Golden Years Care

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Valeria Conway conducted an announced Case Management - Other visit to the above facility. The LPA met with Licensee, Teresita and Larry Wayne as the purpose of the visit was to conduct a final walk-through of the facility prior to closure. Entrance interview conducted. At approximately 8:40 A.M. LPA gained entry to the facility and conducted a physical plant tour with the Licensee(S). During the walk-through, LPA observed the facility to be vacant and verified that no care and supervision services were being provided. The licensees reported that plans to close the facility began in October 2025; however, closure was delayed due to the need to relocate one remaining resident. The resident was successfully relocated on March 11, 2026, however, their belongings stayed behind. On June 2, 2026, LPA received confirmation that the resident’s personal belongings were delivered on May 2, 2026. As of June 3, 2026 facility #565800906, Golden Year Care, located at 1325 Lantana St. Camarillo, CA 93010 is closed and no longer in operation. The physical copy of the license was surrendered to the LPA. Closure of the facility is confirmed as of this visit. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 3, 2026

Allegation investigated: Financial abuse Staff threatened resident with eviction

Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced subsequent complaint visit to the facility above to deliver final findings of the complaint allegations. At 11:40 A.M. LPA met with the facility Licensees, Teresita and Larry Wayne and explained the purpose of the visit. During today's visit, a brief physical plant tour was conducted. Entrance interview conducted. On 01/15/2026, Licensing Program Analysts (LPAs) Valeria Conway, Kelly Dulek and Social Worker (SW) from Adult Protective Services (APS), Andrew Wardlaw conducted an initial complaint, interviewed Licensees and APS interviewed resident privately. Additionally, LPAs and SW obtained copies of pertinent documents relevant to the investigation. Throughout the course of the investigation, LPA Conway reviewed all documents. The following was determined. Continued on LIC 9099-C Unsubstantiated Continued from LIC 9099 Regarding allegation of “Financial abuse” and “Staff threatened resident with eviction” it was alleged that the facility owner/Licensee financially abused Resident #1 (R1) and threatened eviction due to the closure of R1’s bank account and lack of funds to pay for board and care. Interviews with the licensee indicated that they routinely assist R1 by providing transportation to the bank at the beginning of each month to withdraw funds for payment of board and care, medications, and incontinence supplies. The licensee denied any financial abuse. On 01/03/2026, during a visit to the bank, R1 was informed by a teller that their account had been closed and no funds were available. The licensee acknowledged expressing frustration upon learning that the account had been closed by R1 via telephone and that funds were unavailable. On 01/15/2026, an APS SW interviewed R1 privately. R1 confirmed they are their own responsible party and do not have a Power of Attorney (POA). R1 stated that closing the account was a mistake and denied any financial abuse by the licensee. R1 provided an October bank statement to APS SW for review, which showed no unusual spending or unauthorized transactions. Cash withdrawals reflected on the statement were confirmed by R1 as self-initiated. On 01/14/2026, with assistance from the licensee, R1 opened a new checking account into which their January 2026 benefits were deposited. Records indicate that the licensee has been planning to retire and close the facility since October 2025 and since then, they’ve been attempting to relocate R1. A 60-day facility closure notice and eviction notice were issued to R1 on 08/13/2025. Although the Licensee sought information regarding unlawful detainer procedures on 10/07/2025, and obtained documents on 02/02/2026, there is no evidence that formal eviction proceedings were filed. Due to R1's requiring a higher level of care, R1 was transferred to the hospital and subsequently relocated on 03/11/2026. Although the licensee acknowledged expressing frustration regarding the lack of funds and the possibility of eviction, the Licensee stated that they are aware that R1 has no family or external support and has relied on the facility since admission in 2017. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Financial abuse” and “Staff threatened resident with eviction” is deemed unsubstantiated at this time. Exit interview conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Mar 24, 2026 · control 29-AS-20260108102905

Type of visit: Case Management - Other

At 11:54 A.M. Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek arrived at the facility unannounced to conduct a case management visit to follow up on the relocation of Resident #1 (R1). The LPAs met with Licensees Teresita and Larry Wayne and discussed the reason for the visit. At the time of the visit, the facility had only one (1) resident in care. The administrator stated that they are currently in the process of finding an alternative placement for the resident. The LPAs, along with facility Licensee Larry Wayne, toured the physical plant areas inside and outside to ensure there are no health and safety hazards. Additionally, LPAs reviewed R1's home health records. Following the last meeting with Community Care Licensing Staff, the Licensee stated that Adult Protective Services (APS) visited R1 on two (2) separate occasions; however, R1 refused their assistance. The licensee also reported that R1 declined to visit a physician to obtain an assessment that would support the relocation process. Furthermore, Licensee, reported attempting to contact R1's out-of-state family member; however, the phone number on record was found to be disconnected. Regarding the current utility services being shut off, the licensee stated that billing is not a concern at this moment. During today's visit, the licensee inquired about the unlawful detainer process in relation to the upcoming 60-day facility closure effective August 13, 2025. LPAs explained the process to the licensee. LPAs obtained relevant information and provided the licensee, via email, with a comprehensive list of facilities that may potentially admit R1. No citations issued. Exit interview conducted and report provided to Licensee Larry Wayne.the state’s words, verbatim · CDSS document, Oct 7, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 11:17 A.M. The LPAs met with Licensees Teresita and Larry Wayne and discussed the reason for the visit. At the time of the visit the facility has only one (1) resident. The administrator stated that they intend to close the facility and are seeking to have Resident #1 (R1) relocated. The LPA, along with facility Licensee Larry Wayne, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: Fire extinguishers were observed to be fully charged but purchased on 08/06/2024. At 1:25 P.M. hardwired smoke detectors and a separate carbon monoxide detector were tested and were functional at the time of the visit. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, the living room and dining room furniture was observed to be in good condition. The LPAs observed the required postings in the common area. The backyard was observed to be cluttered with multiple objects blocking emergency exit, however, the licensee stated that R1 does not utilize that area. There were no bodies of water noted. The garage was observed locked and is also used as a storage room. Continued on LIC 809-C Continued LIC 809 KITCHEN: Kitchen appliances appeared to be in operable conditions. The facility has a sufficient supply of perishable, non-perishable food, emergency water and emergency food. All sharp objects were observed to be locked and properly stored at the time of the visit. At 1:25 P.M. hot water measured at 114.9 degrees Fahrenheit. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 5 (five) total bedrooms; 1 (one) is currently occupied for resident use, three (3) were being used for storage, and one (1) was designated as a staff room. RESTROOMS: The LPAs noted there are 2 restrooms in the facility; one is designated for resident use, and one is for staff use. LPAs observed the resident restroom. The resident restroom was clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. At 1:28 P.M. hot water measured 113.9 degrees Fahrenheit. RECORD REVIEW: Beginning at 12:40 P.M., staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. Review of R1’s record revealed missing required documentation, including a needs and service plan, physician’s report, consent forms and face ID sheet. Review of two administrators’ files showed that both administrators’ certificates were expired at the time of the visit. Last emergency drill was not documented. Liability insurance is expired. The last Emergency Plan and Infection Control Plan were not provided (Technical Violation issued). MEDICATION REVIEW: Beginning at 1:32 P.M., LPA Dulek reviewed medications for R1. Prescription medications appeared to be maintained and administered in compliance with regulation. The facility is using the centrally stored medication records, however, did not have August medications documented. Continued on 809-C Continued from LIC 809-C INTERVIEWS: During today's visit LPAs interviewed R1. The facility does not have a caregiver to interview only the administrators who were interviewed. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies and civil penalties were cited (refer to LIC 809-D). Exit interview conducted. A hard copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 9:15 A.M. The LPA met with Licensees Teresita and Larry Wayne and discussed the reason for the visit. At the time of the visit facility facility has only one (1) resident. The LPA, along with facility Licensee Larry Wayne, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: Fire extinguishers were observed to be fully charged but purchased over 12 months prior to today's visit. During the visit, Licensee purchased new fire extinguishers. Hardwired smoke detectors and separate carbon monoxide detector were tested at 10:37 A.M. and were functional at the time of the visit. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common area. The backyard has a covered outdoor area equipped with furniture for resident use. Licensee indicated the residents do not use the backyard area. There were no bodies of water noted. The back patio did contain items being stored, however no hazardous items were observed and the passageways were clear from obstructions. The laundry room was observed to be locked and contained cleaning chemical storage, as well as storage for additional items. The garage was observed locked. Continues on LIC 809-C Continued from LIC 809 KITCHEN: Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All sharp objects were observed to be locked and properly stored at the time of the visit. At 9:30 A.M. hot water measured at 114.9 degrees Fahrenheit. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 5 (five) total bedrooms; 1 (one) are currently occupied for resident use, 1 (one) is locked and being used for storage, and 3 (three) were observed locked and designated as staff rooms. RESTROOMS: The LPA noted there are 2 restrooms in the facility; one is designated for resident use and one is for staff use. LPA observed the resident restroom. Resident restroom was clean and sanitary and in operating condition with grab bars and non-skid surfaces. LPA observed hot water temperature in the resident restroom to be 117.1 degrees Fahrenheit. RECORD REVIEW: Beginning at 11:00 A.M., staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. 1 (one) resident record reviewed was complete and contained all required documents. Last emergency drill was conducted on July 2024. 2 (two) of 2 (two) staff files reviewed did not contain proof of CPR or first aid. MEDICATION REVIEW: Beginning at 11:20 A.M., LPA reviewed medications for 1 (one) resident. Prescription medications were observed to be maintained and administered in compliance with regulation. The facility is using the centrally stored medication records. INTERVIEWS: During today's visit facility didn’t have a caregiver to interview and the only resident was in their room sleeping. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies and civil penalties were cited (refer to LIC 809-D). Exit interview conducted. A hard copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 6, 2024