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The Golden Years Residential Care Home

Mid-size home·Licensed for 41·Chowchilla, California

Licensed since 2021Licence #207209150
  • Care approvals on fileWheelchair · Hospice · BedriddenState licensing record · September 13, 2026
  • Typical starting rate$4,500 a monthTypical in Madera County · likely $3,500–$5,500
  • Home sizeLicensed for 41Mid-size care home · a licensed care home (RCFE)
  • Room at the last state visit36 of 41 beds occupiedAugust 20, 2025 · not a current opening
  • Ways to payAsk the homeMedi-Cal ALW participation not on file
  • Last state visitSeptember 1, 2026CDSS inspection record

The Golden Years Residential Care Home is a mid-size care home in Chowchilla — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 41 residents since 2021. Dementia care is not on file.

Built from CDSS public records · September 13, 2026. Every fact below names its source and date.

Quick answers and the state record

A citation does not make a home unsafe, and an empty file does not make a home good.

Quick answers about The Golden Years Residential Care Home

Is The Golden Years Residential Care Home licensed?

The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.

How many residents is The Golden Years Residential Care Home licensed for?

41 residents — a mid-size home, per CDSS records as of September 13, 2026.

Has The Golden Years Residential Care Home been cited?

2 Type A and 2 Type B citations since 2021, per CDSS records as of September 13, 2026. Those records count 24 state visits over the same years.

Is The Golden Years Residential Care Home still open?

This license was on the CDSS roster as of September 28, 2026.

What does The Golden Years Residential Care Home cost?

$4,500 a month to start is typical in Madera County, likely $3,500–$5,500. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”

Too few homes publish a rate here, so this is the middle of Covelight’s researched range for assisted-living communities in Madera County (compiled June 2026). This home’s own rate is not on file.

The price is made in the phone call. Nothing here is a quote, an offer or a discount.

A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.

Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.

Does The Golden Years Residential Care Home take Medi-Cal?

On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.

Who holds the license?

The license is held by Ortega Luares Nursing Home LLC, per CDSS records as of September 13, 2026.

Can The Golden Years Residential Care Home keep a resident on hospice?

Hospice care is approved on this license, covering up to 5 residents, per CDSS records as of September 13, 2026.

The Golden Years Residential Care Home license and inspection record

  • Name on the license: “GOLDEN YEARS RESIDENTIAL CARE HOME, THE”, per the CDSS roster as of May 25, 2025.
  • License #207209150. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
  • Licensed for 41 residents — a mid-size home, per CDSS records as of September 13, 2026.
  • Licensed to Ortega Luares Nursing Home LLC, per CDSS records as of September 13, 2026.
  • First licensed in 2021, per CDSS records as of September 13, 2026.
  • 24 state inspection visits since 2021, per CDSS records as of September 13, 2026.
  • 2 Type A and 2 Type B citations on file since 2021, per CDSS records as of September 13, 2026. The same records count 24 state visits in that period.
  • 10 complaints and 4 substantiated allegations on file since 2021, per CDSS records as of September 13, 2026. One complaint can carry several allegations.
  • The most recent state visit on file is September 1, 2026, per CDSS records as of September 13, 2026.
Type A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗

See the state’s own record

Can they support the care needed?

California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.

  • Wheelchair / non-ambulatoryApproved · covers up to 41 residents
  • Dementia / memory careNot on file · ask the home
  • Hospice careApproved · covers up to 5 residents
  • BedriddenApproved · covers up to 2 residents

State licensing record · September 13, 2026. An approval may cover specific rooms or residents; it does not establish an opening.

Read the state’s own wording
AGE RANGE 60 AND OVER. APPROVED FOR 41 NON-AMBULATORY, OF WHICH 2 MAY BE BEDRIDDEN IN BEDROOM #11. HOSPICE WAIVER FOR 5.

935 - ELDERLY

CDSS record, verbatim · September 13, 2026

As needs change

  • Staying through hospice

    Hospice waiver on file · covers up to 5 — care may continue at the end of life

    Ask: “If hospice is needed, can care continue here until the end?”

    State licensing record · September 13, 2026

4 more questions to ask the home
  • Two-person transfers or a lift

    Not on file

    Ask: “If two people or a lift are needed to transfer, can the person stay?”

  • Someone awake overnight

    Not on file

    Ask: “Who is awake overnight, and how do residents ask for help?”

  • Medicines

    Not on file

    Ask: “Who manages the medicines, and what happens when a dose is missed?”

  • If memory loss develops

    Dementia-care designation not on file

    Ask: “If memory loss develops, what would change — and when would a move be needed?”

What it costs here

Typical starting rate

$4,500a month to start

Likely $3,500–$5,500

Covelight’s researched range for Madera County · this home’s rate is not on file

Likely monthly total

$4,500a month

Likely $3,500–$5,700

With a shared room and basic help.

An estimate for planning, not a quote. The price is made in the phone call.

See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Room
Daily care
Sharing the room

Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.

  • Starting monthly rate$4,500likely $3,500–$5,500

    Too few homes publish a rate here, so this is the middle of Covelight’s researched range for assisted-living communities in Madera County (compiled June 2026). This home’s own rate is not on file.

  • Basic help with daily careUsually includedup to $600

    Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).

  • One-time move-in fee$2,000one time · likely $0–$4,000

    Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.

Likely monthly totalLikely $3,500–$5,700
$4,500
First monthWith a one-time move-in fee · likely $4,250–$8,850
$6,500
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
  • Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
  • Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
  • SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
  • VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
  • Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
  • MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
If the money runs out, what Medi-Cal covers
Avoid surprises on the billWhat changes the price, and what to ask
  • The care level

    Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.

  • What is billed separately

    Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.

  • Move-in costs

    A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.

  • Increases

    California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.

  • What is the full monthly cost for the room and care we need, and what does it include?
  • What would the next care level cost, and who decides when it changes?
  • What is billed separately, and is there a one-time fee or deposit at move-in?
  • Is any private-pay period required before another payment program can begin?
How this estimate worksWhy this is a county figure

Too few homes publish a rate here, so this is the middle of Covelight’s researched range for assisted-living communities in Madera County (compiled June 2026). This home’s own rate is not on file.

  • Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
  • Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
  • Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
  • Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
  • We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
  • It cannot see this home’s specials, how it assesses care, or which rooms are open.
Show the 7 nearby homes that publish a rate

Where it is

  • 160 S 13Th Street, Chowchilla, CA 93610Address from the public record · September 13, 2026. Confirm the entrance with the home before visiting.

Opening the neighborhood map…

The state record

California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.

Since 2021, the state has filed 21 documents for this home, and its records count 24 visits since 2021. The most recent is a facility evaluation report, dated June 24, 2026.

On file since
2021
State visits
24
Most recent visit
September 1, 2026
Occupied · August 20, 2025 visit
36 of 41 bedsa count on that day, not an opening

We hold 10 complaint reports the state published for this home, dated August 27, 2021 to August 20, 2025. 10 of the 10 carry the state's recorded outcome word: “Substantiated” (3), “Unfounded” (5), “Unsubstantiated” (2). 10 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 10 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

Beside homes the same size

  • Type A citations2typical 0
  • Type B citations2typical 1
  • Substantiated allegations4typical 2
  • Total complaints10typical 6

“Typical” is the statewide median across the 1,354 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2021.

Year by year
YearVisitsDocumentsSubstantiated202622020254522024340202323020222212021250

The last 36 months — 11 of 21 documents

20262 state visits · 2 documents
Jun 24, 2026Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 06/24/2026, Licensing Program Analyst (LPA) M Vega arrived at the facility unannounced to conduct Required Annual Inspection. LPA was greeted by receptionist and stated the purpose of the visit. LPA met with Administrator (AD), Amber Myers and Licensee Elizabeth Prasad. LPA conducted tour of facility with AD and Licensee . Residents were observed at the facility after breakfast and in common areas. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguishers were observed with a service date of 06/24/2026. Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered twice a week by staff. Refrigerator temperature was maintained at 30 degree F. and freezer was maintained at 0 degree F. LPA toured a sample of resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 114.9 degrees F. LPA observed securely fastened grab bars and non-skid mat in all shower areas. Medications were stored in a locked medication room in a medication cart. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room door was locked and accessible to staff only. LPA observed chemicals were stored and locked. Sample of records was observed from clients and staff to have required documentation. Continuation on LIC 809C Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate and up to date information for your facility. In an effort to maintain your facility file, please submit the most current and complete forms and/or information as identified below: Residential Care Facility for the Elderly (RCFE) LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC 500 Personnel Report LIC 610E Emergency And Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 07/08/2026 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies issued during this inspection. An exit interview was conducted with the Administrator A copy of this report was given to Administrator whose signature on this form confirms receipt of these reports.the state’s words, verbatim · CDSS document, Jun 24, 2026
Feb 20, 2026Facility evaluation reportReport on file

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) M Vega arrived to conduct a Case Management. LPA introduced self and allowed entrance by Administrator (AD) - Amber Myers. LPA met with AD and Supervisor - John Alfelor, and discussed the purpose of today's visit. The Department received an incident report reporting that on 02/16/2026, R1 left facility (AWOL) without permission. Per Supervisor, R1 was located and re-admitted. Incident Report stated that during AWOL, R1 was discovered absent from facility during 30 minute checks conducted by staff. Facility did follow AWOL protocols and contacted all responsible parties, law enforcement, and this Department. LPA M Vega reviewed R1's file and physician report (LIC 602A), it is documented on R1's LIC 602A that R1 may leave facility unsupervised. No deficiencies cited. Exit Interview conducted with AD - Amber Myers and Supervisor - John Alfelor. A copy of this report provided for facility records.the state’s words, verbatim · CDSS document, Feb 20, 2026
20254 state visits · 5 documents
Aug 20, 2025Complaint investigation reportUnfounded

Allegation investigated: Licensee did not ensure facility cleanliness was maintained. Licensee did not ensure facility was free from odors.

On 8/20/2025, Licensing Program Analyst (LPA) M Vega conducted an unannounced inspection at the facility and met with Assistant Administrator - Amber Myers. The purpose of the visit was to deliver findings regarding the above allegations. It was alleged that the Licensee did not ensure facility cleanliness was maintained and Licensee did not ensure facility was free from odors. Based on multiple facility visits and current facility visit facility is clean and free of mal odor. It is determined the allegation is unfounded. This agency has investigated the complaint alleging “Licensee did not ensure facility cleanliness was maintained and Licensee did not ensure facility was free from odors.” We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened or is without a reasonable basis. We have found that the complaint was unfounded, therefore we have dismissed the complaint. Unfoundedthe state’s words, verbatim · CDSS document, Aug 20, 2025 · control 24-AS-20250812155142
Aug 8, 2025Complaint investigation reportSubstantiated

Allegation investigated: Illegal Eviction

On 08/08/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced for an complaint continuation inspection. LPA met with Supervisor - Amber Myers and Administrator Luares Bernardino. The purpose of the visit was to deliver findings regarding the above allegation. LPA was not able to obtain documentation regarding the eviction process. LPA interviewed Administrator and Supervisors. It was discovered that facility refused to accept resident back for health and safety concerns. Based on the Departments record review and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See citations on the attached LIC 9099D. Exit Interview conducted. Copies of the forms LIC 9099 and LIC 9099 D and appeal rights were provided to the administrator. Substantiatedthe state’s words, verbatim · CDSS document, Aug 8, 2025 · control 24-AS-20250327162925

From the deficiency page — Deficiency type: Type A · Section cited: CCR 85068.5(a) · Plan of correction due date: Aug 8, 2025

85068.5(a) Eviction Procedures The licensee shall be permitted to evict a client by serving the client with a 30-day written notice...this requirement was not met as evidenced by: Based on interview conducted, facility refused to accept a resident back into the facility and failed to properly evict, which poses an immediate Personal Rights risk to the resident.the state’s words, verbatim · CDSS document, Aug 8, 2025

Plan of correction: Licensee stated that implemented new form for discharge and or transfer of new client, provided 30 day eviction letter as well for future use.

Jun 25, 2025Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 06/25/2025, Licensing Program Analyst (LPA) M Vega arrived at the facility unannounced to conduct Required Annual Inspection. LPA was greeted by receptionist and stated the purpose of the visit. LPA met with Administrator (AD), Amber Myers and Administrator Bernardino Luares. LPA conducted tour of facility with AD. Residents were observed at the facility after breakfast and in common areas. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguishers were observed with a service date of 03/07/2025. Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. Food is delivered twice a week by staff. Refrigerator temperature was maintained at 30 degree F. and freezer was maintained at 0 degree F. LPA toured a sample of resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 114.6 degrees F. LPA observed securely fastened grab bars and non-skid mat in all shower areas. Medications were stored in a locked medication room in a medication cart. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room door was locked and accessible to staff only. LPA observed chemicals were stored and locked. Report continues on LIC 809C Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. Residents’ file was reviewed to have updated emergency contact, Admission agreement, Needs and Services Plan and Pre-Appraisal Plan. Also LPA reviewed staff files. Staff files were observed to have current First Aid/CPR, Health screening, and Personnel record, and staff training . Staff are fingerprinted clear and associated to the facility. LPA requested the following records: LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 07/03/2025 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. An exit interview was conducted with AD. Report was signed and with appeal rights provided to AD for facility records.the state’s words, verbatim · CDSS document, Jun 25, 2025
May 7, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff did not prevent resident from eloping.

Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility unannounced on May 7, 2025 at 10:00 a.m. to investigate the above allegations. LPA met with Licensee, Bernardino Luares, and explained the purpose for today’s visit. Regarding the allegation Staff did not prevent resident from eloping. Resident 1 eloped from the facility on 02/03/2025 at approximately 2:35 a.m.. Resident 1's Physicians report documents he is not able to leave the facility unassisted. Based on interviews, observation, and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following deficiencies are being cited Per Title 22 Regulations. Exit interview conducted Licensee, Bernardino Luares, and a copy of this report along with appeals rights provided. Substantiatedthe state’s words, verbatim · CDSS document, May 7, 2025 · control 24-AS-20250204093509

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: May 8, 2025

87464 Basic Services (f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). The following requirement has not been met as evidenced by: Resident 1 eloped from the facility approximately 2:35 a.m. on 02/03/2025 depsite Physicians report documenting he is not allowed to leave the facility unassisted, which poses an immediate health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 7, 2025

Plan of correction: Licensee will conduct training with facility staff and client Care and Supervision, and reviewing client documents submit proof to LPA by POC date of 05/08/2025.

May 7, 2025Facility evaluation reportReport on file

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sarah Hurt arrived unannounced to conduct a Case Management visit on 05/07/2025 at 11:00 a.m. LPA met with facility Licensee, Bernardino Luares, and stated the purpose of the visit. Resident 1 eloped from this facility on 02/03/2025. The police were involved and APS report was made.This incident was not reported to Licensing. The following deficiencies are being cited Per title 22 Regulations. Exit interview conducted with Licensee, Bernardino Luares, and a copy of this report along with appeals rights was left at the facility.the state’s words, verbatim · CDSS document, May 7, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(d) · Plan of correction due date: May 21, 2025

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(D)Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. The following requirement has not been met as evidenced by: The facility did not report Resident 1's elopement to Licensing, which poses a potential, health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 7, 2025

Plan of correction: Licensee will conduct training on Reporting Requirements with facility management staff, and submit proof to LPA by POC date of 05/21/2025.

20243 state visits · 4 documents
Oct 25, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff threatened to evict a resident in care. Staff is not allowing a resident to wear a mask.

On 10/25/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a subsequent visit and met with Facility Supervisor, Ember Myers to deliver findings of above allegation. LPA explained the purpose of the visit. Allegation: Staff threatened to evict resident in care. During complaint investigation department reviewed facility records, interviewed staff, and residents. Based on interviews no witnesses to eviction allegation. Based on staff and residents interviews no residents work at the facility and no to denying residents to wear face mask when requested. Based on history file review no records of incidents observed. Staff interviewed on 07/23/24 denied allegation refusing face mask to residents and resident work at the facility. On 07/23/24, during residents interviewed no supportive information in regard to eviction allegation. Report continues on attached LIC 9099-C Unsubstantiated Allegation: Staff is not allowing a resident to wear a mask. Allegation: Staff is not allowing a resident to wear a mask. During complaint investigation department conducted staff and residents’ interviews. On 07/23/24 based on interviews no reports of denying mask to residents. During facility visit on the same day LPA observed face mask box at the main entrance on the table with hand sanitizer available to all. Although the above allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. No deficiency was cited during this visit. Exit interview conducted , report signed and copy of this report provided to Administrator for facility records.the state’s words, verbatim · CDSS document, Oct 25, 2024 · control 24-AS-20240718100813
May 24, 2024Facility evaluation reportReport on file

Type of visit: Case Management - Other

On 05/24/24, Licensing Program Analyst (LPA) V Gorban conducted unannounced Case Management visit to the facility. LPA introduced self, stated purpose of visit, and allowed entrance by direct care staff. LPA arrived to amend complaint report to Complaint control number 24-AS-20240207140456 dated 02/07/2024, and complaint findings delivered on 05/09/2024. LPA met with Administrator to amend complaint report, pick up previous report provided, and deliver updated findings. During this visit the facility returned original report to LPA. Report signed at time of visit and copies provided for facility records.the state’s words, verbatim · CDSS document, May 24, 2024
May 24, 2024Facility evaluation reportReport on file

Type of visit: Required - 1 Year

On 04/03/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA was greeted by receptionist and stated the purpose of the visit. LPA met with Administrator (AD), Amber Myers, certification number 6066713740 and expiration date 10/10/2025. LPA conducted tour of facility with AD. Residents were observed at the facility after breakfast and in common areas. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguishers were observed with a service date of 03/20/2024. Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. Food is delivered twice a week by staff. Refrigerator temperature was maintained at 30 degree F. and freezer was maintained at 0 degree F. LPA toured a sample of resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 105 degrees F. LPA observed securely fastened grab bars and non-skid mat in all shower areas. Medications were stored in a locked medication room in a medication cart. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room door was locked and accessible to staff only. LPA observed chemicals were stored and locked. Report continues on LIC809-C Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. Residents’ file was reviewed to have updated emergency contact, Admission agreement, Needs and Services Plan and Pre-Appraisal Plan. Also LPA reviewed staff files. Staff files were observed to have current First Aid/CPR, Health screening, and Personnel record, and staff training . Staff are fingerprinted clear and associated to the facility. LPA requested the following records: · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 05/30/2024 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. An exit interview was conducted with AD. Report was signed and with appeal rights provided to AD for facility records.the state’s words, verbatim · CDSS document, May 24, 2024
May 9, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff did not notify resident's responsible person of incident(s) Facility staff did not assist resident with grooming as needed. Facility staff did not ensure resident wears clean clothing. Facility staff did not assist resident with bathing as needed. Facility staff did not provide adequate meal service. Facility staff did not ensure resident(s) can use call light. Facility staff did not arrange for medical care as needed. Facility lobby floors not maintained clean.

On 5/09/2024, Licensing Program Analyst (LPA) V Gorban visited facility to deliver findings. During this visit LPA met with facility supervisor John Alfelor and Licensee Elizabeth Prasad and toured the facility inside and out and observed residents in care. Once the tour was complete findings discussed. Allegation: Facility staff did not notify resident's responsible person of incident(s). Based of records review provided facility notified responsible party. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Facility staff did not assist resident with grooming as needed. Based of staff and residents interviews, resident’s file review R1 is independent so did not requeted assistance with grooming. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Report continues on LIC9099-C Unsubstantiated This is an amended report. Allegation: Facility staff did not ensure resident wears clean clothing. Based of files review, staff and residents’ interview, facility offer laundry twice a week to all residents, no concerns from residents interviewed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Facility staff did not assist resident with bathing as needed. Based of files review, residents and staff interviews R1 was able to bath self with assistance, R1's refused baths documented on file. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Facility staff did not provide adequate meal service. Based off history and facility file review and residents interview no concerns of inadequate meals at the facility reported by residents or observed by LPA. Alternative meals offered by facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Facility staff did not ensure resident(s) can use call light. Based of records review R1 is ambulatory and independent. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Facility staff did not arrange for medical care as needed. Based of interviews and resident’s file review R1 was provided arrangements and services by alternative department who arranged her medical needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Facility lobby floors not maintained clean. During both facility visits on 2/15, 5/09, and observations of the facility lobby floors appear clean, free of clutter, and odorless. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview provided, report signed and copy of this report provided for facility records.the state’s words, verbatim · CDSS document, May 9, 2024 · control 24-AS-20240207140456

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303a · Plan of correction due date: May 10, 2024

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This was not observed as evidenced by: The facility failed to maintain clean table counter tops and floors in the facility that did not appear clean and free from clutter. This poses potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 9, 2024

Plan of correction: The facility offered as a plan of correction to provide receipt for all facility treatment twice in a row, receipt will be provided to LPA via email by POC due date.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedthere was not enough evidence to prove a violation occurred — not a finding of wrongdoingUnfoundedthe evidence showed the allegation was false, could not have happened, or had no reasonable basisType A citationa violation that poses an immediate risk to health, safety or personal rights if it is not correctedType B citationa violation that could become a risk if not corrected, or one involving records, resources or required services

CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗

An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record, and we publish no reviews — the state’s dated documents and the questions below stand in their place.

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