Golden Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Adelaida Galasinao and was granted entry to the facility. At the time of the visit there were two (2) staff present, and five (5) residents present. The facility is a four (4) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, detached garage, and open driveway. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (5). LPA was accompanied by Facility Administrator, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected residents’ bedrooms; they are equipped with required furniture such as mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 115 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside medication cabinet inaccessible to residents in care. During the walk through of the outer perimeter of the home LPA observed two window screens to be in despair. LPA will be issuing a deficiency . Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. During record review LPA observed that facility is operating without liability coverage. Based on the observations made during today’s visit, two deficiencies were cited per Title 22, Division 6 chapter, article 6, is, being cited on the attached LIC 9099 D. An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to the Facility Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Dec 23, 2025

Allegation investigated: Resident is not being provided medical attention in a timely manner.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Administrator Galasinao and explained the elements of the complaint. Allegation #1 - LPA Prieto toured the facility and interviewed resident #1 (R1), R2, R3, R4, and R5. All stated that they are getting their medical attention needs met in a timely manner. All state they are getting the medications dispensed timely by staff at the home. Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Administrator Galainao and a copy was left with the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2025 · control 18-AS-20211213093806

Allegation investigated: Resident has open wound on their leg due to neglect Facility did not meet resident's needs. Facility staff did not ensure that resident's medication was refilled in a timely manner.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegations mentioned. LPA met with Administrator Adelaida Galasinao and explained the purpose of the visit. The Department's investigation involved interviews and records review. Regarding Allegation #1, Resident #1 (R1) was no longer living at the facility and was unable to be interviewed. LPA conducted four (4) resident interviews, all who informed LPA they have never had open wounds or bed sores due to neglect from staff. Based on staff interviews, R1 never had an open wound while living at the facility. LPA did not observe open wounds on residents. Regarding Allegation #2, R1 was unable to be interviewed. LPA conducted four (4) resident interviews, all who agree staff meet their daily needs, receiving meals three (3) times a day and showers or bed baths weekly. LPA observed staff assisting residents and meeting their needs. Unsubstantiated Regarding Allegation #3, Staff informed LPA R1 was on hospice care, and they took care of R1’s medication refills. LPA conducted 4 resident interviews all who stated staff assist with their medication refills. Staff informed LPA they assist with 4 out of 5 residents medication refills. 1 out of 5 resident medication refills is done by hospice. Based on observation, interviews, and pertinent documents the allegations are unsubstantiated. An Unsubstantiated complaint means, that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator Adelaida Galasinao and a copy of this report was provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jun 5, 2025 · control 18-AS-20220126153850

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a Health and Safety check. LPA met with Administrator Adelaida Galasinao, and discussed the purpose of the visit. While LPA was sitting in the dining room, LPA observed two (2) living roaches crawling on a dining chair and dining table. Based on observation deficiencies were cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where the Licensing reports were discussed and copies of the reports with Appeal Rights was provided to Administrator Adelaida Galasinao.the state’s words, verbatim · CDSS document, Jun 5, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(a) · Plan of correction due date: Jun 6, 2025

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... Based on observation, the licensee did not ensure the facility to be kept clean, safe, and sanitary from insects which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 5, 2025

Plan of correction: Licensee has agreed to call and schedule an exterminator to come and spray the entire faciliy, a scheduled date will be provide to LPA by POC due date, and an invoice will be provided upon visit.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Adelaida Galasinao, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6), a current census of (5). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) resident bathrooms measured between 105 and 109 degrees F. Four (4) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, Administrator certificate, resident rights, facility sketch, emergency telephone numbers, emergency disaster plan, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. Record Review: Three (3) Staff files reviewed were observed to be complete. Three (3) Resident files reviewed were observed to be complete. Based on observations and record review no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and a copy was provided to Administrator Adelaida Galasinao.the state’s words, verbatim · CDSS document, Dec 9, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Adelaida Galasinao, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (5) residents in care. The facility has a hospice waiver for (2) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. Outdoor shaded area is sufficient for resident activities and enclosed by self-latching gates. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured 105 to 108 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, Community Care Licensing complaint poster, Ombudsman poster, disaster evacuation plan and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision: Facility has 24-hour/7-days a week care staff. Staff working have criminal record clearances or exemptions through the Department. Record Review: (3) staff files reviewed were observed to be complete. (1) out of (3) resident files were observed to be complete. Facility did not maintain a completed physician's report or medical assessment, including tuberculosis results for resident #1 (R1) on file. Facility did not maintain a preplacement appraisal for (R1) on file. Facility did not maintain a completed physician's report or medical assessment for resident #2 (R2), report did not include physician's signature and date. Medical Related Services: All medication is centrally stored and kept in a locked cabinet. Based on LPA observations and record review, deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where reports (LIC809/LIC809-D/LIC9102) were discussed with the Administrator. Copies of the reports with Appeal Rights were provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Dec 6, 2023

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.