Golden House Residence 3

Type of visit: Prelicensing

On 10/21/24 at 9:24am Licensing Program Analyst (LPA) Javina George made an announced visit to the facility to conduct a prelicensing inspection. LPA met with Applicant Yusuf Karatas whom accompanied LPA throughout today's inspection. The applicant has applied for a Residential Care for the Elderly (RCFE), aged 60 and above. On 06/05/24 The North County Fire Protection District approved the facility for (5) non ambulatory and (1) bedridden resident, with delayed egress and secured perimeter. LPA was provided the gate code during today's visit. The facility is a single story structure with (1) main house and (2) additional guest houses on the property. The buildings sit behind a locked electric gate. The guest house to the right will be occupied by the live in caregiver(s). The second guest house (towards the left upon entry to the property could potentially be used for (2) residents, however the approved capacity is (6). The applicant will obtain clarification in regards to the fire clearance and getting the comments updated to ensure placement in the second building is approved. The home is equipped with video cameras on the exterior areas of the property as well as solar panels. The main house consists of a garage with (2) storage rooms), backyard, kitchen (5) bedrooms and (2.5) bathrooms. The facility was observed to have the required postings, and operable smoke and carbon monoxide detectors, and (4) fully charged fire extinguishers. The facility is equipped with no skid mats, grab bars and shower chairs. The resident bedrooms were observed to have adequate lighting, clean linen, chest of drawers, and chairs. The medications will be locked inside a cabinet inside the hallway, as well as the staff and resident files. There are no pools or bodies of water or known guns or ammunition on the premises. The applicant completed successfully COMP III orientation on 10/16/24. The facility was evaluated in accordance with the California Code of Regulation (CCR), Title 22 Chapter 6, Division 8. Based on the observations and evaluation of the facility this date, the facility’s ready for licensure. An exit interview was conducted and a copy of this report was provided to Yusuf Karatas, Applicant.the state’s words, verbatim · CDSS document, Oct 21, 2024

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: Initial Capacity: 10 Census (if any clients in care): 0 Method: Telephone call with CAB COMP II Participants: Yusuf Karatas, Administrator/Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Sep 3, 2024