Golden Oaks Senior Living

Allegation investigated: Staff are mismanaging residents medication

On July 22, 2026, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegation directed by the Department. LPA Avila met with Troy Watkins and explained the purpose of the visit. During the investigation process, interviews and a review of records were initiated. LPA investigated the allegations, “Staff are mismanaging residents medication.” Staff reported that medications are given to residents as prescribed in the physician orders. Staff reported that all staff adhere to their company policy regarding medications. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegation is found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility. Unfoundedthe state’s words, verbatim · CDSS document, Jul 22, 2026 · control 59-AS-20260601144112

Allegation investigated: Staff do not ensure the facility is properly maintained Staff do not ensure medication is inaccessible to residents

On July 22, 2026, Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegation directed by the Department. LPA Avila met with Troy Watkins and explained the purpose of the visit. During the investigation process, interviews and a review of records were initiated. LPA investigated the allegations, “Staff do not ensure the facility is properly maintained.” During the facility tour, LPA did not observe any flooding in resident areas or bathrooms. Staff reported they have not experienced any flooding or water issues and reported the facility is properly maintained. ----- Continued on LIC9099-C ----- Unfounded LPA investigated the allegations, “Staff do not ensure medication is inaccessible to residents.” Staff reported that all staff adhere to their company policy regarding medications. Staff reported that medications are locked and inaccessible to residents. Staff reported that residents are given medications during meals one resident at a time and the medication cart is locked at the facility. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility. Staff reported adequate staffing and did not have issues with assisting residents with toileting needs. Staff reported they assist residents with toileting needs when residents ask staff for help. Staff reported they respond to residents toileting needs timely. Based on interviews conducted and record review, the preponderance of evidence standards has not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. Findings that the complaint is Unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 22, 2026 · control 59-AS-20260513100939

Type of visit: Case Management - Incident

On May 19, 2026, Licensing Program Analyst (LPA) Ivan Avila, conducted a case management visit. LPA met with facility representative, Administrator Amber Watkins and explained the purpose of the visit. The department is following up on an Incident Report submitted by the facility on May 12, 2026, involving a resident. LPA obtain further information regarding R1's hospitalization and surgical procedure. Several topics were discussed. No deficiencies cited during today's in inspection. Exit interview conducted and copy of report was provided.the state’s words, verbatim · CDSS document, May 19, 2026

Type of visit: Case Management - Health Checks

Licensing Program Analyst K. Hiratsuka, conducted this unannounced case management visit. This visit is a health and safety check in response to five residents who were relocated to this facility yesterday from another facility. LPA observed the five residents today. LPA toured the facility. LPA did not observe any deficiencies. No deficiencies cited.the state’s words, verbatim · CDSS document, Mar 18, 2026

Type of visit: Case Management - Other

On November 12, 2025, Licensing Program Analyst (LPA) Ivan Avila arrived at the facility to conduct a case management visit. LPA met with Administrator and explained the purpose of the visit. LPA arrived to obtain further information regarding a resident. During today's inspection LPA interviewed Administrator and gathered information regarding an incident report that will be sent to the Department. Several topics were discussed. No deficiencies cited during today's inspection. Exit interview conducted and copy of report was provided. Exit interview conducted.the state’s words, verbatim · CDSS document, Nov 12, 2025

Type of visit: Required - 1 Year

On November 12, 2025, Licensing Program Analyst (LPA) Ivan Avila arrived at the facility unannounced to conduct a 1-year annual inspection and met with Evelyn Lander and explained the purpose of the visit. LPA Avila and Administrator toured facility together to ensure the health and safety of residents in care. Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. The LPA observed a sufficient supply of perishable and non-perishable food at the facility; Sharp objects are stored in a locked area. Water temperature measured within the required range. Bedrooms: The LPA observed resident bedrooms furnished with at least one night stand, a bed, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Bathrooms: The LPA observed the resident bathrooms to be clean, and properly supplied. Residents have sufficient supplies for personal hygiene products. Common Areas: These included but are not limited to the living area, activity area, and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. In the areas toured no immediate health, safety, or personal rights violations were observed. Surrounding Grounds (Outdoors): The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no firearms or bodies of water on the premises. Record Review: A review of facility files was initiated. The LPA observed documentation of the Infection Control, Disaster prevention and last fire drill. Facility records are stored inaccessible to residents. The LPA reviewed five (5) staff, and five (5) resident files. All documents reviewed appeared complete and current. Medications: During the facility visit a medications review was initiated. Medications are centrally stored and locked in a cabinet inaccessible to residents in care; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record log. No errors observed during the medication review. No deficiencies cited during today's visit. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 12, 2025

Type of visit: Required - 1 Year

On 11/07/2024 Licensing Program Analyst (LPA) Ivan Avila arrived at the facility unannounced to conduct a 1-year annual inspection and met with Amber Greene and explained the purpose of the visit. LPA Avila and House Manager toured facility together to ensure the health and safety of residents in care. Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. The LPA observed a sufficient supply of perishable and non-perishable food at the facility; Sharp objects are stored in a locked area. Water temperature measured at 123 degrees. Bedrooms: The LPA observed resident bedrooms furnished with at least one night stand, a bed, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Bathrooms: The LPA observed the resident bathrooms to be clean, and properly supplied. Residents have sufficient supplies for personal hygiene products. Common Areas: These included but are not limited to the living area, activity area, and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. In the areas toured no immediate health, safety, or personal rights violations were observed. Surrounding Grounds (Outdoors): The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no firearms or bodies of water on the premises. Record Review: A review of facility files was initiated. The LPA observed documentation of the Infection Control, Disaster prevention and last fire drill. Facility records are stored inaccessible to residents. The LPA reviewed five (5) staff, and five (5) resident files. All documents reviewed appeared complete and current. Medications: During the facility visit a medications review was initiated. Medications are centrally stored and locked in a cabinet inaccessible to residents in care; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record log. No errors observed during the medication review. No deficiencies cited during today's visit. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 7, 2024

Type of visit: Required - 1 Year

On 12/13/2023 Licensing Program Analyst (LPA) Ivan Avila arrived at the facility unannounced to conduct a 1-year annual inspection and met with Amber Greene and explained the purpose of the visit. LPA Avila and Administrator toured facility together to ensure the health and safety of residents in care. Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. The LPA observed a sufficient supply of perishable and non-perishable food at the facility; Sharp objects are stored in a locked area. Water temperature measured at 112 degrees. Bedrooms: The LPA observed resident bedrooms furnished with at least one night stand, bed, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Bathrooms: The LPA observed the resident bathrooms to be clean, and properly supplied. Residents have sufficient supplies for personal hygiene products. Common Areas: These included but at not limited to the living area, activity area, and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. Surrounding Grounds (Outdoors): The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no firearms or bodies of water on the premises. Record Review: Facility records are stored inaccessible to residents. The LPA reviewed five (5) staff, and five (5) resident files. All documents reviewed appeared complete and current. Medications: During the facility visit a medications review was initiated. Medications are centrally stored and locked in a cabinet inaccessible to residents in care; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record log. No errors observed during the medication review. No deficiencies during todays visit. Exit interview conducted and copy of the report was provided to Amber Greene.the state’s words, verbatim · CDSS document, Dec 13, 2023