Golden Acres RCFE II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit at approx 09:30 a.m. Upon arrival, the LPA met with staff and explained the reason for the visit. Licensee Baby Jane Angeles arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. LPA inspected the kitchen/food service area at approx. 10:00 a.m. Knives and sharp objects are stored in a locked drawer to the left of the stove. Cleaning supplies were observed kept underneath a cabinet in the kitchen island inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets. A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a cabinet in the office area. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and serviced 01/12/2026. LPA observed four (4) resident bedrooms total. There is also one (1) bedroom designated for staff use and one (1) bedroom in use for private residence. Resident bedrooms were observed furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three (3) bathrooms, they were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. LPA observed staff room to be inaccessible to residents in care and empty at this time. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage. LPA observed garage to be inaccessible to residents in care. LPA observed additional fridge and freezer to store extra perishable food. LPA also observed additional non-perishable supplies and canned goods, extra incontinent supplies, as well as additional furniture and medical equipment for facility use. Laundry area was located in the garage as well. The backyard has a covered outdoor area equipped with furniture including tables and chairs for resident use. The LPA observed two (2) self-latching gates with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review, three (3) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were observed to be in order at this time. Three (3) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Medication review, medications for all residents were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. Infection control / Emergency Disaster plan: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are to be conducted quarterly; the facility’s last emergency disaster drill was conducted on 01/12/2026 for a fire drill. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s administrator. Smoke detectors and carbon monoxide detectors were tested, all alarms were functional at the time of the visit. The LPA obtained the following documents at the time of visit: LIC500 Personnel Roster and a copy of the facility’s liability insurance. Interviews were conducted during the visit. Exit interview conducted, discussed and copy of report issued.the state’s words, verbatim · CDSS document, Feb 5, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit. Licensee Jane Angeles arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. LPA inspected the kitchen/food service area at approx. 10:00 a.m. Knives and sharp objects are stored in a locked drawer to the left of the stove. Cleaning supplies were observed kept underneath a cabinet in the kitchen island inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets. A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a cabinet in the office area. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and serviced 1/30/2025. LPA observed four (4) resident bedrooms total. There is also one (1) bedroom designated for staff use and one (1) bedroom in use for private residence. Resident bedrooms were observed furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three (3) bathrooms, they were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. LPA observed staff room to be inaccessible to residents in care and empty at this time. all exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage. LPA observed garage to be inaccessible to residents in care. LPA observed additional fridge and freezer to store extra perishable food. LPA also observed additional non-perishable supplies and canned goods, extra incontinent supplies, as well as additional furniture and medical equipment for facility use. Laundry area was located in the garage as well. The backyard has a covered outdoor area equipped with furniture including tables and chairs for resident use. The LPA observed two (2) self-latching gates with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review began at approx. 10:30 a.m. three (3) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were observed to be in order at this time. At approx 11:00 a.m. Four (4) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Last emergency disaster drill was conducted on Jan 30, 2025. Medications review began at approx. 01:30 p.m. All medications including PRNs were labeled, stored and inaccessible to residents in care. Medications were observed to be administered as prescribed at this time. Infection control: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of a communicable disease. The facility has an adequate supply of Personal Protection Equipment (PPE), and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of an infectious disease. The facility’s policies and procedures as it pertains to infection control are adequate. The LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster, and a copy of the facility’s liability insurance. Interviews were conducted during the visit. Exit interview conducted, discussed and copy of report issued.the state’s words, verbatim · CDSS document, Feb 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today. The last annual conducted at this facility was on 02/08/2023. When the LPA arrived, there was (1) staff and three (3) residents present. The LPA was greeted at the door by staff, Gerald Junio and at this time, the reason for the visit was explained. The Administrator, Jane Angeles, arrived during the inspection. Entrance interview conducted. At 8:53 a.m., the LPA along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA inspected the kitchen/food service area at 9:05 a.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. Cleaning supplies, knives, and sharps were observed locked and inaccessible to residents in care. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. The fire extinguisher was observed to be in compliance and last charged on 01/08/2024. The LPA observed a closet in the hallway with extra towels and linens. The LPA observed required postings throughout the common space. There is a working telephone on premises. Auditory alarms were observed properly working at the time of the visit. LPA observed a fireplace to be adequately screened. (Report Continued on LIC 809C...) (Report Continued from LIC 809...) GARAGE: The garage is kept locked at all times. There are two (2) additional refrigerators observed in good condition with food at the time of the visit. The washer and dryer were observed inside the garage. The LPA observed detergents and cleaning supplies in the garage locked and inaccessible. The facility has a sufficient amount of emergency food and water which was observed to be in good condition. The LPA observed a sufficient supply of Personal Protection Equipment (PPE). BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. Emergency exits and passageways were observed free of obstruction. There were two (2) gats that self-latch. No bodies of water were noted at the time of the visit. BEDROOMS: There are four (4) resident bedrooms. Three (3) bedrooms are single occupancy, and one (1) bedroom is double occupancy. The LPA observed the resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are three (3) resident restrooms. Two (2) restrooms are located in the hallway and the third restroom is located in bedroom #1. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels; towels and washcloths are not shared. The hot water temperature was measured in all bathrooms; the first bathroom measured 130.8 degrees Fahrenheit at 8:58 a.m.; the second bathroom measured 127.2 degrees Fahrenheit at 9:01 a.m.; and the third bathroom measured 136.2 degrees Fahrenheit at 9:03 a.m. The Administrator had water temperature adjusted at the time of the visit. RECORDS: Records review began at 9:37 a.m.; three (3) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All resident files were complete. (Report Continued on LIC 809C...) (Report Continued from LIC 809C...) Two (2) personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were complete. The LPA conducted a resident interview at 8:43 a.m. MEDICATIONS: Medications review began at approximately 10:50 a.m.; medications are centrally stored in a locked cabinet in the dining room. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. During the visit, the Administrator reported to LPA that they plan to change ownership in the future. LPA advised the Administrator to notify all residents and their representatives thirty (30) days prior their intent to sell the business. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 9, 2024