Golden Villa RCFE at Natomas Park

Type of visit: Required - 1 Year

On April 28, 2023, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct a required 1 year inspection. LPA met with Julieta Flores, Administrator and informed her the reason for the visit. Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19, and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and wore a mask for PPE. Julieta and LPA could not complete the inspection tool. LPA was having computer problems. (see 812) The Administrator certificate expires 10/26/2024. The current census is 2. The facilities Administrator’s Certificate, Emergency Disaster Plan, Resident’s Rights and Facility Sketch was available for viewing. The room temperature was 76 degrees F which is within range. LPA inspected the interior and the exterior of the facility including the common living spaces, the kitchen, resident bedrooms and bathrooms. In the kitchen area, cabinets and drawers were reviewed. Knives and sharp objects were reviewed to make sure that they were locked and made inaccessible to the residents at all times. LPA observed there to be a sufficient amount of 2-day perishable and 7-day non-perishable food. Hot water temperatures were taken and measured at 114 degrees F, which is within the allowed range of 105-120 degrees. There’s appropriate lighting throughout the facility. To continue see 809-C... The facility is a one-story home. Living rooms, dining room, and areas designated for resident use were toured. Furniture and furnishings were observed to be sufficient and in good repair. Resident bedrooms and bathrooms were toured. All rooms had the required items of furniture. Window screens were on and in good repair. Bathrooms were clean, sanitary and odorless and consisted of grab bars and non-skid mats. Hot water temperature is 114 degrees F. The sink, toilet, bathtub and shower operate properly. The facility has a sufficient supply of linens, towels, bedding, etc. for residents in care. Washer and dryer was present and operating properly. Toxic substances, laundry and cleaning supplies are inaccessible. There’s a centralized storage area for resident’s medication. Medication cabinet was locked. The facility Medication Administration Record was reviewed as well as the dispensing log and was complete and current. First aid kit was present and included the required scissors, tweezers, thermometer and guide. Fire alarms, smoke alarms, and carbon monoxide detectors operate properly. Fire extinguisher is maintained and ready for emergency use. The facility was observed to have been annually inspected on March 28, 2023, by Fire Code and is in compliance at this time. LPA inspected the exterior grounds of this facility. There are no bodies of water on the premises. The perimeter fence, side gates, and latches were in good repair. Passageways are free of obstruction and potential hazards. LPA reviewed 2 resident files and 2 staff files. Resident's Records reviewed indicated Emergency Contacts, Assessments, Admission Agreements and Physician's Reports were all current and up to date. Staff records reviewed revealed current First Aid & CPR certificates, Health Screenings and Emergency Contacts were all up to date and the facility is conducting staff training as required Per California Code of Regulations Title 22, no Deficiencies observed or cited during this visit. An exit interview was conducted and a copy of this report was given to Julieta.the state’s words, verbatim · CDSS document, Apr 28, 2023

Type of visit: Required - 1 Year

On March 8, 2022, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct an Annual Required Inspection. LPA met with Julieta Flores, Administrator and explained the reason for the visit. Prior to the visit, LPA Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and the following LPA did not completed the inspection tool questionnaire due to computer problems. Julieta ensured LPA that nothing has changed since the last Annual completed in September 2021. LPA observed the following: Administrator certificate is valid expiring 10/26/2023. First aid kit fully stocked and ready for emergency use. Fire extinguishers fully charged. .Common areas were clean and in good repair. Bedrooms had required furniture and lighting. Facility has required (2) day perishable supply of food and (7) supply of Non-perishable food. Medication was properly stored and locked away. All residents are vaccinated and boosted. As a result of this visit, no deficiencies were cited, per Title 22 Regulations. Exit interview conducted and a copy of this report given to Julieta Floresthe state’s words, verbatim · CDSS document, Mar 8, 2022

Type of visit: Required - 1 Year

On November 5, 2021, at 12:10pm, Licensing Program Analyst, LPA DeAnna Williams-Lyons arrived unannounced to conduct a required annual inspection. LPA met with Julieta Flores , Licensee, and informed her the reason for the visit. Prior to initiating the inspection LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: mask. LPA completed the inspection tool questionnaire with Julieta with no issues or advisories to report. LPA observed the following: This is a 5 bedroom 3 bathroom home. Administrator certificate is valid and expires 12/16/2021 . First aid kit fully stocked and ready for emergency use. Fire extinguishers fully charged. Smoke alarms and Carbon Monoxide detector are working. The facility temperature is 73 degrees F. Common areas were clean and in good repair. Bedrooms had required furniture and lighting. Facility has the required (2) day perishable supply of food and (7) supply of non-perishable food. Medication was properly stored and locked away. There are no bodies of water on the premises. LPA reviewed 1 staff file and 1 resident file. Staff files have all the proper signatures and the facility is conducting training as required. Resident files also had all the required documents with the proper signatures. To continue see 809-C... As a result of this visit, no deficiencies were cited, per Title 22 Regulations, Division 6. Administrator shall submit the following documents to update the Regional Office files: The documents shall be submitted to Community Care Licensing by 12/05/2021: -LIC 500 facility personnel or staff schedule -LIC 610 emergency disaster plan -LIC 308 designation of administrative responsibility -copy of liability insurance -updated facility sketch Exit interview conducted and a copy of this report given to Julieta.the state’s words, verbatim · CDSS document, Nov 5, 2021