Golden Senior Assisted Living I

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA called Licensee/Administrator(AD) Stephen Gradney and informed him of her arrival. AD informed LPA that there are no residents or caregivers at the facility and they would come to assist with the visit. AD arrived at 9:45AM and greeted and granted LPA entry. The facility currently has no residents in care and does not retain staff. AD informed LPA that the last resident moved out of the facility in August of 2025 and the facility has been empty since. The facility is a one story home with four resident bedrooms, one resident bathroom, kitchen, living room, activity room, staff office, staff bedrooms, staff bathrooms, storage rooms and reception area. All resident bedrooms have the required components and furnishings. AD informed LPA that the entire back of the house is going to be used for residents and LPA advised that no cameras can be in resident rooms. AD informed LPA that bedroom one was recently decided to be turned into a resident bedroom and the camera still needs to be removed. LPA observed the facility has extra linens in the hall cabinets located by the staff rooms. The resident restroom water was tested at 108.8 degrees Fahrenheit and toilet paper and non slip mats were observed. LPA observed the medication cabinet to be in the hall by the caregiver rooms with a lock making medications inaccessible once residents reside at the facility. LPA observed storage rooms by the caregiver bedrooms to store facility items such as extra paperwork and boxes. LPA observed the kitchen to be clean and free of vermin. LPA did not observe a 2 day perishable due to the facility being empty, but observed seven days of non perishables in the pantry. The sharps were observed in a locked drawer in the kitchen. The toxins and chemicals were under the locked kitchen sink. Continue on LIC 809C LPA observed a fire extinguisher in the kitchen charged and with a service date of February 13, 2025. LPA advised AD to have the extinguisher serviced. LPA observed the backyard to be free of debris and obstructions. LPA observed a shaded seating area for resident use. AD tested the fire alarms and carbon monoxide detectors and they were found to be operational. LPA reviewed the file of AD and no discrepancies were observed. No medications or resident files were observed due to facility not having residents in care. LPA observed the last fire drill was conducted on June 5, 2025. LPA advised AD to continue disaster drills once staff are hired. LPA advised AD to inform licensing when they are accepting their first client back into the facility. Based on todays observations a technical violation (TV) and advisory are being noted per Title 22 Division 6 of the California Code of Regulations an exit interview was conducted and a copy of this report along with TV, advisory and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Feb 13, 2026

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jenifer Tirre made a announced inspection visit to follow up on correction identified during last Pre Licensing visit on January 10, 2025. LPA identified themselves and discussed the purpose of the visit with Licensee Stephen Gradney. An initial application to operate a Residential Care for the elderly was submitted to CCL on 08/14/2024. There are 0 clients in care during today's visit. LPA observed the water temperature inside resident bathroom measured at 106.7 degrees Fahrenheit. Water temperature is within Title 22 regulations. Comp III was conducted during visit on January 10, 2025. Facility is ready to be licensed. Exit interview conducted with Licensee Stephen Gradney and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jan 28, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jenifer Tirre made a announced inspection visit to follow up on corrections identified during Pre Licensing visit on 12/18/2024. LPA identified themselves and discussed the purpose of the visit with Licensee Stephen Gradney and Assistant Administrator Nino Lozada. An initial application to operate a Adult Residential Facility was submitted to CCL on 08/14/2024. There are 0 clients in care during today's visit. LPA observed the following: At 10:30 AM LPA toured facility with Licensee and Assistant Administrator. The following was observed: Department postings are posted in central area near entrance Facility Sketch was updated and reflected correlating rooms Grab bars installed in restrooms most face plates were repaired (one face plate in restroom 1 near toilet needs to be adjusted) Emergency food was provided Exit 7 has audible alarm Facility had First Aid Pamphlet (Licensee ordered First Aid Manual book to be delivered 1-2 business days) First Aid has required tweezers and scissors Drain inside restroom 2 was repaired and operational Outside crawl space piping was repaired and adjusted Water Temperature in resident restroom 3 is still out of compliance and needs to be adjusted. During visit Assistant Administrator lowered water temperature. LPA later attempted measuring and water was too hot. Applicant to hire Plumber to repair water temperature to meet regulations. Component III was conducted during visit. At this time facility is not ready to be licensed. Licensee to contact LPA when corrections addressing water temperature are complete. Exit interview conducted with Licensee and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jenifer Tirre made an announced pre-licensing visit. LPA identified themselves and discussed the purpose of the visit with Licensee/ Administrator Stephen Gradney. An initial application to operate a Residential Facility Care for the Elderly was submitted to CCL on 08/14/2024. At 2:05pm LPA Tirre along with Licensee/ Administrator Stephen Gradney and Assistant Administrator Nino Lozada toured the facility and observed the following: Fire clearance approval was received on 10/24/2024. Structure: Facility is a one story, 11 bedroom (4 private Residents bedrooms, 1 shared Resident bedroom, 3 live in staff rooms, 2 storage rooms and 1 office), 3 bathrooms attached duplex with no garage and a beige exterior. Living Room/ Dining Room: Adequate seating is available in the dining room and living room areas. Bedrooms Residents: All Residents bedrooms meet Licensing requirements. Bathrooms: All resident bathrooms have a working toilet, wash basin, and showers with non-skid mats in the shower. Linens & Hygiene Supplies: Facility has adequate supply of linens and towels. Emergency Phone Numbers and Exit Plan: Facility has Emergency Plan posted on wall. Food Service: Facility has as emergency water supply and canned goods. Smoke Detectors: Smoke detectors/ carbon monoxide detectors are centrally wired and were tested operational. Fire extinguisher is mounted and charged. Facility has 3 extinguishers. Facility has audible alarms on sliding/exit doors. Appliances: Gas Stove, dish washer and refrigerator are operational. Toxins: LPA observed toxins secured in storage area.. Water Temperature: Tested and recorded at 118.0 degrees F. in facility bathrooms. Reading Material Games, and Equipment: facility has activities coordinator, puzzles and games available. Medications, First-Aid Kit & Book: Facility has first aid kit present at the facility. Facility has a secured location for medications and facility files. Backyard: LPA observed the facility perimeter is secured by wall with a self latching gate across front yard. LPA observed shaded outdoor seating. CONTINUED ON 809C Administrator Certificate was observed on wall expiring 07/25/2026 Licensee to address the following corrections by 1/2/2024 Water temperature is out of compliance in Restroom 3. Licensee to adjust water temperature Department postings need to be posted in one central area near entrance Facility sketch needs to be updated and reflect correct correlating rooms Grab bars needed for two restrooms Licensee to replace broken faceplates on electric sockets Licensee to provide perishables Licensee to provide emergency food Audible alarm needed for exit 7 First Aid Manual book needed First Aid supply of tweezers and scissors needed Restroom 2 needs sink fixed to drain water faster Outside Crawl space piping needs to be adjusted At this time the facility is not ready to be licensed. Licensee to contact LPA when corrections are complete. Component III not conducted during visit due to Licensee/ Administrator currently running other licensed facilities. An exit interview was conducted with Licensee Gradney and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 18, 2024

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 Method: Telephone call with CAB COMP II Participants: Stephen Gradney, 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, Aug 30, 2024