Golden Care Home

Type of visit: Required - 1 Year

On 6/23/2023 at 9:20 AM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Administrator, Myrna R. Dagdag and explained the purpose of the visit. The facility’s fire clearance was approved for 5 Non Ambulatory and 1 Bedridden. LPA toured facility with Myrna including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 69 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 07/26/2022. First aid kit was observed to be complete. Report continues on 809 C. At 9:40 AM, LPA reviewed 2 of 2 residents records. At 9:50 AM, LPA reviewed 2 of 6 staff records and 2 of 2 have current first aid training and associated to the facility. At 10:15 AM, LPA reviewed a sample of 2 of 2 resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 7/14/2023: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 23, 2023

Type of visit: Required - 1 Year

On 12/05/2022 at 2:15 PM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct an annual Infection Control Inspection. LPA met with Administrator, Myrna R. Dagdag and explained the purpose of the visit. During the Infection Control Inspection, LPA toured facility with including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen, and backyard. Facility has a sufficient two day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents, and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Common touched surfaces are disinfected at least once daily. Bathrooms are equipped with liquid soap, paper towel and trash bins with touchless lids. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Smoke and carbon monoxide detectors were observed and maintained. First Aid kit was complete. Fire extinguisher was observed serviced. LPA observed facility passages inside and out free of obstruction. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 5, 2022

Type of visit: Required - 1 Year

On 7/9/2021 at 12:55PM, Licensing Program Analysts (LPAs) G. Luk and C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPAs met with Licensee, Myrna Dagdag and explained the purpose of the visit. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, and outdoor areas. LPAs observed cough etiquette, sign & symptoms, and social distance posted in the common areas. Hand washing posters were posted at hand washing stations. During record review, LPAs observed visitors log. LPAs observed facility has a copy of Mitigation Plan on file. LPAs observed food and paper supplies are sufficient. The following deficiencies were observed during the visit: -At 1:10PM, LPAs observed unlocked knives, lighters, matches, and cleaning supplies. -At 1:20PM, LPAs observed facility did not document resident observation. Only 1 page of April 2021 notes were observed in the notebook. -At 1:30PM, LPAs observed administrator did not have knowledge regarding CCLD regulations/PINs. Facility have not been documenting staff/resident temperature screening and staff have not been conducting COVID-19 surveillance testing. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 9, 2021

The state marks this report as 8 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.