Golden Acres Home and Care

Allegation investigated: Staff are not allowing resident to use the phone Staff are not allowing resident to have visitors

On 08/19/2026 Licensing Program Analyst (LPA) Melina Oropeza arrived at facility unannounced to continue complaint investigation in to the above listed allegations. LPA Oropeza met with back up administrator, Maricel Teske and explained the purpose of today's visit. LPA interviewed R1’s case manager. Staff are not allowing resident to use the phone based on interviews conducted and records reviewed indicated that R1 had access to the facility telephone. Information obtained did not indicate that staff restricted R1’s telephone use, therefore, the allegaton was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Unfounded Staff are not allowing resident to have visitors based on interviews conducted and records reviewed indicated that R1 was permitted to receive visitors. Information obtained did not indicate that staff restricted R1’s to have visitation, therefore, the allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided to back up administrator, Maricel Teske.the state’s words, verbatim · CDSS document, Aug 19, 2026 · control 27-AS-20260630123129

Type of visit: Required - 1 Year

On June 10, 2026, at 1:00pm Licensing Program Analysts's (LPA) Melina Oroeza and Avelina Martinez arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by staff and administrator joined 30 minutes later. LPA explained the purpose of the visit to Administrator and staff. Administrator has a current certificate. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 26 bed facility with a current census of 25. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. LPA also conducted the infection control domain tool. No bodies of water were observed at the facility. Hot water temperature was measured at 110 F degrees Fahrenheit in resident bathroom sink, which is within the required range and 106 F degrees Fahrenheit in residents common bathroom. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on April 1, 2026 and current, smoke detectors and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers inspected on April 1, 2026 and current, smoke detectors in resident bedrooms B and I and carbon monoxide detectors, central heating and air in the facility. Smoke detectors in resident romms B and I. The first aid kit was found in compliance. LPA reviewed five (5) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed five (5) resident facility files. All necessary documents were in place. Exit interview held and copies of reports given to administrator at conclusion of visit.the state’s words, verbatim · CDSS document, Jun 10, 2026

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 06/16/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Maricel Yapo. A brief interview was conducted with the facility designated Administrator at this time. Current census was 25 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 05/14/2025 and to follow up on the Plan of Correction. The following deficiencies were observed and cited on 05/14/2025: Each resident's record shall contain at least the following information: Based on record review, the licensee did not comply with the section cited above in that [3] out of [5] facility resident files were missing required updated forms and documents which poses/posed a potential health, safety or personal rights risk to persons in care. This facility did complete the Plan of Correction and provided all of the required forms and documents at this time. Plan of Correction clearance letters were printed and copies were provided to the facility designated Administrator at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Jun 16, 2025

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 05/14/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Maricel Yapo, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Licensee, Marivic Chua, to inform her that CCL was present at this time for an annual visit. Current census was 24 residents. It was learned that there weren't any residents under the care of hospice at this time. This facility does not have an approved waiver to be able to accept and retain any residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there weren't any residents diagnosed with dementia at this time. It was learned that there were (2) residents receiving services through home health at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Additional food storage units located in the kitchen area were observed to be present and functional at this time. Laundry room was toured at this time. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, # 7006544740, for Maricel Yapo was observed to have an expiration date of 11/30/2026 and in compliance at this time. Forms and documents were being updated in order to renew this Administrator certificate at a later time. Medication cabinet, located in the facility hallway closet, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the medication closet area, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers were located throughout this facility and observed to have been annually inspected by the local fire extinguisher company, Touch Down Fire Company, on 04/29/2025 and found to be in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (5) facility personnel records was conducted and noted on the following LIC 859. A review of (5) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility designated representative at this time. Exit Interviewthe state’s words, verbatim · CDSS document, May 14, 2025

Type of visit: Office

Announced office informal meeting conducted on 07/09/2024 by Licensing Program Manager (LPM) Liza King and Licensing Program Analyst (LPA) Charlie Yang with the facility designated Administrator Marivic Teano-Chua. Also present in this informal meeting were the following individuals: Jennifer Conway-Brandt-San Joaquin County Behavioral Health Services Sherri Helsby-San Joaquin County Behavioral Health Services Danielle Wiseman-San Joaquin County Behavioral Health Services The purpose of this informal meeting was to review the last calendar year since this facility had been placed on more increased monitoring and quarterly visits. The initial informal meeting was conducted on 08/02/2023 due to issues with the roof being in need of repair and the presence of mold throughout this facility. Since that time, this Department has conducted a total of (9) unannounced visits out to this facility to make sure that the physical plant, resident care and supervision, and facility staffing were sufficient and in compliance at all times. At the time of this informal meeting, there weren't additional deficiencies observed or cited within the last year in relation to the roof and mold issues. The only deficiencies that were observed and cited were noted on an annual visit conducted on 05/09/2024. These deficiencies consisted of lack of annual staff training hours and incomplete facility resident files. As a result, this facility will be removed from the requirements of the informal for increased monitoring and quarterly visits. There were no deficiencies observed or cited during today's informal meeting. Exit Interviewthe state’s words, verbatim · CDSS document, Jul 9, 2024

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 06/17/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Marivic Teano-Chua. A brief interview was conducted with the facility designated Administrator at this time. Current census was 26 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior visit conducted on 05/09/2024 and to follow up on the Plan of Correction. The following deficiencies were observed and cited on 05/09/2024: In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. Each resident's record shall contain at least the following information: This facility did complete the Plan of Correction and provided all of the required forms and documents at this time. Plan of Correction clearance letters were printed and copies were provided to the facility designated Administrator at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Jun 17, 2024

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 05/09/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated co-Administrator Maricel Yapo Teske. A brief interview was conducted with the facility designated co-Administrator at this time. This LPA requested that facility designated co-Administrator go ahead and contact the facility Licensee/Administrator Marivic Chua to inform her that CCL was present at this time. This facility was not vendorized at this time to accept and retain any regional center clients at this time. Current census was 26 residents. It was learned that there weren't any residents under the care of hospice at this time. It was learned that there weren't any residents diagnosed with dementia at this time. A tour of this facility was conducted. Administrator certificate was observed to be present and in compliance at this time for facility designated co-Administrator Maricel Yapo Teske. Additional forms and documents were reviewed to make sure that the renewal process was initiated prior to the certificate expiration date of 11/30/2024 with certificate # 6021577740. Kitchen area was toured. Cabinets and drawers were reviewed. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted. Medication cabinet and supplies, located in the facility medication room, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility designated co-Administrator at this time. This medication cabinet was observed to be locked and made inaccessible to the residents at this time. A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Linen closets were observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time. Laundry area was toured. Cabinets storing detergents and bleach were observed to be locked and made inaccessible to the residents at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 05/09/2024 by the local fire extinguisher company, Nor-Cal Fire Inc, and in compliance at this time. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gate, and exits was conducted. A review of (5) facility resident records was conducted and noted on the following LIC 858 form. A review of (5) facility staff records was conducted and noted on the following LIC 859 form. The following forms and documents were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, May 9, 2024

Type of visit: Case Management - Other

Unannounced case management visit made out to this facility on 05/09/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated co-Administrator, Maricel Yapo Teske, who was requested by this LPA to go ahead and contact the facility designated Administrator, Marivic Teano-Chua, to let her know that CCL was present at this time. The facility designated Administrator Marivic Teano-Chua was unable to attend today's case management visit which was confirmed by this LPA via telephone conversation. A brief interview was conducted with the facility designated co-Administrator at this time. Current census was 26 residents. The purpose of this visit was to review the mold remediation that was conducted and completed by this facility, and it's representative, as recommended by the California Department of Public Health (CDPH). Tour of this facility was conducted. The following concerns were reviewed at the time of this case management visit: Areas of concern were the hallway leading into the resident rooms. Rooms D and E were of concern and had work completed since leaks were still present that needed to be addressed at this time to prevent further issues. The television room was also toured since the ceiling was removed and replaced. The dining area was also a cause for concern with possible leaking through the roof and ceiling. It was learned that additional renovations were in the works such as the roof since it was the main cause for the mold due to leaks and moisture build up. The areas that required updates and replacement were toured. It was observed that these items had been completed and were still maintained in compliance at this time. There were no additional deficiencies observed or cited at this time. Exit Interviewthe state’s words, verbatim · CDSS document, May 9, 2024

Type of visit: Case Management - Other

Unannounced case management visit made out to this facility on 02/14/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility caregiver, Marietes Morales, who was requested by this LPA to go ahead and contact the facility designated Administrator, Marivic Teano-Chua, to let her know that CCL was present at this time. The facility designated Administrator Marivic Teano-Chua arrived later to this facility while this LPA was conducting this case management visit. A brief interview was conducted with the facility designated Administrator at this time. Current census was 26 residents. The purpose of this visit was to review the mold remediation that was conducted and completed by this facility, and it's representative, as recommended by the California Department of Public Health (CDPH). Tour of this facility was conducted. The following concerns were reviewed at the time of this case management visit: Areas of concern were the hallway leading into the resident rooms. Rooms D and E were of concern and had work completed since leaks were still present that needed to be addressed at this time to prevent further issues. The television room was also toured since the ceiling was removed and replaced. The dining area was also a cause for concern with possible leaking through the roof and ceiling. It was learned that additional renovations were in the works such as the roof since it was the main cause for the mold due to leaks and moisture build up. The areas that required updates and replacement were toured. It was observed that these items had been completed. There were no additional deficiencies observed or cited at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Feb 14, 2024

Type of visit: Case Management - Other

Unannounced case management visit made out to this facility on 10/23/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility caregiver, Marietes Morales, who was requested by this LPA to go ahead and contact the facility designated Administrator, Marivic Teano-Chua, to let her know that CCL was present at this time. The facility designated Administrator Marivic Teano-Chua arrived later to this facility while this LPA was conducting this case management visit. A brief interview was conducted with the facility designated Administrator at this time. Current census was 26 residents. The purpose of this visit was to review the mold remediation that was conducted and completed by this facility and it's representative as recommended by the California Department of Public Health (CDPH). Tour of this facility was conducted. Areas of concern were the hallway leading into the resident rooms. Rooms D and E were of concern and had work completed. The television room was also toured since the ceiling was removed and replaced. The dining area was also toured at this time as well. It was learned that additional renovations were in the works at this time. The roof will be replaced since it was the main cause for the mold due to leaks and moisture build up. Additional concerns were observed in Room D since leaks were still present that needed to be addressed at this time to prevent further issues. These issues and concerns were addressed with the facility designated Administrator at this time. A plan of how to address these issues will be completed, along with dates of completion, and submitted into CCL for review by this LPA. Exit Interviewthe state’s words, verbatim · CDSS document, Oct 23, 2023