Golden Era Retirement Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Francisco Fabregas for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 09:30 AM and the following was noted: The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool. There is a garage being used for storage. The facility is fire cleared for one (01) ambulatory and five (05) non-ambulatory, of which one (01) may be bedridden. Bedroom #1 cleared for ambulatory only. Bedroom #2,3,4 and 5 cleared for non-ambulatory. Bedroom #5 cleared for one (01) bedridden. Waiver granted for six (06) hospice. The facility is currently occupying three (03) residents. The living and dining room are neat and clean. The facility has a total of five (05) bedrooms and two (02) bathrooms. The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. The bathroom was checked for cleanliness and proper operations. There was enough clean linen available in the cabinets. Residents have enough personal hygiene product provided by the licensee. Towels and washcloths are not shared. (continued on LIC 809-C) Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. Laundry detergents, cleaning agents and other toxins are locked away. The facility maintains a comfortable temperature at 76°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged and last inspected 04/23/2025. The hot water temperature was measured at 115.1°F. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Apr 9, 2026

Type of visit: Prelicensing

On 4/21/25 at 9:30am, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a Pre-Licensing Inspection with the facility Administrator Francisco F Fabregas. Upon arrival, LPA introduced herself by showing her department badge. This is a single story house which will be operating as Residential Care Facility for Elderly (RCFE). A fire clearance was approved on August 1st, 2024, for five (5) Non-Ambulatory residents of which one (1) may be Bedridden for bedroom #5, and one (1) Ambulatory resident for bedroom #1. Facility also received Hospice approval for six (6) residents. The smoke alarms and carbon monoxide detectors are hard wired and inter-connected, they were tested and are operational. The facility has one (1) fire extinguisher that was purchased on 9/24/2024 and is located on the kitchen wall. A tour of the physical plant was initiated at approximately 10:15am and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, gas stove, microwave oven and sink. There were adequate supplies of two (2) days of perishable and seven (7) days of nonperishable food, dining ware to accommodate a maximum capacity of six (6) residents. Knives and other sharps were observed locked inside the kitchen cabinet and chemicals observed stored inside locked cabinet under the kitchen sink. Kitchen area is open plan facing dining area. BEDROOMS: The facility has five (5) bedrooms and all bedrooms are designated for residents' use. All residents' bedrooms observed to be nicely furnished with beds, night stands, lamps, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and a closet space. Additional linen is available inside each bedroom’s closet and inside the linen cabinet located in the hallway. Continue on LIC809-C BATHROOMS: The facility has two (2) bathrooms, both designated for residents’ and staff use. All bathrooms were observed to have the proper fixtures, grab bars, non-skid mats, trash cans with closed lids, paper towels and washing hands signs. The hot water delivered in the bathrooms measured at 10:35am to be at 108.9 degrees F. COMMON AREAS: These includes living room and a dining room. The living room was equipped with new furniture, a television, and chairs. There is a fireplace in the living room area which is fenced and blocked with flowers. The dining area has a dining table to accommodate six (6) clients. There were no visible immediate hazards. The facility has comfortable temperature which was measured at 10:45am to be at 68 degrees F. Office/Activity room: Facility has separate activity/resting room located next to the kitchen. LPA observed a cabinet with various activity supplies nicely stored and ready for residents' use. The office area is furnished with office desk, cabinets, printer and other required office supplies. GARAGE: The garage is currently being used as staff room / storage for facility equipment, supplies and water. Garage is attached to the facility and has access from the kitchen area. LAUNDRY ROOM: The washer and dryer is located in a laundry area next to the kitchen. Laundry chemicals will be kept inside the garage, which will always be locked and under supervision. MEDICATIONS: Medications will be kept inside the locked kitchen cabinet. First Aid and the new manual is also locked inside the same cabinet. LPA observed the First-aid has all proper items and is current. Client/Staff Files: All files and documents will be kept locked inside the commercial cabinet located in the office area. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility is properly fenced, has a patio and backyard furniture to accommodate six (6) clients. Continue on LIC809-C LPA observed the facility is clean, safe and sanitary. All window screens were in good repair. Auditory signals were installed on exit doors. All passageways were free of obstruction. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised. An emergency exit plan/sketch along with other posting requirements were available and posted on the wall. No deficiency cited on today’s visit. Exit interview conducted and copy of this report signed and delivered to the Administrator.the state’s words, verbatim · CDSS document, Apr 21, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 COMP II Participant: Francisco Fabregas, Managing Member/Administrator Interview Method: Telephone interview On 4/7/25, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 7, 2025