Golden Eden III

Type of visit: Required - 1 Year

On May 19, 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 or (6) ambulatory elderly residents ages 60 and above. The facility is approved for (2) hospice residents. 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, a living area, a dining area, a kitchen, and an outside covered patio area. The facility also had a (2) car garage with laundry 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 109.9 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 last fire drill was conducted on March 19, 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. 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 Policy # 01145259-2 valid 06/26/25 through 06/26/26. The facility's CCL annual dues is due May 28, 2026. The facility has a current administrator's certificate for Mart Pamintuan #7005928740 valid 05/24/24 through 05/23/26 and for Karla Stein #008039740 valid 03/23/25 through 03/22/27. 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, May 19, 2026

Type of visit: Required - 1 Year

On 8/4/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced annual. LPA was met by the Administrator, Karla Stein and explained the purpose of today’s visit. The facility has a census of 6. This facility is a one-story structure located in a residential neighborhood. The facility consists of (6) resident bedrooms, (3) bathrooms, living room, kitchen, dining area, and garage used for storage. The laundry room is down the hallway locked and inaccessible. Facility maintains all required posting throughout the facility. LPA Shirley and Karla walked through the kitchen and all appliances were in good working order. Medications were locked in a cabinet located in the hallway and inaccessible to residents. All knives and sharpes were located in a cabinet locked in a drawer in the kitchen. LPA observed a 3-day supply of perishable and a 7-day supply of nonperishable foods. The water temperature measured 113.8 degrees Fahrenheit. Bedrooms 1 through 6 are occupied by the clients and contains the mandated furniture. The (3) bathrooms are clean and operational. The first aid kit is fully stocked with manual. This facility is in good repair. LPA Shirley and Karla walked through all common areas. In the living room, kitchen, dining room there is ample seating and space for all residents. All rooms and walkways were clean, and clear of obstructions and hazards. All areas have ample lighting. All rooms, hallway, and living room have working smoke detectors. There is a charged fire extinguisher located in the entryway and the other by the garage door. There is a patio table in the backyard with an umbrella for shade and a sitting area. The backyard is clean and clear of obstructions and hazards and there are no bodies of water present. There were no deficiencies. An exit interview was conducted, and a copy of this report was provided to the Administrator, Karla Stein.the state’s words, verbatim · CDSS document, Aug 4, 2025

Type of visit: Required - 1 Year

On 05/20/24, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Karla Stein. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) ambulatory of which (6) maybe non-ambulatory elderly adults ages 60 and above. The facility is approved for (2) hospice resident.Current census is 5, there are currently no hospice residents in care, facility fees are current, liability insurance active with expiration date of 06/26/24. The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (3) bathrooms, a living area, a dining area, a kitchen, an outside seating area, and a garage used for storage. Resident bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to residents, no weapons nor bodies of water on the premises, land line observed, exits and walkways are free of debris/hazards. Auditory alarms observed to be operational. LPA conducted a records review of 2 staff records, 2 resident records, and 2 medication administration records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 05/17/24, 2 fire extinguisher fully charged, carbon monoxide and smoke detectors are operational. Exit interview conducted with Karla Stein, and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 20, 2024