Gold Country Assisted Living

Allegation investigated: Staff did not ensure residents have activities

On 7/13/2026, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Sandra Riffey. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Based on the Department’s observations made during multiple visits to the facility and resident interviews, there was insufficient evidence to support the allegation that staff did not provide residents with activities. During each visit, the Department observed scheduled activities being offered and available to residents throughout the day. Residents interviewed stated they had a variety of activities to choose from daily and were satisfied with the activity program. The Department did not observe or obtain evidence to support the allegation. Therefore, this allegation is determined to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility. Unfoundedthe state’s words, verbatim · CDSS document, Jul 13, 2026 · control 59-AS-20260514114847

Allegation investigated: Staff mismanage residents medications. Staff controls the Resident Council meetings

On 7/13/2026, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Sandra Riffey. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unsubstantiated Staff mismanage residents medications. Based on documents obtained and statements reviewed for April 2026, the department determined that there was insufficient evidence that any medication errors have occurred. Documents obtained show that all current medications were administered and logged correctly for residents per their doctor’s orders. Five staff interviews (5) indicated that staff were not aware of any medication errors. Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Staff controls the Resident Council meetings Based on resident interviews, staff interviews, and information obtained during the Department’s investigation, there was insufficient evidence to support the allegation that staff controlled the resident council meetings. Although it was reported that staff appeared to have more involvement and control during resident council meetings several months ago, the process has since changed. The Ombudsman has attended resident council meetings, and residents are currently able to participate, make decisions, and discuss concerns independently without staff involvement for a portion of the meetings. The Department did not obtain sufficient evidence to support that staff are currently controlling resident council meetings. Therefore, this allegation is determined to be unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit Interview conducted. Report left with facility. Staff do not respond to residents' requests for assistance. Based on resident and staff interviews, there was insufficient evidence to support the allegation that staff did not respond to residents’ requests for assistance. Residents interviewed stated that staff respond when assistance is requested and that their needs are addressed. Staff interviewed stated they respond to residents’ requests as soon as possible; however, there may be occasional delays when they are assisting another resident. The Department did not obtain evidence that staff failed to respond to residents’ requests for assistance. Therefore, this allegation is determined to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff member verbally abuses residents in care. Staff member emotionally abuses residents in care. Based on resident and staff interviews, there was insufficient evidence to support the allegations that staff verbally abused or emotionally abused residents in care. Residents interviewed stated that staff are kind, respectful, and helpful and that they have not experienced or witnessed verbal or emotional abuse. Staff interviewed stated that all residents are treated with dignity, respect, and like family. The Department did not obtain evidence to support the allegations of verbal or emotional abuse. Therefore, these allegations are determined to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff are not adequately trained. Based on documents obtained and statement reviewed, the department determined that Licensee does ensure staff have required training. Department reviewed trained records and noted that staff were adequately trained per regulations with topics including medication management, Dementia, resident rights, activities, ADLs, etc. Records show the required training hours. Staff interviewed stated that staff do receive training. Based on information gathered staff are receiving the required training. Department finds allegation to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Continue on page 2 ... Continued page 2 ... Staff do not provide residents with activities. Based on the Department’s observations made during multiple visits to the facility and resident interviews, there was insufficient evidence to support the allegation that staff did not provide residents with activities. During each visit, the Department observed scheduled activities being offered and available to residents throughout the day. Residents interviewed stated they had a variety of activities to choose from daily and were satisfied with the activity program. The Department did not observe or obtain evidence to support the allegation. Therefore, this allegation is determined to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff did not ensure that toxic substances were stored properly. Staff do not ensure that the facility is kept free from tripping hazards. Staff do not ensure that fire alarms are operable. Based on the Department’s observations conducted during multiple inspections of the facility, there was insufficient evidence to support the allegations that staff failed to ensure toxic substances were properly stored, failed to keep the facility free from tripping hazards, and failed to ensure the fire alarm system was operable. During each inspection, the Department observed that toxic substances were stored in secured locations inaccessible to residents, walkways throughout the facility were clear and free of tripping hazards, and the fire alarm system appeared to be operable. The Department did not observe any conditions or obtain any evidence to support the allegations. Therefore, these allegations are determined to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Inadequate food services. Based on resident interviews, there was insufficient evidence to support the allegation that the facility provided inadequate food services. Residents interviewed stated that they receive enough food to eat and are provided with a variety of meals. Some residents expressed that they would prefer to prepare or cook their own food; however, they did not report concerns regarding the quantity or availability of meals provided by the facility. The Department did not obtain evidence to support the allegation that food services were inadequate. Therefore, this allegation is determined to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Jul 13, 2026 · control 59-AS-20260413150920

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on April 27, 2026 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and Director of Assisted Living Kayla Archer toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. In the areas toured, there were no health or safety violations observed. LPA reviewed resident (5) and staff files (5). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. Staff training contained the required initial training. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to Director.the state’s words, verbatim · CDSS document, Apr 27, 2026

Allegation investigated: Staff mismanaged residents’ medications.

On 01/21/2026, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Kayla Archer. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Based on documents obtained and statements reviewed for October 2025, the department determined that there was insufficient evidence that any medication errors have occurred. Documents obtained show that all current medications were administered and logged correctly for residents per their doctor’s orders. Five staff interviews (5) indicated that staff were not aware of any medication errors. Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. Report left with facility. Unsubstantiated Staff did not ensure residents received contracted services. Based on documents obtained and statements reviewed, the department determined that residents are receiving all services based on their Admission agreement and needs and service plan. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff did not maintain accurate records for residents. Based on documents obtained and statements reviewed, the department determined the Licensee ensured that a complete and current record, including Admission Agreement, Needs and Service plan, Physician’s report etc. was maintained for residents in care. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Jan 21, 2026 · control 59-AS-20251024113908

Allegation investigated: Licensee does not ensure staff have required training Staff do not ensure medication is stored in originally received container

On 01/21/2026, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Kayla Archer. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unfounded Licensee does not ensure staff have required training Based on documents obtained and statement reviewed, the department determined that Licensee does ensure staff have required training. Department reviewed trained records and noted that staff were adequately trained per regulations with topics including medication management, Dementia, resident rights, activities, ADLs, etc. Records show the required training hours. Staff interviewed stated that staff do receive training. Based on information gathered staff are receiving the required training. Department finds allegation to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff do not ensure medication is stored in originally received container Based on documents obtained, statement reviewed, and observation of Med carts on October 27, 2025, and November 24, 2026, the department determined that staff do ensure that medications are stored in their originally received containers; therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Jan 21, 2026 · control 59-AS-20251119082828

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on April 15, 2025 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and Director of Assisted Living Kayla Archer toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. In the areas toured, there were no health or safety violations observed. LPA reviewed resident (5) and staff files (5). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. Staff training contained the required initial training. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to Director.the state’s words, verbatim · CDSS document, Apr 15, 2025

Allegation investigated: Staff does not ensure resident medications are properly managed Staff does not ensure medications no longer in use are properly discarded

On 2/19/25, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Director of Assisted Living Kayla Archer. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unsubstantiated Staff does not ensure resident medications are properly managed Staff does not ensure medications no longer in use are properly discarded Based on documents obtained and statements reviewed for January 2025, the department determined that there was insufficient evidence that any medication errors have occurred. Documents obtained show that all current medications were administered and logged correctly for residents per their doctor’s orders. Five (5) staff interviews indicated that staff were not aware of any medication errors. Five (5) resident interviews expressed no concerns with medication management. Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted. Report left with facility. Licensee is operating the facility beyond its scope of limitations Based on documents obtained and statements reviewed, the department determined that there was insufficient evidence that the facility is operating outside its scope of limitations. Residents are assessed based on change of care, and those that need to be transferred to a skilled facility are transferred if their care needs cannot be met at the facility per RCFE regulations. The facility assists residents that need a higher level of memory care for appropriate placement. Therefore, no regulation has been violated at this time. The above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff does not ensure residents records are properly maintained Based on documents obtained and statements reviewed, the department determined that there was insufficient evidence that facility records were not maintained properly. Department record review found that all records required, in Title 22 87506, were present during record review of resident files. Therefore, no regulation has been violated at this time. The above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Licensee does not ensure facility has adequate night supervision with a staff on call and within 10 minutes Based on interviews and record reviewed, it was determined that there are 2-3 staff members scheduled to work the NOC shift with at least 2 people on-call within 10 mins away from the facility. The regulations governing night supervision, 87451 (a)(2) states: "In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes." Therefore, no regulation has been violated at this time. The above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Feb 19, 2025 · control 59-AS-20241216144601

Allegation investigated: Staff does not ensure facility is kept free of pests

On 2/19/25, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Director of Assisted Living Kayla Archer. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unfounded Staff does not ensure facility is kept free of pests Based on documents obtained and statements reviewed, the department determined that there was insufficient evidence that the facility is not kept free of pests. The facility representative stated that the pest control company comes in monthly, and more often as needed. Department reviewed Pest Control dates for the past 6 months on 06/25/2024, 07/18/2024, 08/02/2024, 09/10/2024, 10/22/2024, 11/26/2024, 12/03/2025, 01/03/2025, 01/07/2025 and 01/14/2025. It was stated that the Pest Control company just visited the facility over a week ago and sprayed the exterior and interior of the building. The pest control company is continuing to monitor any pest activity. Five (5) staff and five (5) residents were interviewed and stated they have not seen any pests at the facility. During 01/13/2025 and 01/29/2025 visits, the facility was toured and a copy of receipts from the pest control company was provided. Therefore, the above allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Feb 19, 2025 · control 59-AS-20250109115622

Type of visit: Prelicensing

On 5/20/2024 Licensing Program Analyst (LPA) Lavinia Muscan met with Administrator/Applicant, Bonnie Stone, to conduct an unannounced Pre- Licensing visit. This application is a change of ownership. This address is currently licensed as Gold Country Health Center Facility #090317665. Applicant holds a current administrator certificate (#6066896740 with expiration date 7/16/2025). The facility currently has 34 residents. There are three residents on hospice. Three resident on oxygen. There is a fire clearance for 46 non-ambulatory residents at this facility. LPA toured the facility with Administrator Bonnie Stone. The food supply is within compliance, 2 days of perishable and 7 days’ worth of non-perishable food items. Smoke detectors are operational. Carbon monoxide detectors are functioning. The Fire extinguisher was charged, serviced and functional. Grab bars were present at the toilet and in the shower. All exits were unobstructed. All toxins, medications, and sharps were locked and stored away. The disaster drill is current. The administrator's certificate is current. There is a side gate for emergency access. During today's pre-licensing inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (5) and staff files (5). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. Staff training contained the required initial training. Component III for RCFE was completed with Administrator/Applicant Bonnie Stone during today's visit. LPA will forward findings to the Centralized Application Bureau (CAB) that facility met all the pre-licensing components. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations on today's pre-licensing inspection. A copy of this report was provided to the facility. Exit interview conducted.the state’s words, verbatim · CDSS document, May 20, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Change of Ownership Capacity: 46 Census (if any clients in care): 36 COMP II Participants: BONNIE STONE, JACK SANOFSKY Interview Method: Telephone interview On May 13, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. 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. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 13, 2024