document, Jun 10, 2024