Golden Saints Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Caregivers Lorilee Luna and Celia Abuan. Licensee Leo Simsuangco arrived shortly after. According to the facility’s license, the facility serves (6) non-ambulatory, elderly, developmentally disabled residents, one (1) of whom may be bedridden in bedroom #1. During today’s inspection, there were a total of (6) clients in care, and per medical records, one is bedridden. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by Licensee, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was comfortable and compliant. Hot water temperature at taps accessible to clients were all compliant. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. (CONTINUED ON NEXT PAGE, LIC 809C) (CONTINUED FROM PAGE 1- LIC 809) No pools or bodies of water were observed on the premises. Per Caregiver Celia Abuan, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee also presented proof of current/active surety bond. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Leo, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Feb 26, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Chona Sinsuangco. According to the facility’s license, the facility serves (6) non-ambulatory, elderly, developmentally disabled residents, one (1) of whom may be bedridden in bedroom #1. During today’s inspection, there were a total of (5) clients in care, and per medical records, all are non-ambulatory. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by Licensee, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was 72 F. Hot water temperature at taps accessible to clients were all compliant: Bathroom #1 sink was 116.2 and bathroom #2 was 115.5. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. (CONTINUED ON NEXT PAGE, LIC 809C) (CONTINUED FROM PAGE 1, LIC 809) No pools or bodies of water were observed on the premises. Per Chona Simsuangco, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee also presented proof of current/active business liability insurance and surety bond. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Chona, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Feb 28, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced Case Management visit to observe the physical plant. LPA introduced herself, was granted entry into the facility, and met with Celia Abuan, Staff, to whom LPA disclosed the purpose of the visit. An application for a change in bedridden status was received by Community Care Licensing on February 1, 2024. A fire clearance for five (5) non-ambulatory and one (1) bedridden was requested, and the fire clearance was approved on April 11, 2024, granting bedridden approval for Bedroom 1. The fire clearance specifies that the facility’s hallway door must remain self-closing and intact, and magnets may not hold doors open unless connected to the fire alarm. During the visit, LPA toured the facility. No deficiencies were observed or cited during the visit. The Licensee will be notified by Community Care Licensing upon a decision of the application request. An exit interview was conducted with Celia Abuan, and copies of this report and Licensee/Appeal Rights were provided to staff at the conclusion of the visit. Her signature below confirms receipt of the rights and a copy of this report.the state’s words, verbatim · CDSS document, Apr 23, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Dawn Segura conducted a case management visit to cite for a deficiency observed during a previous visit. LPA introduced herself, was granted entry and met with Chona Simsuangco, Licensee, who arrived a short time later and with whom she discussed the purpose of the visit. During today's visit, LPA conducted a tour of the facility, reviewed and obtained copies of facility records, and spoke with staff. LPA’s observation and information provided by licensee and staff today and during previous visit revealed that Resident 1 (R1) is bedridden and unable to reposition independently. Review of the facility's license and fire clearance revealed that the facility is cleared and licensed for non-ambulatory residents. The facility does not have an approved fire clearance to house a bedridden resident. Based upon the foregoing, a deficiency is being cited Per Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on an LIC 809-D. A civil penalty in the amount of $500 is being assessed on an LIC 421IM. An exit interview was conducted with Chona Simsuangco at the end of the visit. Copies of this report, LIC 421IM, LIC 811, and Licensee/Appeal Rights (LIC 9058) were provided to the licensee, and her signature on this form acknowledges receipt of copies of the documents.the state’s words, verbatim · CDSS document, Jan 26, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(2) · Plan of correction due date: Jan 27, 2024

Fire Clearance.. . .Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county. . .fire department. . .or the State Fire Marshal. (2) Bedridden persons This req't was not met as evidenced by: Based on record review the licensee did not notify the licensing agency and obtain an approved fire clearance prior to accepting or retaining1 of 6 persons (R1), who is bedridden. This posed an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 26, 2024

Plan of correction: During LPA's visit, Licensee provided a completed LIC 200 Application and Fire Request form requesting approved bedridden clearance. An immediate civil penalty in the amount of $500 is being assessed for the fire clearance violation.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced required annual inspection. LPA introduced herself and was granted entry into the facility by Lorilee Luna, Staff, to whom LPA disclosed the purpose of the visit. The licensees, Leonardo and Chona Simsuangco, arrived a short time later. According to the facility’s license, the facility has a maximum capacity of six (6) residents, all of whom may be non-ambulatory. During today’s inspection, there were a total of five (5) residents residing in the home. LPA, accompanied by facility staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors and equipment inspected were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Hot water temperature at sink accessible to clients measured at 113.7 degrees Fahrenheit. Refrigerators and freezers were operational. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in a locked closet. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, and facility telephone were in working order. Fire extinguishers were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff. The interviews did not raise any licensing concerns. LPA reviewed records/files. Staff are current on training requirements. Staff files contained required documents. Confidential records were stored in locked cabinets. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Chona Simsuangco, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the end of the visit.the state’s words, verbatim · CDSS document, Jan 11, 2024