Goldrush Residence

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection. LPA was greeted by Administrator Lorraine Lopez and explained the purpose of the visit. The facility is a single story home located in Glendora. The home consists of a dining room, kitchen, living room, five (5) resident bedrooms, three (3) bathrooms, garage, laundry room, outdoor covered patio, front and back yards. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. Carbon monoxide/Smoke detectors are located in the hallway, were tested and are operable. LPA inspected five (5) resident rooms. All residents’ bedrooms contained required furniture, linens and lighting, all in good repair. Water temperatures in all grooming and bathing areas were measured to be within the 105–120 degrees F requirement. LPA observed grab bars near toilets and inside showers. Facility has video surveillance inside common areas. continued on LIC 809C Food Service: LPA observed sufficient supply of nonperishable for one week and perishable foods for a minimum of two days in the kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. All kitchen areas are kept clean and free of litter, rodents, vermin and insects. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Residents with Special Needs: No pools or large bodies of water were observed. Knives, sharps or other items that could pose a danger to residents with dementia, were observed to be inaccessible. Auditory devices were observed to be in working order. Health Related Services/Incidental Medical Services: The medications are centrally stored in a locked cabinet. Personnel Records Training: LPA reviewed three (3) staff files and all were observed to contain required valid CPR and First Aid, TB testing results, Health screening, and fingerprint clearance. Operational Requirements: The fire clearance is approved for five (5) non-ambulatory and one (1) bedridden. Hospice waiver for six (6) in place. Resident Records/Incident Reports: LPA reviewed Resident files for six (6) residents in care. Resident files are maintained at the facility. Admission Agreement, Physician's Report (including T.B clearance and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Appraisal/Needs and Services Plan, Resident Rights were observed. Per California Code of Regulations, Title 22, and California Health and Safety Code, there are no deficiencies observed during today’s visit. Exit interview held, and a copy of this report was provided to Administrator Lorraine Lopez.the state’s words, verbatim · CDSS document, Apr 20, 2026

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Alberto Lopez and Sakinah Madyun conducted an announced pre-licensing visit and met with Administrator Lorraine Lopez and Megan Hill for the purpose of conducting a Pre-Licensing Inspection / Component III visit. This Pre-Licensing Inspection is due to change of ownership. This is the initial visit. An application for an Initial License was submitted to the department on 04/05/24 The facility will operate as a Residential Care Facility for the Elderly (RCFE). The facility has a total capacity to serve up to six (6) Residents. Fire clearance approved for six (6) residents who may be non-ambulatory, of which up to one (1) may be bedridden. Fire clearance for bedridden residents may be in Room #1. Hospice Waiver requested for up to six (6) residents in care. Dementia care plan is in place. The facility is a single-story home: Total of five (5) bedrooms three (3) bathrooms, dining room, one (1) living rooms, backyard with locked attached garage, and a laundry area. The physical plant was toured. Pre-Licensed Inspection Tool was used. The following was observed/inspected: · There is a locked storage area that is centrally located for medication. · Cleaning supplies are kept separate from food and located in a locked cabinet. · Facility walls, ceilings, floors, window screens and areas around the facility are clean and in good repair. · Fire extinguishers and smoke/CO2 detectors operate properly. · Doors and passageways are free of obstruction. · There are no pools/bodies of water at the facility. · Facility does not have firearms on premises. (continued on 809C) (continued from 809) · All Required Postings were observed. · There is an emergency exiting plan with emergency phone numbers posted. · Facility has a current Emergency disaster plan maintained at the facility. · Operating telephone is on the premises and will be available to residents. · Locked area for Staff and Residents files observed. · First-aid supplies are maintained and readily available. · Refrigerator and freezer were observed and are maintained at the correct temperatures. · Food storage and preparation are clean and appropriate for food preparation. · Hot water temperature was tested and is within the required range of 105-120 degrees F. · Plan of Operation / Dementia Care Plan / Infection Control Plan observed Facility plant cleared on today’s visit. Component III was completed with Applicant Lorraine Lopez and Megan Hill, staff as well. An exit interview was conducted, and a copy of this report has been furnished to applicant. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Mar 10, 2025