Julia's Cottage at the Hills

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Administrator Julia Goker. The facility has a licensed capacity of 6 non-ambulatory residents, 1 of which may be bedridden in bedroom #4 and has a hospice waiver for 6 residents. During today’s visit, the facility had a census of 5 non-ambulatory residents, 3 of which were receiving hospice services. The Administrator for the facility is Julia Goker and their certificate was valid and current. During today’s visit, LPA inspected each room of the facility, including resident and staff rooms, private and common bathrooms, kitchen, garage, common areas, and outside space. No bodies of water, delayed egress, or secured perimeter were observed on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. LPA observed linens and hygiene products for resident use. The facility’s ambient and water temperature were measured within regulatory requirements at multiple locations. LPA observed locked storage for resident medications and hazardous and/or toxic chemicals, both of which were stored separately from food supplies. According to Julia Goker, no firearms or weapons are stored on the premises. LPA observed a minimum supply of 2-days of perishable food and 7-days of non-perishable food. The refrigerator and freezer temperatures were kept within requirements. Staff present at the facility had a criminal background clearance and association. LPA reviewed multiple resident and staff records. No deficiencies were cited on today’s date. An exit interview was conducted with Administrator Julia Goker, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Rebecca Ruiz and Arian Golbakhsh conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPAs were greeted by, identified themselves to, and explained the purpose of the visit with Caregiver Edna Sto Domingo. Administrator Julia Goker arrived during the visit. The facility is licensed for a maximum capacity of 6 non-ambulatory residents, 1 of which may be bedridden in room #4. The facility has a waiver for 6 hospice residents. During today’s visit, the facility had a census of 6 residents, 1 ambulatory and 5 non-ambulatory. The Administrator for the facility is Julia Goker and their certificate was valid and current. During today’s visit, LPAs toured the facility and inspected each room of the facility, including resident rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed on the premises. LPAs did not observe any aspects of delayed egress or secured perimeter. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 107.4 degrees Fahrenheit in the kitchen sink and 110.5 degrees Fahrenheit in a private resident bathroom. The facility’s internal temperature was measured at 74 degrees Fahrenheit. LPAs observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Julia Goker, no firearms or weapons are stored on the premises. LPAs also observed locked storage for resident and staff files. LPAs observed four resident medication bottles placed upon a desk at the main entry and were not secured. Administrator Julia Goker removed the bottles and secured them in the medication cabinet during the visit. Resident medications are stored in their original container and labelled. LPAs observed a minimum of a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 38 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. Continued on LIC809-C page… LPAs observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. LPAs reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, updated physician’s report and medical assessment, documents regarding safeguarding personal property, and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPAs spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. The Administrator will submit copies of the LIC500 Personnel Report, LIC610E Disaster Plan, and current liability insurance to the Department within 15 business days. The following deficiency was cited for unsecured medications and noted on the attached LIC809-D page. Additionally, a technical violation regarding physician orders was issued and noted on an LIC9102TV form. An exit interview was conducted with Administrator Julia Goker, whose signature below confirms receipt of a copy of this report, the LIC9102TV, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Nov 18, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit to conduct follow up regarding a self-reported incident report. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Marilyn Escolastico. Administrator Julia Goker arrived during the visit. On 9/16/2024, the Department received an incident report from the facility which stated that on 9/15/2024, Resident 1 (R1) had an unwitnessed fall during the night. [Administrator was provided with an LIC811 Confidential Names List to identify R1] Staff assisted R1 back into bed. The incident report noted that R1 had complaints of rib pain. Facility staff notified the Administrator and R1's responsible party. The following day on 9/16/2024, R1 was transported to the hospital by R1's responsible party and it was determined that R1 had sustained injuries. R1 received medical treatment and returned to the facility on the same day. During today’s visit, LPA conducted a health and safety check, toured the facility, observed residents in care, including R1, and reviewed and obtained copies of facility records. No deficiencies were cited on today’s date. An exit interview was conducted with Administrator Julia Goker, whose signature below confirms receipt of a copy of this report, the LIC811, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Sep 18, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Edna Santo Domingo. Administrator Julia Goker arrived during the visit. The facility is licensed for a maximum capacity of 6 non-ambulatory residents, 1 of which may be bedridden in bedroom 4. The facility has a waiver for 6 hospice residents. During today’s visit, the facility had a census of 5 non-ambulatory residents. The facility does not have a clearance for delayed egress or secured perimeter and LPA did not observe any aspects of delayed egress or secured perimeter. The Administrator for the facility is Julia Goker and their certificate is pending as of 6/15/2023. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed near or on the premises. According to the Administrator, no firearms or weapons are stored on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 115.0 degrees Fahrenheit in a common bathroom and 111.0 degrees Fahrenheit in a private resident bathroom. The facility’s internal temperature was measured at 71 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. LPA observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and label. LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 40 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Continued on LIC809-C page... Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, updated physician’s report and medical assessment, documents regarding safeguarding personal property, and personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. No deficiencies were cited on today's date. An exit interview was conducted with Administrator Julia Goker, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 01/16).the state’s words, verbatim · CDSS document, Nov 17, 2023