Golden Hands Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by care provider after explaining the purpose of the visit. Administrator (AD) Marizonia Llorin was notified via telephone and later arrived to assist with the inspection. LPA observed the Administrator certificate was current with an expiration date of March 5, 2028. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, of which one may be bedridden, with a hospice waiver for six. The facility is a one-story home with four resident bedrooms, one staff bedroom, two bathrooms, kitchen, dining room, living room, pool and an attached garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, garage and observed the following: Continued on LIC809 C LPA observed a residents watching television in the living room and resting in their respective bedrooms. LPA observed six residents in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall in the living room. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway storage cabinets. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 107.6 and 114.2 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had a shaded sitting area with furniture for resident use. LPA observed a swimming pool with a fence around it. LPA observed the pool gate has a self-latching entry door. The fence has a rotary dial locks at the gate doors for inaccessibility. LPA measured the pool fence which measured 5.9 ft from base of the floor to the top of the fence and it was observed to enclose the entire pool area. LPA observed the pool has three entry doors. LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service date of November 18, 2025 and located by the garage exit. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. LPA observed knives and sharps to be stored in a locked kitchen drawer. The garage is used for storage which is kept locked and inaccessible to residents. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents in locked storages inside the garage. Medication cabinet was observed to be locked and centrally stored in the hallway leading to the garage. LPA observed the facility conducted their last emergency disaster drill on July 1st, 2026 and is conducted every 3 months. During LPA record review, LPA Guillen reviewed six resident records. All the required documentation were present and current in the resident files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 27, 2026

Type of visit: Required - 1 Year

On July 30, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrators and Licensee’s Joey Encarnacion and Marizonia LLorin arrived shortly after and was present to assist with the facility inspection on today's date. The facility is licensed for five (5) non-ambulatory, one (1) bedridden residents with approved hospice waiver for six (6) residents. Currently, there are six (6) Hospice residents present during today’s visit. This is a single story with a attached garage facility. The facility has five bedrooms (two private resident rooms, two shared resident rooms and one staff room) and two full bathrooms. At around 8:00AM, LPA Tirre conducted a tour of the physical plant accompanied by caregiver, and the following was observed: All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the residents personal belongings was observed. Bed linens and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 106.1 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility. Facility has a secured enclosed swimming pool in backyard that’s not accessible to residents. Backyard has visiting area with plenty of shaded outdoor seating. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. CONTINUED ON 809C Facility has supply of Emergency food and water. Facility has two fire extinguishers mounted and charged. During the visit, LPA Tirre observed the facility's infection control practices, screening protocols for visitors, staff, and residents. LPA observed the facility has supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on April 6, 2025. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective August 8, 2024 – August 8, 2026. A review of six residents (R1-R6) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Joey Encarnacion # 7035533740 - Expiration 04/14/2026. No deficiencies during this inspection visit. An exit interview was conducted with Licensee/ Administrators Joey Encarnacion and Marizonia Llorin, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 30, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 07/31/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit. Deficiency cited under Title 22 Regulation 87705(f)(1) pertaining to Care of Persons with Dementia has been cleared. During today's visit, sharps are secured.. Licensee has complied with the POC. Deficiency cited under Title 22 Regulation 87555(b)(28) pertaining to Food Service has been cleared. During today's visit, food is observed to be of good quality and fresh. Licensee has complied with the POC. Licensee has been advised to maintain compliance in all items previously cited. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 15, 2024

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Kimberly Lyman and Samer Haddadin conducted an unannounced visit to Golden Hands Care Home. The purpose of today’s visit was to conduct the Annual Required inspection. LPAs were allowed entry into the facility and explained the reason for the visit. Facility is licensed for 5 non-ambulatory residents and 1 bedridden. Facility has an approved hospice waiver for 6 residents and the home currently has 3 residents on hospice. Administrators Joey Encarnacion and Marizonia Llorin arrived during the visit. Administrator Joey Encarnacion has an administrator certificate valid until 04/14/2026. LPAs Lyman and Haddadin along with Caregiver Victor Villacrusis toured the facility at 8:24 AM. LPAs toured the physical plant, checked food service, first aid kit and reviewed records. Facility appears to be clean, safe, and sanitary. The home consists of five resident bedrooms, 2 common restrooms, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 114.2 and 114.8 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. Auditory exit alarms were operational during today's visit. First aid kit had all the elements including thermometer, tweezers and scissors as well as a first aid manual. LPAs observed toxins are secured during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. At 8:40 AM, LPAs observed spoiled lettuce and broccoli, expired cheese and tofu as well as unsecured scissors in a kitchen drawer. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPAs toured the outside grounds and there is ample shaded seating for residents. Exit gates are unlocked and self latching. LPAs observed a pool secured with a 5.3 foot fence. LPAs observed ample emergency food and water supply. LPAs reviewed the emergency disaster plan and plan is thorough and complete. CONT ON LIC809-C DATED 07/31/2024. Facility provided documentation of last fire drill conducted on 04/08/2024. Facility provides activities in the form of exercise, and games. At 9:30 AM, LPAs reviewed five resident files and four staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation of medical clearance/ TB, CPR training and criminal record clearance as well as required training. At 10:30 AM, LPAs reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.the state’s words, verbatim · CDSS document, Jul 31, 2024