Golden Moments Care Home

Allegation investigated: Employees have not passed their criminal background checks. Residents incontinent care needs are not being met. Staff restrain residents.

On 10/11/23 Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to close the complaint investigation regarding the above allegations. The LPA identified herself, the purpose of the visit, and asked to speak to the Designated Facility Administrator. The Administrator was home sick and a staff member was identified as her Designee. The LPA met with the Designee and a brief interview followed to review the findings of this investigation. Based on observations, a records review, as well as interviews, the department has determined the above allegations were UNFOUNDED. Regarding the first allegation: Employees have not passed their criminal background checks. The LPA reviewed the staff roster to ensure that all members had received their background clearances. Two individuals were not listed on the LPA's Guardian roster. During the course of the investigation, it was discovered that the two individuals were cleared; they had changed their marital status/names and those had not yet been submitted to Licensing to be updated. This LPA contacted the Administrator and provided instructions on the process. Unfounded Regarding the second allegation: Residents incontinent care needs are not being met. On the morning of 11/10/23, this LPA inspected bathroom trashcans to ascertain whether residents were being double-briefed. This LPA found no evidence that staff were layering adult briefs on residents. During a previous visit, this LPA observed carestaff escorting residents individually to the restroom. By interviewing multiple sources, this LPA learned that carestaff have been seen by responsible parties implementing trips to the restroom every 2 hours. During this investigation, this LPA learned that the residents were kept bathed, shaven, dressed and offered the opportunity to participate in planned activities throughout the day. There was no evidence that incontinent care was being mismanaged or that residents in care were being double-briefed. Regarding the third allegation: Staff restrain residents. This LPA observed one resident who utilized a wheelchair that had a seatbelt. The LPA located a prescription dated 11/27/2021 which stated that is was "OK to use seat belt attached to the sit stand assist chair," signed by the resident's primary care physician. Interviewees stated that their visits were unannounced and varied by day of the week, time of day, as well as in duration. 4 out of 4 responsible parties and 5 out of 5 carestaff stated that they had never witnessed issues concerning incontinence care, the use of restraints, or the implementation of restraining behaviors like making walkers or wheelchairs inaccessible to residents in care. Based on the evidence collected during the course of this investigation, the 3 allegations have been determined to be UNFOUNDED. There was no evidence to indicate that there was a reasonable basis that the above allegations could have occurred. No deficiencies were observed or cited during today's visit. A copy of this report was provided. Exit interview.the state’s words, verbatim · CDSS document, Oct 11, 2023 · control 27-AS-20231010100916

Type of visit: Required - 1 Year

On 11/8/22 at 2:35PM Licensing Program Analyst (LPA) Chris Hopkins arrived at Golden Moments Care Home for the purpose of conducting an unannounced required 1 year annual inspection. LPA verified there were no active covid cases. LPA met with Administrator, Makayla Anderson-White and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms, bathroom, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 110 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. First aid kit was checked and is complete. LPA observed centrally stored medications, toxins, and sharp knives kept locked and inaccessible to clients. LPA reviewed Fingerprint clearance and associations to the facility. The facility has central entry point and has implemented screening and sign in procedures at the back door area. LPA observed the facility to have hand washing signs and Covid-19 informational signs posted throughout the facility. LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 610E Emergency Disaster Plan, Liability Insurance, Current Administrator Certificate and Client Roster. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Nov 8, 2022

Type of visit: Prelicensing

On November 19, 2021 at 10:10am Licensing Program Analyst (LPA) Chris Hopkins arrived at Golden Moments Care Home for the purpose of conducting an unannounced Pre-Licensing inspection. LPA was screened for COVID-19 symptoms and temperature taken prior to being allowed entry into the facility. LPA met with Administrator Makayla White and together conducted a tour of the home. Licensee Mark Graham showed up at a later time. LPA inspected the kitchen, resident bedrooms, resident bathroom, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 110 degrees F which meets the 105-120 degree Fahrenheit regulation. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications locked. Cleaning supplies kept locked in kitchen cabinet. LPA observed a sufficient supply of towels and linens able to meet the needs of the residents. The facility has an approved LIC 808 mitigation plan on file and uploaded into FAS. The facility currently has 6 residents residing at the home at this time. LPA reviewed the Component III orientation with Administrator and Licensee. Component III orientation successfully completed. LPA recommends moving forward with licensure. Exit interview was conducted and a copy of report provided to facility representative.the state’s words, verbatim · CDSS document, Nov 19, 2021

Type of visit: Office

COMP II by CAB successfully completed. Facility Type: RCFE Application Type: CHOW- change in ownership Capacity: 6 Census (if any clients in care): 6 (all non-ambulatory) COMP II Participants: Mark Graham, Licensee and Makayla White-Anderson, Administrator Interview Method: Telephone interview On November 8, 2021 at 9:00 AM, Administrator and Licensee participated in COMP II via telephone with Analyst, Celia Phomphachanh from CAB. Identification of the Licensee was verified by providing California Driver License number verbally. During COMP II, Applicant confirmed the understanding of Title 22 and Health and Safety Codes. Component II was successfully completed. 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. Staff Qualifications and responsibilities 3. Applicant and Administrator Qualifications 4. Program Policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical Plant and Food Service 7. Application Document Review and Technical Assistance: Criminal Record Clearance, Health Screening, Fire Clearance, First Aid/CPR Certificate, Administrator Certificate, Financial Verification, Pre-licensing Inspection, Compliance History and Control of property. Interviewed concluded with Administrator and Licensee. LIC 809 will be sent via email PDF to Administrator.the state’s words, verbatim · CDSS document, Nov 8, 2021