Golden Eden II

Type of visit: Required - 1 Year

On July 23, 2026, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with administrator Karla Stein and explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for (2) hospice residents. At the moment, there are no residents in hospice care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) residents' rooms, two (2) common bathrooms, (1) staff bathroom, (1) staff room, a living area, a dining area, a kitchen,a laundry area, a garage, and an outside covered patio area LPA toured the physical plant. There were no obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations and were operational. The water temperature measured 112.3 F. A comfortable temperature of 74 degrees was maintained in the facility. LPA observed the facility to be appropriately furnished at the time of the visit. Storage areas for personal hygiene and objects were stored and not accessible to residents. The kitchen was inspected and there are sufficient perishable and non-perishable food available maintained properly. The facility has (2) fire extinguishers that are fully charged, and smoke detectors operable. A working landline telephone remains available. The facility conducted a Fire & Earthquake Drills on June 6, 2026. The facility has a First Aid Kit fully stocked and maintained in order. Evaluation Report continues LIC 809-C A review of Medication Records Administration (MAR) was observed to be maintained in order and accurate. During the visit, LPA observed the facility's infection control practices. LPA observed staff following screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Mandated posters for inspection control were posted along with Facility Food Menu and Activities Calendar. An audit of residents #1-#6 (R1-R6) service records and staff #1-#4 (S1-S4) personnel records were revealed to be complete. The staff have all current CPR/First Aid Training on file. The facility has Liability Insurance #9362 valid 09/17/25 through 09/17/26. The facility's CCL annual dues. The facility has a current administrator's certificate for Karla Stein #39740 valid 03/23/25 through 03/22/27 and Mart Pamintuan #8740 valid 05/24/26 through 05/23/28. No deficiencies cited during this inspection visit. An exit interview conducted with Karla Stein and a copy of the report is provided.the state’s words, verbatim · CDSS document, Jul 23, 2026

Type of visit: Required - 1 Year

On August 1, 2025, Program Analyst (LPA) Deborah Lee conducted an unannounced required annual visit using the CARE Inspection Tools. LPA Lee met with Administrator, Karla Stein and explained the purpose of this visit. The facility is licensed for 6 non-ambulatory residents and 2 hospice approved waivers. Currently, there are six (6) residents over the age of 60. Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (2) bathrooms, (1) staff room, (1) staff bathroom, a living area, a dining area, a kitchen, an outside seating area and a garage. Physical Plant LPA and Administrator Karla Stein toured the facility inside and outside. LPA observed that there were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational. A comfortable temperature of 75 degrees F. was maintained in the facility. Page 1 of 4 Bedrooms LPA inspected all 6 bedrooms. All bedrooms were observed to have the required furniture including beds, dressers, nightstands with lamps, chairs, and ample storage space for personal belongings. All bedrooms were observed to be clean, in good repair, and have ample lighting. Bathrooms LPA inspected the facility bathrooms. In the resident’s bathroom the toilet, faucets, and shower were fully operational. All safety handrails were securely fastened. LPA observed the showers to be clean and free of mold or mildew. The shower had a nonskid material in bottom and shower chair. Resident’s toiletries are secured in a cabinet under the sink. The water temperature measured 110.6-degrees Fahrenheit. The Staff bathroom was observed to be clean. The toilet and faucets are operational. Both bathrooms were observed to be clean, in good repair and within Title 22 regulations. Linens & Hygiene LPA observed all beds to have the required linens including mattress cover, fitted sheets, blanket, comforter, and pillow. LPA observed an ample supply of linens, towels, and blankets in the hall closets. LPA observed incontinence care products stored in the resident’s closets and in the hall closet. LPA observed an extra supply of hygiene products secured in a cabinet in the laundry room. Kitchen/Laundry Room LPA inspected the kitchen and observed all appliances to be in good working repair, including stove/oven, microwave, dishwasher, washer, dryer, refrigerator, and additional freezer. LPA observed an ample supply of cutleries, pots, pans, and bowls to be in good repair. Page 2 of 4 LPA observed knives and additional sharps to be secured in locked drawers in the kitchen and are inaccessible to residents. LPA observed a 2-day supply of perishable foods and a 7-day supply of nonperishable foods. All foods and condiments were labeled with the date when they were opened and date of when they expire. All food was properly stored and labeled. Cleaning products and toxins were secured in a locked cabinet above the washer and dryer and are inaccessible to residents. Common Rooms In the living room, LPA observed, ample seating for all residents and space to accommodate resident’s wheelchairs. In the dining room, LPA observed a rectangle table and chairs to accommodate all residents. LPA observed all walkways and hallways to be clear, clean, and free of obstructions and hazards. LPA observed ample lighting is all rooms. The facility is maintained at a comfortable temperature. Safety LPA observed and tested smoke/carbon monoxide detectors to be fully operable. LPA observed an addition Carbon Monoxide detector in the hallway. LPA observed 2 fully charged fire extinguisher mounted on the wall, last serviced on 3/7/25. The last emergency drill was conducted on 6/20/25. LPA inspected the First Aid kit and found it contained an ample supply of required items and a manual. LPA observed the required posting in the facility. LPA observed all exits to be clear and easily accessible. Page 3 of 4 Medications LPA observed all centrally stored medications in their original packaging and are secured in a locked cabinet in the kitchen area. LPA reviewed 2 Resident’s medications and matched them to the Medication Administration Record (MARs). 2 out of 2 Resident’s MARs and medications are consistent with properly documented records. Files LPA reviewed 5 resident files and found 5 out of 5 contained all the necessary documentation. LPA reviewed 3 staff files and found 3 out of 3 contained the required documentation, certification, and training. LPA reviewed copies of Client Roster, Staff Roster, Emergency and Disaster Plan (LIC610E), Activity Schedule, Meal Menu, Liability Insurance, and Admission Packet. Liability Insurance expiration date 9/17/25. Infection Control During the visit, LPA observed the facility’s infection control practices. LPA observed a sanitizing station at the facility entrance; visitors log with PPE supplies are readily available to staff, and an additional 30-day supply of PPE was observed. Sufficient paper towels, cleaning, and disinfecting supplies were observed. LPA observed required postings throughout the facility. LPA did not observe any deficiencies during the time of visit. An exit interview was conducted with Administrator Karla Stein and a copy of this report was provided. Page 4 of 4the state’s words, verbatim · CDSS document, Aug 1, 2025

Type of visit: Required - 1 Year

On July 25, 2024, Licensing Program Analyst (LPA) Wendy Gibb and Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced required annual visit using the CARE Inspection Tools. LPAs met with Administrator, Karla Stein and explained the purpose of this visit. The facility is licensed for 6 non-ambulatory residents and 2 hospice approved waivers. Currently, there are six (6) residents over the age of 60. Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (2) bathrooms, (1) staff room, (1) staff bathroom, a living area, a dining area, a kitchen, an outside seating area and a garage. Physical Plant LPAs and Administrator Karla Stein toured the facility inside and outside. LPA observed There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 110 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility. page 1 of 4 Bedrooms LPA inspected all six (6) bedrooms. All bedrooms were observed to have the required furniture including beds, dressers, nightstands with lamps, chairs, and ample storage space for personal belongings. All bedrooms were observed to be clean, in good repair, and have ample lighting. Bathrooms LPA inspected the facility bathrooms. In the resident’s bathroom the toilet, faucets, and shower were fully operational. All safety handrails were securely fastened. LPA observed the showers to be clean and free of mold or mildew. The shower had a nonskid material in bottom and shower chair. Resident’s toiletries are secured in a cabinet under the sink. The water temperature measured 110-degrees Fahrenheit. The Staff bathroom was observed to be clean. The toilet and faucets are operational. Both bathrooms were observed to be clean, in good repair and within Title 22 regulations. Linens & Hygiene LPA observed all beds to have the required linens including mattress cover, fitted sheets, blanket, comforter, and pillow. LPA observed an ample supply of linens, towels, and blankets in the hall closets. LPA observed incontinence care products stored in the resident’s closets and in the hall closet. LPA observed an extra supply of hygiene products secured in a cabinet in the laundry room. Kitchen/Laundry Room LPA inspected the kitchen and observed all appliances to be in good working repair, including stove/oven, microwave, dishwasher, washer, dryer, refrigerator, and additional freezer. LPA observed an ample supply of cutleries, pots, pans, and bowls to be in good repair. page 2 of 4 LPA observed knives and additional sharps to be secured in locked drawers in the kitchen and are inaccessible to residents. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods. All foods and condiments were labeled with the date when they were opened and date of when they expire. All food was properly stored and labeled. Cleaning products and toxins were secured in a locked cabinet above the washer and dryer and are inaccessible to residents. The water temperature measured 109-degrees Fahrenheit. Common Rooms In the living room, LPA observed, ample seating for all residents and space to accommodate resident’s wheelchairs. In the dining room, LPA observed a rectangle table and chairs to accommodate all residents. At time of visit, LPAs observed all the residents participating a video guided exercise (chair yoga) LPA observed all walkways and hallways to be clear, clean, and free of obstructions and hazards. LPA observed ample lighting is all rooms. The facility is maintained at a comfortable temperature. Safety LPA observed and tested smoke/carbon monoxide detectors to be fully operable. LPA observed an addition Carbon Monoxide detector in the hallway. LPA observed 2 fully charged fire extinguisher mounted on the wall, last serviced on 3/6/24. The last emergency drill was conducted on 06/06/24. LPA inspected the First Aid kit and found it contained an ample supply of required items and a manual. LPA observed the required posting in the facility. LPA observed all exits to be clear and easily accessible. There are no firearms or ammunition stored on the premises. page 3 of 4 Medications LPA observed all centrally stored medications in their original packaging and are secured in a locked cabinet in the laundry room. LPA reviewed four (4) Resident’s medications and matched them to the Medication Administration Record (MARs). locked medication cabinet. 4 out of 4 Resident’s MARs and medications are consistent with properly documented records. Files LPA reviewed four (4) resident files and found they contained all the necessary documentation. LPA reviewed four (4) staff files and found they contained the required documentation, certification, and training. LPA reviewed copies of Client Roster, Staff Roster, Emergency and Disaster Plan (LIC610E), Activity Schedule, Meal Menu, Plan of Operation, Liability Insurance, and Admission Packet with Advertising. Liability Insurance expires on 09/17/2024. Infection Control During the visit, LPA observed the facility’s infection control practices. LPA was properly screened for Covid-19 symptoms and temperature was checked upon arrival. LPA observed a sanitizing station at the facility entrance; visitors log with Covid-19 screening and temperature log, and records of daily Covid-19 screening and temperature checks of residents and staff. PPE supplies are readily available to staff, and an additional 30-day supply of PPE was observed. Sufficient paper towels, cleaning, and disinfecting supplies were observed. All staff were wearing a face covering. LPA observed required postings throughout the facility. LPA did not observe any deficiencies during the time of visit. An exit interview was conducted with Administrator Karla Stein and a copy of this report was provided. Page 4 of 4the state’s words, verbatim · CDSS document, Jul 25, 2024

Type of visit: Collateral

On 11/15/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a case management visit at this facility. LPA met with administrator Karla Stein and explained the purpose of the visit was to gather information for a complaint in association with facility Sterling Senior Living 3 #198320308 complaint # 11-AS-20231109114136. LPA interviewed the administrator and resident #1(R1) during this visit between 08:44 am am. LPA collected the following information associated with (R1): ID/Emergency Information LIC 601 (dated: 11/05/23) Appraisal/Needs and Services Plan LIC 625(dated: 11/07/23) Physicians Report LIC 602 (dated:10/31/23) Preplacement Appraisal Information LIC 603 (dated: 11/7/23) Original Centrally Stored Medications LIC 622 (dated: October 2023) Medication Administration Record (dated: November 2023) Current Centrally Stored Medications LIC 622 (dated: November 2023) An exit interview conducted with Karla Stein and a copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 15, 2023