Windsor Golden Living

Type of visit: Required - 1 Year

At approximately 8:45 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit. Administrator Arthur Alcones arrived at 9:20 AM. Windsor Golden Living is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents, two (2) of whom may be bedridden. The facility has a Hospice Waiver for three (3) residents. Upon arrival, LPA was informed that there were six (6) residents in care and two (2) staff members on-site. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:10 AM, LPA toured the facility with Administrator Alcones. All exits were clear and unobstructed. The facility's (2) fire extinguishers were last serviced and tagged today, 11/6/2025. The Fire Department inspected the facility and found no violations on 1/29/2025. The facility was sufficiently lighted. LPA inspected four (4) resident bedrooms and observed all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. The door leading to the garage in bedroom #1 was observed to be unlocked. Within the garage LPA observed unsecured paint and other toxins. This deficiency will be cited. All other Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 10/16/2025. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 At approximately 10:15 AM, LPA reviewed four (4) resident files. Four (4) of four (4) resident files were observed to be well organized and thorough with all required documentation. LPA reviewed four (4) staff files. LPA observed that staff members S1 and S2 did not have an LIC 503 Health Screening document in their files. This deficiency will be cited. All other staff files were observed to be well organized with all required documentation including First Aid and CPR certification and proper training documentation. LPA spot checked Medication for three (3) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Arthur Alcones’s Administrator Certification 7009494740 is current with an expiration date of 8/23/2026. LPA requested the following documents be submitted to Community Care Licensing by 12/6/2025: LIC 500 Personnel Report LIC 308 Designation of Responsibility LIC 610E Emergency Disaster Plan Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Administrator Alcones. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Nov 6, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff did not assist resident with feeding Staff do not ensure that resident's toileting needs are met Staff do not ensure resident's room is clean Staff do not ensure facility is free of bad odors Staff are unable to communicate with resident due to a language barrier

Licensing Program Analyst (LPA) Alviso arrived to conduct a complaint inspection; LPA was greeted by the caregivers that were on duty. Caregiver Liza contacted the Administrator Arthur Alcones regarding the LPA's arrival to the facility. Administrator arrived to meet with the LPA. Reporting party alleges that staff did not assist resident with feeding, staff do not ensure that resident's toileting needs are met, staff do not ensure resident's room is clean, staff do not ensure facility is free of bad odors, and staff are unable to communicate with resident due to a language barrier. LPA reviewed resident R1's records, and obtained copies. LPA reviewed staff files. The LPA interviewed staff and other related parties. The LPA toured the facility, inspecting all common areas, bathrooms, resident rooms, facility supplies, including food supply. The investigation revealed that per interviews and record reviews, R1 is able to feed self, and has minimal assistance at meal times; R1 is provided meal reminders and/or cueing to eat their meal, but is able to eat on their own. LPA observed R1 receiving their meal and eating on their own, including obtaining a chocolate candy on own and eating it. Per R1's medical assessment, signed by Physician, R1 can feed themselves. Continued on LIC9099C... Unsubstantiated Per investigation, interviews with staff and other parties, R1 is incontinent, resident is receiving incontinent care as needed. Staff empty R1's catheter as needed, and R1 is toileted for bowel movements as needed and able. R1 was observed to be clean, and dressed appropriately. R1 is changed and cleaned as needed. R1 has a commode to use as needed and wanted, all incontinent and toileting assistance is provided to R1 by staff, per interviews. LPA observed the facility to be free from foul odors, including R1's room on both inspection dates of 11/14 and 12/9, 2024; R1's bedroom, and the rest of the facility, were observed to be clean and orderly during both of the inspections. LPA observed staff and residents interacting, speaking to each other, during the inspection, including R1. Per interviews, LPA observed that the staff were able to speak English, and were able to communicate with the LPA, and with residents in care. The investigation found that there was differing information obtained regarding allegations that were reported There was no information obtained to support that the reported violations had occurred. Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations "staff did not assist resident with feeding, staff do not ensure that resident's toileting needs are met, staff do not ensure resident's room is clean, staff do not ensure facility is free of bad odors, and staff are unable to communicate with resident due to a language barrier" are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview was conducted with the Administrator, Arthur Alcones.the state’s words, verbatim · CDSS document, Dec 9, 2024 · control 21-AS-20241107111818

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alviso arrived to conduct a required - 1 Year inspection, on 12/9/24 at approximately 9:55am. LPA was greeted by the caregivers that were on duty. Lead Caregiver Liza contacted the Administrator Arthur Alcones regarding the LPA's arrival to the facility. Administrator arrived within the hour to meet with the LPA. Facility has a required emergency disaster plan. Facility has a required infection control plan. Facility has an approved hospice waiver for three (3) residents only. Facility has an approved dementia plan of operation. Facility has a fire clearance for six (6) nonambulatory, of which two (2) may be bedridden. Only the four (4) front rooms can be used for bedridden. Facility has five (5) residents in care. Per record reviews, last emergency disaster drills were conducted on 10/22/24 and 9/3/24; LPA discussed the requirement of ensuring that one of the drills done quarterly is an evacuation drill. Administrator stated their understanding of the above and has an evacuation drill planned this December 2024. LPA toured the facility. Hot water was checked at 120. degrees Fahrenheit, which is within regulation. Administrator agreed to ensure the hot water is not above 120. degrees Fahrenheit and no lower than 105. degrees Fahrenheit. All fire extinguishers, two (2), were serviced and tagged as required. All smoke alarms were marked as working appropriately per inspection. All exit doors had auditory alarms on them. Food supply was sufficient. All medications were stored appropriately and locked up per regulations. All cleaners/disinfectants were locked up and inaccessible to residents in care. Sufficient supply of linens, paper products, furnishings, hygiene products, and personal protective equipment (PPE) for use by the facility. The facility was at a comfortable temperature. There was sufficient lighting for residents in all common areas, hallways, bathrooms, and resident rooms. Continued on LIC809C... LPA is requesting the following documents be updated and submitted by 1/9/25: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required) Infection Control Plan (ensure to review and update as needed/required) Copy of LIC400 Handling of Client Cash Resources (include copy of surety bond if handling cash) Copy of Current Liability Insurance Resident Roster Copy of current Administrator Certificate. LPA reviewed five (5) resident files, including reviewing logs and medication storage. All files were complete, and all medications were stored appropriately. LPA reviewed four (4) staff files, including training. All staff had criminal record clearance as required. Staff had required training. Three (3) out of four (4) staff lacked first aid and cpr certification as required. The following deficiencies were observed during the inspection and will be cited: Per record reviews, three (3) out of four (4) staff lacked first aid as required. S3 is a direct caregiver, and is a staff that has been on their own working with residents in care. LPA observed this upon arriving to the facility today, 12/9/24. This deficiency will be cited, 87411(c )(1) Personnel Requirements – General- All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross, see LIC809D. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Failure to correct deficiency (s) by due date (s), may result in additional deficiency citations and/or civil penalties being assessed. Exit interview conducted with the Administrator Arthur Alcones. Appeal Rights Provided.the state’s words, verbatim · CDSS document, Dec 9, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Case Management visit to this facility and met with Licensee, Arthur Alcones who on February 26, 2024 notified the Department of the installation of fire sprinklers in the facility to have them available in case of emergencies. At that date, the estimated completion date was projected by the end of the week or March 1, 2024. The licensee submitted a written plan ensuring the health, safety and personal rights of all residents in care during the construction. On March 20, 2024 Licensee submitted proof of completion and passed the inspection conducted by Fire Marshal of the town of Windsor. During today's visit, LPA observed posted signs for "Caution Under Construction DO NOT ENTER" by the left side of the facility's backyard, there was no construction crew members present, but there was some debris. Per Licensee, the plumbers are taking some time to get the trenching and plumbing work done due to the weather conditions. No materials and equipment were observed. LPA observed auditory alarms located around the facility and they were operational. Staff is also required to continuously remind and check all residents to make sure that they are not going to the construction area. All resident's responsible parties were notified. Licensee told LPA that they have additional construction plans to convert the garage into more rooms for them to be able to increase their capacity. However, they are in the process of obtaining a building permit from the town of Windsor to start with the construction. LPA/Licensee discussed the importance of resident's safety throughout the construction project. Licensee assured LPA that the construction staff and facility staff will make sure that safety precautions regarding tools, toxins and exposure to safety hazards will addressed daily and while construction crews are on site and after the daily construction work is completed. Licensee agreed that a written plan needs to be submitted to CCL prior to start the expected construction. Licensee also agrees to submit proof of contact with Fire Marshall regarding space modifications to ensure Fire Code Compliance. No deficiencies cited during today's inspection. Exit interview conducted with Licensee and a copy of this report was given.the state’s words, verbatim · CDSS document, Apr 2, 2024

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to continue an Annual Required inspection and was greeted by staff. Licensee/Administrator, Arthur Alcones arrived later. LPA has returned to continue the annual inspection that was initiated on 11/07/2023. Licensee/Administrator provided LPA with staff and resident files. Four resident files and three staff files were reviewed. Staff have required First Aid and CPR Certificates. Medication records were reviewed. No deficiencies cited during this inspection.the state’s words, verbatim · CDSS document, Nov 27, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to conduct an Annual Required inspection and was greeted by staff. Licensee/Administrator, Arthur Alcones was available by phone. Backup Administrator, Lily Alcones arrived later. LPA initiated a tour of the facility around 9:40am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in bathroom used by residents measured at 116.8 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Laundry room containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Facility has some emergency food and water supplies but not three days worth to be self-sufficient for 72 hours, per Health and Safety Code 1569.695, Emergency Plans. LPA directed Administrator to add additional supplies. Fire extinguishers were last serviced September 2023. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted September 2023. Staff and Resident files are stored electronically and the facility laptop was not working during inspection. Additionally, Administrator was unable to come to the facility to provide LPA access to files. LPA will return to conduct file review. No deficiencies cited during this inspection.the state’s words, verbatim · CDSS document, Nov 7, 2023