Golden Care Living

Type of visit: Required - 1 Year

On February 4,2026, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Angelique Gradney and explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. Of which (5) may be non-ambulatory and (1) Bedridden. Approved hospice waiver for (1). Currently the facility has (4) residents. Structure: The facility is a single-story structure located in a residential neighborhood. It consists of (5) resident bedrooms, (3) full bathrooms, kitchen, dining area, living room, and patio area with shade located in backyard. The facility entrance and exits are wheelchair accessible. The facility has (1) garage that is utilized for supplies. Physical Plant: LPA Lee and the Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. The facility is clean, safe and sanitary. Page 1 of 3 Bedrooms: LPA inspected all 5 bedrooms; the mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathrooms: Toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries are accessible to residents. LPA tested hot water temperature, and it measured between 105- and 120-degrees Fahrenheit. Required Postings: LPA observed all required documents posted throughout the facility. The facility has a working landline telephone. Kitchen LPA inspected the kitchen and observed all appliances to be in good working repair, including stove/oven, microwave, dishwasher, refrigerator. LPA observed an ample supply of cutlery, pots, pans, and bowls to be in good repair. LPA observed knives and additional sharps to be secured in locked drawer in the kitchen and are inaccessible to residents. LPA observed a 2-day supply of perishable foods, and a 7-day supply of non-perishable foods properly stored, packaged, and labeled. Page 2 of 2 Safety LPA observed 1 fully charged fire extinguisher inspected on 9/12/25. The last emergency drill was conducted on 1/5/26. Smoke detectors test and was operable File Review: LPA reviewed 4 resident files and found that 4 out of 4 had the required documents. LPA reviewed 3 staff files and found that 3 out 3 had the required documents, training, and certifications. Medications LPA observed all centrally stored medications secured All medications were observed in their original packaging. LPA reviewed a copy of the facility’s Liability Insurance with expiration date of 8/19/26 Infection Control LPA observed required infection control signs posted throughout the facility. LPA observed sanitizing stations throughout the facility. LPA observed an ample supply of cleaning supplies Disaster Preparedness: The facility has an Emergency Disaster Plan posted with contact numbers and at least 2 relocation sites. Facility maintains documentation of the required emergency drills. During today’s visit there were no deficiencies cited. An exit interview was conducted with Administrator Angelique Gradney Page 3 of 3the state’s words, verbatim · CDSS document, Feb 4, 2026

Type of visit: Case Management - Other

On 07/16/25 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced case management visit, with a focus on staff to resident ratio. LPA was met by staff one, Rachel Lugtu - House Manager (S1) and the purpose of the visit was explained. LPA requested the staff roster (Dated: 07/01/25) and resident roster (dated: ) and LPA toured the facility. LPA observed the facility in a clean and tidy fashion. All walkways were clear, without obstructions. LPA observed three (3) rooms and all three (3) resident rooms had ample personal belongings storage for residents in care. All three (3) bedrooms had clean linens with a chair and lamp. During today's visit, LPA observed three (3) staff present. The census was presented, indicating four (4) residents. LPA then calculated the staff to resident ratio which was measured at three (3) staff : four (4) residents, which is within Title 22 regulation. There have been zero (0) deficiencies cited during today's visit and a copy of this report has been provided to staff one, Rachel Lugtu - House Manager (S1).the state’s words, verbatim · CDSS document, Jul 16, 2025

Allegation investigated: Facility is in disrepair (exposed wiring). Staff do not provide resident adequate personal accommodations.

On 05/08/2025 at 8:00 a.m., Licensing Program Analyst (LPA) Antonine Richard conducted an initial complaint visit regarding the allegations above. LPA met with the Administrator (A1), Rodolfo Lozada, and the purpose of the visit was explained. LPA was granted entry to the facility. The investigation consisted of the following: On 05/08/25, LPA reviewed and obtained the client roster (dated 04/21/25), staff roster (dated 04/21/25), Admission agreement (dated 04/03/24), and Face sheet of resident #1 (R1), Home Depot Receipt of purchased (dated 04/14/25), LPA reviewed the Plan Of Operation, LPA interviewed three residents #1-3 (R1-R3), three staff members #1- 3 (S1-S3), and the Administrator (A1). LPA and the administrator toured the facility inside and out. Report continued on LIC9099-C Unsubstantiated Allegation #1: The Facility is in disrepair (exposed wiring). It has been alleged that there were exposed wires in the ceiling of one of the residents' rooms, where either a fan or an overhead light was connected. On May 8, 2025, between 8:30 AM and 9:00 AM, the Licensing Program Analyst (LPA) interviewed the administrator (A1) regarding the allegation facility is in disrepair due to exposed wiring in the facility. A1 explained that a resident had requested a replacement for the ceiling light bulb. On April 14, 2025, A1 went to Home Depot and purchased a ceiling light bulb, which resulted in the wiring being exposed temporarily; however, A1 assured that there were no safety issues and that the light bulb was replaced the same day. On May 8, 2025, between 9:00 AM and 10:30 AM, the LPA interviewed three residents (R1, R2, and R3). All three denied the allegation, stating that they had no issues with the electrical wiring in their rooms. R1 and R2 mentioned that three weeks prior, they had asked the administrator to change the light bulb in the ceiling. On May 8, 2025, between 10:30 AM and 11:30 AM, LPA Richard interviewed three staff members (S1, S2, and S3). All three staff members denied the allegation, stated that the facility is maintained in a clean, safe, sanitary condition and is in good repair at all times. Each staff member confirmed that there were no exposed wires in any resident rooms. Report continued on LIC9099-C On May 8, 2025, the Licensing Program Analyst (LPA) conducted a tour of each room and found that all rooms were clean and free of exposed wires in the ceilings. LPA also observed a brand-new ceiling light in the resident's room, which was equipped with three light bulbs. Additionally, the LPA received a copy of the Home Depot receipt dated April 14, 2025, for the purchase of a flush mount black ceiling light. Based on interviews, observations, and a review of records, there was insufficient evidence to support the allegation. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is deemed unsubstantiated. Allegation #2 stated that staff do not provide residents with adequate personal accommodations. It is being alleged that a resident was using a small desk lamp to read, which the resident had purchased, and the resident's room appeared to be very dark. On May 8, 2025, between 8:30 AM and 9:30 AM, LPA interviewed A1 regarding the above allegation. A1 denied the allegation, stating that all the residents have a desk lamp in their room. We have some residents who don’t want to use it; they put the desk lamp in their closet, and they would rather use their own they purchased from the outside. Report continued LIC9099-C On May 8, 2025, between 9:00 AM and 10:30 AM, (LPA) Richard interviewed three residents (R1, R2, and R3). All three residents denied the allegations and stated that they had no issues with the desk lamp they purchased. Residents R1 and R2 stated that the ceiling lamp was too bright for reading at night, and they preferred to use the small desk lamp for their reading. On May 8, 2025, between 10:30 AM to 11:30 AM, LPA Richard interviewed three staff members #1-3 (S1, S2, and S3). All three staff members also denied the allegations and stated that residents were provided with desk lamps by the facility. During the visit, LPA observed that all residents' rooms contained the required furniture, including desk lamps. The rooms were well-lit and not dark. Based on the interviews and observations, there was insufficient evidence to support the allegations. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is deemed unsubstantiated. No deficiencies were cited, and an exit interview was conducted. A copy of the report was provided to staff member Rachel Lugtu.the state’s words, verbatim · CDSS document, May 8, 2025 · control 11-AS-20250429140725

Type of visit: Required - 1 Year

On 1/24/2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Cathy Espino/Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. Of which (5) may be non-ambulatory and (1) Bedridden. Approved hospice waiver for (1). Currently the facility has (5) residents. The facility is a single-story structure located in a residential neighborhood. It consists of (5) resident bedrooms, (3) full bathrooms, kitchen, dining area, living room, and patio area with shade located in backyard. The facility entrance and exits are wheelchair accessible. The facility has (1) garage that is utilized for supplies. LPA Iniguez and the Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (5) bedrooms and (3) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 105.0°F to 116.2°F, and the room temperature ranged from 76°F to 78°F. The evaluation Report continues on the next page, LIC 809-C, providing further details of the inspection findings. During the visit, LPA Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 1/5/25. A review of (3) residents' service files and (2) staff personnel files was maintained in order. LPA reviewed (2) Medication Administration Records (MARs) and found no discrepancies. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of liability insurance was provided to LPA. Facility Annual Fess not current. LPA Iniguez provided PIN: 644543 to Cathy Espino/Administrator. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies during this visit; therefore, no citations were issued. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Cathy Espino / Administrator.the state’s words, verbatim · CDSS document, Jan 24, 2025

Type of visit: Required - 1 Year

On 1/17/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Rachel Lugtu / House Manager. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) residents ages 60 and above. Of which (5) may be non-ambulatory and (1) Bedridden. Approved hospice waiver for (1). The facility is a single-story structure located in a residential neighborhood. It consists (5) resident bedrooms, (3) full bathrooms, kitchen, dining area, living room, and patio area with shade located in backyard. The facility entrance and exits are wheelchair accessible. The facility has (1) garage that is utilized for supplies. LPA Iniguez toured the physical plant with House Manager. There were no bodies of water or obstructions on the premises. A total of (5) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected the carbon monoxide detectors combo were in operable conditions. The water temperature measured: Kitchen 126.7°F, Bathroom #1:126.6°F, Bathroom #2:123.0°F. Evaluation Report Continues LIC 809-C LPA Iniguez observed the facility to be clean, sanitary, and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. A review of (3) residents' service files, (2) staff personnel files and (3) Medication Administration Records (MAR) were reviewed. First AID kit was checked. Last fire disaster drill was on:12/26/2023. LPA observed the facility's infection control practices. Liability insurance will be emailed to LPA. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Rachel Lugtu /House Manager.the state’s words, verbatim · CDSS document, Jan 17, 2024

Allegation investigated: Licensee is not adequately addressing a cockroach infestation at the facility.

On 01/12/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced visit to the facility listed above to deliver the finding of the complaint. LPA met with Staff, Rachel Lugtu, and explained the purpose of today's visit. During today's visit three (3) clients were present. During today's visit, LPA conducted a facility tour, and received the most recent reciept form Aptive Enviromental, pest managment company On the previous visit conducted on 10/09/23, LPA conducted a facility tour with staff, conducted interviews with staff (S1 and S2) and residents (R1-R3), and requested and received copies of documents pertinent to the investigation. LPA received the following documents: Staff Roster, Resident Roster, and Resident Face Sheets. On 10/11/23, LPA received an emial from the Administrator containing the receipts from Aptive Enviromental, a pest control company. On 10/23/23, LPA spoke with resident's responsible party regarding what they have observed while at the facility. Continued on LIC9099-C Unsubstantiated The investigation revealed the following: Allegation: Licensee is not adequately addressing a cockroach infestation at the facility. The allegation alleges that there have been cockroaches all around the facility since April 2023. During a file review, LPA received and reviewed copies of the facilities receipts from Aptive Environmental, a pest control company that comes out and treats the facility for ants, cockroaches, fleas, and spiders. The receipts are from July, September, and December. During LPAs two visits to the facility, LPA did not observe insects in the home. During interviews with Residents (R1-R3), two (2) out of three (3) stated there have been insects in the home in the past, but has gotten better. During interviews with Residents Responsible Party, stated that the issue has gotten much better and that they haven't seen any insects in the facility is some time. During interviews with staff (S1 and S2) two (2) out of two (2) stated in the past they have seen insects in the facility, but has gotten better since there has been a pest control company coming out and providing services. Additionally, staff stated new cocking was done around the sink and counters and they ensure the facility is clean and laundry is done on a daily basis. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. During today's visit LPA did not observe or cite any deficiencies. An exit interview was conducted with Staff, Rachel Lugtu, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 12, 2024 · control 11-AS-20230929114331

Allegation investigated: Staff did not keep a resident's room free from odor Staff did not properly maintain a resident's bed while in care Staff did not ensure a resident showered while in care Staff did not properly report an incident involving a resident

THIS REPORT SUPERSEDES THE REPORT DATED 12/13/2023 FOR CLARIFY THE CIRCUMSTANCE FOR THE ALLEGATIONS. ALTHOUGH THIS REPORT SUPERSEDES THE PREVIOUS REPORT THE COMPLAINT INVESTIGATION FINDINGS HAVE NOT CHANGED: SUBSTANTIATED Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to Golden Care Living Facility on 12/13/2023 and was greeted by Administrator Angelique Gradney (A1). LPA Calderon spoke to A1 prior to entering the facility to conduct a risk assessment. LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations. During this investigation, LPA Calderon interviewed A1, S1-S2, R1-R4. These interviews were conducted on 12/13/2023. On 12/13/2023 LPA Calderon obtained and reviewed copies of the following: Eviction letter (date 10/11/2018 and 3/12/2019), Physician Report (dated 01/18/2018), Capability assessment (date 2/13/2017). Needs and Service plan (date 2/3/2022) Toured the facility (date 12/13/2023). The investigation revealed the following: Substantiated Regarding Allegation #1: Staff did not keep a resident’s room free from odor. This complaint alleged staff did not keep R1 room free from odor. LPA Calderon conducted an interview with A1. A1 states that R1 refuses to allow staff to clean R1 room or allow pest control to spray for fruit flies. A1 states that staff cleans R1 room and attempts to control the odor in R1 room. LPA Calderon conducted an interview with S1-S2. 2 out of 2 staff state that R1 refuses to allow staff to clean R1 room. 2 out of 2 staff state that when R1 is not in R1 room staff cleans R1 room. 2 out of 2 staff state that staff attempts to control the room odor but due to R1 urine it is hard to control odor in R1 room. LPA Calderon conducted an interview with R1-R4. 4 out of 4 residents were not capable of answering any questions due to health issues. On 12/13/2023 LPA Calderon toured the facility with A1. LPA Calderon noted R1 room had an odor of urine. LPA Calderon noted R1 in soiled pants while inside R1 room. Regarding Allegation #2: Staff did not properly maintain a resident’s bed while in care. This complaint alleged staff did not maintain bed for R1. LPA Calderon conducted an interview with A1. A1 states that R1 does not allow staff to clean his bed or change R1 mattress sheets. LPA Calderon conducted an interview with S1-S2. 2 out of 2 staff state that R1 does not allow staff to clean R1 bed. 2 out of 2 staff state that when R1 is not inside R1 room staff changes R1 bed sheets. 2 out of 2 staff state that R1 does not allow staff to put plastic sheet on the bed to protect the mattress from R1 urine. On 12/13/2023 LPA Calderon toured the facility with A1. LPA Calderon noted that R1 bed had a urine spot. Appears R1 had urinated in the bed. LPA Calderon noted R1 bed mattress was soiled and ripped up and needs to be replaced. LPA Calderon noted that staff wanted to put clean sheets on R1 wet bed without addressing the urine spot in R1 mattress. Regarding Allegation #3: Staff did not ensure a resident showered while in care. This complaint alleged staff did not make sure R1 showered or clean self. LPA Calderon conducted an interview with A1. A1 states that R1 refuses to take a shower or have staff help R1 to take a shower. LPA Calderon conducted an interview with S1-S2. 2 out of 2 staff state that R1 refuses to take a shower and staff cannot force R1 to take a bath or shower. 2 out of 2 staff state that R1 can take a shower by R1 self. LPA Calderon conducted an interview with R1 who was sitting in a wheelchair. R1 appeared confused and under the influence of alcohol. LPA Calderon noted that R1 had a vodka bottle on the side of R1 wheelchair and was taking drinks out of the bottle. LPA Calderon asked R1 to stop drinking prior to the interview. R1 states that R1 has not taken a shower for 3 days. 3 out of 3 residents were not able to give an interview regarding showering due to health issues. On 12/13/2023 LPA Calderon toured the facility with A1. LPA Calderon noted that R1 appeared to not be clean and was wearing soiled pants. LPA Calderon noted R2-R4 appeared to be clean and wearing clean clothes. LPA Calderon did not review any shower logs for R1 or any other resident. Reviewed capability assessment (date 2/13/2017) for R1, baths or showers without help, uses toilet by self. Reviewed physician report (date 1/18/2018) for R1, report notes health issues. Reviewed resident appraisal (date 2/3/2022) for R1, noted health issues for R1. Reviewed needs and service plan (dated 2/3/2022) for R1, noted health issues. Regarding Allegation #4: Staff did report an incident involving a resident. This complaint alleged staff did not keep incident reports for R1. LPA Calderon conducted an interview with A1. A1 states that R1 has lived in the facility for the past 6 years. A1 states that no incident reports have been written up on R1 actions such as not showering and refusing to allow staff to clean R1 room. A1 states that S1 kept handwritten notes from 07/01/2023 to 12/01/2023 regarding R1 not allowing staff to clean R1 room, R1 refusal to take a bath or shower or clean R1 bed. LPA Calderon conducted an interview with S1-S2. 2 out of 2 staff state that they did not write any formal incident reports regarding R1 room, refusal to take a shower, change R1 bed or sheets. 2 out of 2 staff state that S1 kept some handwritten notes for R1 from 7/1/2023 to 12/01/2023 regarding R1 refusal to take a shower, clean R1 bed or room or control the odor in R1 room. LPA Calderon reviewed R1 facility notes and LPA Calderon could not find any incident reports for R1 regarding room odor, bed status, or showering. Based on interviews, observations, and supporting documentation, the preponderance of evidence standard has been met; therefore, the allegations of “staff did not keep a residents room free from odor”, “staff did not properly maintains a residents bed while in care”, “staff did not ensure a resident showered while in care”, “staff did not properly report an incident involving a resident “is found to be SUBSTANTIATED. According to the California Code of Regulations (Title 22, Division 6, Chapter 8) the following deficiency has been observed and citation issued (ref LIC9099D). A face-to-face meeting was conducted with Administrator Angelique Gradney and a hard copy was provided.the state’s words, verbatim · CDSS document, Dec 13, 2023 · control 11-AS-20231206154114

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80072(a)(2) · Plan of correction due date: Dec 22, 2023

80072 Personal Rights (a) Except for children’s residential facilities, each client shall have personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.This requirement was not met as evidence by: Licensee did not ensure that resident room was clean and free of odor.This poses an immediate health and safety risk to all residents in care.the state’s words, verbatim · CDSS document, Dec 13, 2023

Plan of correction: Licensee will confirm staff cleans residents room and controls the odor for room. Licensee will confirm resident room free of odor by 12/22/2023

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80072(e)(3) · Plan of correction due date: Dec 22, 2023

80072 Personal Rights (a) Except for children’s residential facilities, each client shall have personal rights...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.This requirement was not met as evidence by: LIcensee did not change the bed and sheets This poses an immediate health and safety risk to all residents in care. This requirement was not met as evidence by:the state’s words, verbatim · CDSS document, Dec 13, 2023

Plan of correction: Licensee will make sure that resident mattress is replaced and a plastic sheet is put on bed to control resident urine.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80069.2(a)(1) · Plan of correction due date: Dec 22, 2023

80069.2 Functional Capabilites Assessment (a) In order to determine whether the facility's program meets a client's services needs,(A) Does not bathe or shower self. This requirement was not met as evidence by: LIcensee did not ensure resident took a shower. This poses an immediate health and safety risk to all residents in care.the state’s words, verbatim · CDSS document, Dec 13, 2023

Plan of correction: Licensee will ensure resident take a show and keep shower log notes and show LPA proof of shower logs bu POC date

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80061(b)(1)(e) · Plan of correction due date: Dec 22, 2023

80061 Reporting Requirements (b) Upon the occurrence, during the operation of the facility, (1) Events reported shall include the following:(E) Any unusual incident or client absence which threatens the physical or emotional health or safety of any client.This requirement was not met as evidence by: Licensee did not generate incident reports for resident refusal to shower, clean resident room or change the bed sheets. This poses an immediate health and safety risk to allthe state’s words, verbatim · CDSS document, Dec 13, 2023

Plan of correction: Licensee shall keep detailed records and incident repots for resodent care.