Golden Age Living Turlock 1

Type of visit: Case Management - Health Checks

On 05/19/2025, Sacramento South Regional Office staff, Assistant Program Administrator (APA), Pam Gill, and Licensing Program Analyst (LPA) Arielle Pascua arrived announced to this facility for the purpose to conduct a Health and Safety visit. LPA and APA met with House Manager, Alicia Contreras and explained the purpose of the visit. Current census was 5. A brief interview with HM Contreras was conducted. Upon arrival, the facility was informed that the Department has appointed Robert Cantoria as the Temporary Manager, effective today 05/19/2025, who will assume responsibility for all operations of the facility. During the visit, facility representatives participated in an open discussion to address comments and concerns from family members. A comprehensive tour of the facility was conducted to assess for any immediate health or safety risks to residents. At the time of the visit, two staff members were present on-site. The food supply was reviewed and found to meet the required minimums: a two-day supply of perishable items and a seven-day supply of non-perishable goods. The kitchen refrigerator was inspected, and cabinets were observed to be stocked with non-perishable food items and dry goods. Medications were also reviewed. Resident bedrooms were toured and found to contain adequate furniture and furnishings to meet residents' needs. Resident restrooms were inspected, and grab bars as well as non-skid mats were observed to be in place and in good condition. The Department will conduct daily calls with TM Robert Cantoria to ensure ongoing compliance with Title 22 regulations. These calls will include updates on the resident roster, confirmation that residents are receiving appropriate care, and discussions regarding relocation plans for any residents who have been or may be relocated. Per California Code of Regulations (CCR) -Title 22, Division 6, Chapter 8, no deficiencies were observed. An exit interview was held with SM Contreras and a copy of this report was provided at the end of this visit.the state’s words, verbatim · CDSS document, May 19, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Albert Johnson conducted a health and safety check. LPA met with Veronica Garcia and explained the purpose of the visit. LPA confirmed that staffing is sufficient today and there are no unmet needs for the residents in care. The facility is staffed to provide no gaps between shifts. LPA toured the facility and observed residents watching tv in the living room and in their respective bedrooms during this visit. The Department notified the facility that it is actively seeking a Temporary Manager to help minimize transfer trauma and ensure that the facility’s daily operations are maintained effectively. The department will continue to monitor the situation with daily Health and Safety Checks. No deficiencies were cited pursuant to Title 22 rules and regulations, Health and Safety Codes. Exit interview conducted.the state’s words, verbatim · CDSS document, May 18, 2025

Type of visit: Case Management - Health Checks

On 05/17/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a Health and Safety Visit. LPA met with Staff Member (SM), Maria Souza nd explained the purpose of the visit. The purpose of this visit was to ensure the health and safety of residents. Current census was 6. A brief interview with SM Souza was conducted. Tour of the facility was conducted.There was currently one staff member on site. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at all times. Food storage unit, refrigerator, was reviewed in the kitchen area. Cabinets were observed to store non-perishable food items and dry good at this time. Medication was reviewed. Tour of the resident bedrooms was conducted. Resident bedroom furniture and furnishings were observed to be sufficient to meet the needs of the residents at this time. Tour of the resident restrooms was conducted. Grab bars and non-skid mats were observed to be present and in good repair at this time. A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and exits was conducted. The department will continue to monitor the situation with health and safety checks at this time. Based on the observations made during this visit, there are no deficiencies cited during this visit. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.the state’s words, verbatim · CDSS document, May 17, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Albert Johnson conducted a health and safety check. LPA met with House Manager (HM), Alicia Contereras and explained the purpose of the visit. The purpose of this visit was to ensure the health and safety of residents. LPA confirmed that staffing is sufficient today and there are no unmet needs for the residents in care. The facility is staffed to provide no gaps between shifts. The department provided the facility with a master list of available facilities. The facility was also given information regarding a temporary suspension order. Health and Safety check has concluded for today. The overall safety of the facility including food supply, physical plant and staffing is adequate. No deficiencies were cited pursuant to Title 22 rules and regulations, Health and Safety Codes. Exit interview conducted.the state’s words, verbatim · CDSS document, May 16, 2025

Type of visit: Office

On 05/16/2025, the Sacramento South Adult and Senior Care Regional Office held an office meeting virtually via Microsoft Teams to conduct a Town Hall Meeting. Present at the meeting were Program Administrator (PA), Ia Lo, Assistant Program Administrator (APA), Pam Gill, Acting Regional Manager (ARM), Stephen Richardson, Licensing Program Analyst (LPA) Arielle Pascua, Stanislaus Long Term Care Ombudsman (SLTCO), Beverly Ballam, Golden Age Living Newman Facility Designated Administrator (GALNFDA), Linda Garrett, Facility Representatives, Teri Ramos, Russ Ramos, Ryan Brazil, and 6 family members representing the residents. There are currently a total of 5 residents at Golden Age Living Newman and 6 residents at Golden Age Living Turlock 1. The purpose of the Town Hall was to address any questions and concerns from the facility and its representatives. The Department acknowledged the challenges posed by the recent changes and expressed its commitment to ensuring a smooth transition. During the meeting, the facility informed the Department of interest from a prospective buyer for the Golden Age Living Newman Facility. The Department stated it would coordinate with both the landlord and the prospective buyer to discuss the application process for licensure. Additionally, the Department notified the facility that it is actively seeking a Temporary Manager to help minimize transfer trauma and ensure that the facility’s daily operations are maintained effectively. The Department reiterated that no eviction notices have been issued to residents at this time. The primary objective remains the health and safety of the residents. Lastly, the Department will continue to monitor the situation by conducting daily Health and Safety Checks. Based on the observations made during this visit, there are no deficiencies cited during at this time. An exit interview was conducted and a copy of this report was provided to the facility via email. A hard copy of this report will be provided to the facility via certified mail.the state’s words, verbatim · CDSS document, May 16, 2025

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Jason Lund & Charlie Yang arrived unannounced to conduct a Health and Safety Visit. LPA met with House Manager (HM), Alicia Contreras and explained the purpose of the visit. The purpose of this visit was to ensure the health and safety of residents. Current census was 6. A brief interview with HM Alicia Contreras was conducted, The facility has been told on and given documentation on how to relocate the residents in care. LPAs inspected the facility; food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at all times. Food storage unit, refrigerator, was reviewed in the kitchen area. Cabinets were observed to store non perishable food items and dry goods at this time. Tour of the resident bedrooms was conducted. Resident bedroom furniture and furnishings were observed to be sufficient to meet the needs of the residents at this time. Tour of the resident restrooms was conducted. Grab bars and non-skid mats were observed to be present and in good repair at this time. A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and exits was conducted. The department will continue to monitor the situation with health and safety checks at this time. Based on the observations made during this visit, there are no deficiencies cited during this visit. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.the state’s words, verbatim · CDSS document, May 15, 2025

Type of visit: Case Management - Health Checks

On 05/13/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a Health and Safety Visit. LPA met with House Manager (HM), Alicia Contereras and explained the purpose of the visit. The purpose of this visit was to ensure the health and safety of residents. Current census was 6. A brief interview with HM Contereras was conducted. Tour of the facility was conducted. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at all times. Food storage unit, refrigerator, was reviewed in the kitchen area. Cabinets were observed to store non perishable food items and dry goods at this time. Tour of the resident bedrooms was conducted. Resident bedroom furniture and furnishings were observed to be sufficient to meet the needs of the residents at this time. Tour of the resident restrooms was conducted. Grab bars and non-skid mats were observed to be present and in good repair at this time. A tour of the exterior grounds was conducted. A review of the facility perimeter fence, side gates, and exits was conducted. The department will continue to monitor the situation with health and safety checks at this time. Based on the observations made during this visit, there are no deficiencies cited during this visit. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.the state’s words, verbatim · CDSS document, May 13, 2025

Type of visit: Office

On 5/12/25 an office visit was held via Teams to discuss next steps to take for residents (at both Golden Age Newman 502701270 and Golden Age Turlock 502701269) due to the sudden death of the licensee, Kelsy Ramos, of both facilities. Present at this meeting for the Sacramento South regional Office was Licensing Program Manager Stephen Richardson (acting Regional Manager), Licensing Program Manager Lisa Rios, Licensing Program Analyst Arielle Pascua and Licensing Program Analyst Renee Campbell. Also present was Stanislaus Coordinator Ombudsman Beverly Ballam. Present representation for the deceased licensee was Teri Ramos (mom), Russ Ramos (dad) and Ryan Brazil (sister). The Department explained to the licensee’s family that the license was not transferable, and they would not be able to continue to operate the business. Further, it was explained by the family that the property address for Golden Age Turlock was in probate as there was no will present. Without control of property, the family would not be able to submit a change of ownership application to take over the business. The property at Golden Age Newman, is owned by a previous co-licensee of Kelsy’s and the family did not have control of property for Golden Age Newman either. It’s the core mission of the Department to ensure a safe and easy transition of relocating the current residents to alternate licensed facilities. Several neighboring facilities have been found to have beds available for residents and will be invited to meet the residents. On 5/12/25 and 05/13/25 Licensing Program Analyst Arielle Pascua will attend the meeting with all resident responsible parties to inform them of the transition and assistance that the Department will provide along with Health and Safety checks of the residents every 48 hours. This concluded the meeting. On 5/13/25 the report was signed by Facility Representative, and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, May 12, 2025

Type of visit: Case Management - Incident

On 05/08/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility unannounced in response to the regional office being notified that the administrator and owner, Kelsey Ramos, had passed. LPA Campbell met with Cindy Fuentes, Caregiver, and explained the reason for the visit. LPA Campbell observed that the facility was free of odor and pathways were clear. There were 5 residents present in the facility. There was 1 staff present. LPA Campbell asked staff if there was an update regarding contacting powers of attorney for the residents and if the facility needed anything to help assist residents. Staff stated she had not heard about contacting families. Caregiver Fuentes stated that the facility continued to be operated as needed and that there was no change in the residents level of care LPA Campbell requested and received the facility roster with the residents family and/or power of attorney. An exit Interview was held, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 8, 2025

Type of visit: Required - 1 Year

On 10/24/24, Licensing Program Analyst (LPA) Renee Campbell arrived unannounced at the facility and met with Alicia Contreras, House Manager. LPA Campbell stated the purpose of the visit to conduct an annual inspection. The facility is a one story building licensed to serve 6 residents. The census is currently 6. The facility sketch matches the facility floor plan found during the visit. There are four bedrooms and two bathrooms. The Administrator is Kelsy Ramos.and their Administrator Certificate number is 6053310740 and it expires on 9/8/2025. The facility displays a See Something Say Something sign on the facility notice board. Upon entry, LPA Campbell observed a television that was playing and a resident sitting in the living room watching. All doors and window curtains were open. LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. The facility was observed to be free of odor and in good repair. In the kitchen, LPA Campbell found enough perishable foods to last the residents two days and enough non-perishable foods to last one week. The refrigerator temperature was at 30 degrees Fahrenheit and the freezer was 0 degrees Fahrenheit. The facility thermostat is set at 75 which is within the required range of 68 and 85 degrees. The fire extinguisher was last inspected May 21, 2024 and the smoke alarm was tested successfully during the visit. Water was measured in the bathroom at 111 degrees Fahrenheit within the required range of 105 and 120 degrees. . Sharps are kept locked in the kitchen and cleaning supplies are kept in the laundry room. LPA Campbell observed that the door to the cleaning supplies was not kept locked and the mechanism to lock it was on the inside of the facility and accessible to residents. The doorknob will therefore need to changed so that staff need a key to get to the laundry room and cleaning supplies. The facility made the change to the doorknob during the inspection visit. Based on today's inspection, per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies were observed or cited and noted on LIC 809D. Note that failure to correct any deficiencies will result in additional civil penalties.the state’s words, verbatim · CDSS document, Oct 24, 2024

Type of visit: Post Licensing

On 05/15/24, Licensing Program Analyst Renee Campbell arrived to the facility to conduct a post-licensing visit. Upon entry, LPA Campbell observed R1 sitting in the entry to the facility. R2 was sitting in a recliner in the living room. The facility office had been turned into a bedroom for R3 with Friench doors that remained open during the visit. LPA Campbell was met by Careigiver Myra Morales. LPA Campbell then explained the purpose of the visit and toured the facility. During the inspection, family for resident R3 arrived and examined R3's room. The facility is a one story building with four bedrooms that is licensed for 6 residents. Currently there are only 5 residents and 2 of the bedrooms may be shared. The floor plan of the facility indicates a staff room closed off from the living room. The kitchen was observed to have sharps locked and inaccessible to residents. There were 2 days of perishable foods and 7 days of non-perishable foods in the pantry. Bedrooms contained the appropriate furnishings of a bed, chair, night stand with lamp, closet and drawers. The common area living room contained two recliners and a TV. The hot water temperature was measured 117 degrees Fahrenheit which is between the required 105 to 120 degrees Fahrenheit and the thermostat is set at 72. The extinguisher was last serviced on 05/23/23. The medication storage area was observed to be locked and inaccessible to residents in care. Medication records for 5 of 5 residents were reviewed and observed to be in compliance with regulation. The first aid kit was observed to have adequate supplies and was accessible to staff. LPA Campbell reviewed the files for 2 of 3 staff. Per California Code of Regulations, Title 22, there were no deficiencies observed or cited during todays inspection.the state’s words, verbatim · CDSS document, May 15, 2024