GOLDRIDGE HOME LLC

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 (a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on surveillance camera videos, A1 yelled at R1 and pointed A1’s finger in R1’s face. As R1 was walking away A1 pulled R1’s shirt and hit R1 on the arm, which poses/posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

Licensee and Administrator stated regulations will be reviewed. A written statement stating licensee have read, reviewed, and understood the personal rights regulations shall be submitted to Fresno CCL by 07/09/26.

Deadline recorded: Jul 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(2) Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews conducted, the licensee did not comply with the section cited above when audio video surveillance cameras were observed recording in the common areas, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2026 Plan of Correction Audio video surveillance cameras will be removed by POC due date 07/09/26.

Official classification

Type A

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

87555(b)(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state, and local authorities. Good in damaged containers shall not be accepted, used, or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, canned foods were observed with expired date, poses/posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/09/2026 Plan of Correction Administrator disregarded expired food. POC cleared during visit.

Official classification

Type B

Official code

87468(a)(6)

Regulation authority

CCR

What the official deficiency says

87468(a)(6) To make choices concerning their daily lives in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interviews conducted, the nonperishable food and snacks were locked in the garage to prevent resident from eating it all, which poses/posed a potential health and safety and personal rights risk to the resident in care.

Official plan of correction

POC Due Date: 07/09/2026 Plan of Correction Licensee immediately unlocked the garage. POC cleared during visit.

Official classification

Type A

Official code

87465(h)(2)

Regulation authority

CCR

What the official deficiency says

87465(h)(2) Centrally stored medicines shall be kept in a safe and locked place... not accessible to persons other than employees... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA and Licensee observed two bottle of medications stored unlock accessible to residents which poses an immediate health, safety or personal rights risk to person in care.

Official plan of correction

POC Due Date: 07/16/2025 Plan of Correction Licensee immediately locked R1’s medication in hall closet. POC cleared during visit.

Official classification

Type B

Official code

87411(F)

Regulation authority

CCR

What the official deficiency says

87411(F) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interviews conducted, the licensee did not comply with the section cited above, S1 has no health screening were on file, which poses a potential health or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2025 Plan of Correction Licensee will submit proof of S1’s health screening to CCL by POC due date 7/21/25.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a)(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by: Deficient Practice Statement Based on record review and interview conducted, Licensee did not submit a written report to the department within 7 days of incident when R1 had went to the hospital 06/09/25 and on 06/24/25, this poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/21/2025 Plan of Correction Licensee agrees to submit a plan detailing steps the facility will take to ensure the requirements of Reporting requirements are met by the POC due date 07/21/25.

Official classification

Type A

Official code

1569.618(c)(3)

Regulation authority

HSC

What the official deficiency says

1569.618 (c)(3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement All staff files were reviewed, and interviews conducted, S1 the only staff working on shift do not have current First Aid/ CPR certification, this poses an immediately health and safety risk for the residents in care.

Official plan of correction

POC Due Date: 08/16/2024 Plan of Correction Licensee shall ensure that staff have current First Aid/ CPR certification. Proof of staff First Aid/ CPR certification is to be submitted to the Fresno CCL by 08/16/24.

Official classification

Type B

Official code

1796.45(a)

Regulation authority

HSC

What the official deficiency says

1796.45 Health and Safety Code 1796.45 TB Testing (a) Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease. This requirement is not met as evidenced by: Deficient Practice Statement LPA reviewed all staff files. All staff did not have a TB result on file which poses a potential risk to the health and safety of the residents.

Official plan of correction

POC Due Date: 09/04/2024 Plan of Correction Licensee shall ensure all staff have a TB result on file. Proof of TB results for all staff shall be submitted to the Fresno CCL office by POC due date 09/04/24.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

87412(a)(11) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening This requirement is not met as evidenced by: Deficient Practice Statement LPA reviewed all staff files. Three out of four staff do not have health screening on file which poses a potential risk to the health and safety of the residents.

Official plan of correction

POC Due Date: 09/04/2024 Plan of Correction Licensee shall ensure all staff good health screening completed. Proof of good health screening for all staff shall be submitted to the Fresno CCL office by POC due date 09/04/24.

Official classification

Type A

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

87412(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed and interviews, facility do not record any of the staff trainings. No documentation of staff trainings are documented and on file which poses a potential health and safety risk for the person in care.

Official plan of correction

POC Due Date: 09/11/2024 Plan of Correction Facility shall review regulation section 87412 and ensure that all staff have the required training. Proof of trainings is to be submitted to the Fresno CCL office by the POC due date 09/11/24. Proof of training shall include the following: Trainer’s full name; Subject(s) covered in the training; Date(s) of attendance; and Number of training hours per subject.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355(e)(2) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement is not met as evidenced by: Deficient Practice Statement LPA observed S1 working, fingerprinted cleared who is not associated to facility which poses an immediate risk to the health and safety of the residents.

Official plan of correction

POC Due Date: 08/10/2024 Plan of Correction S1 is to be removed from the facility immediately. S1 is not permitted back until associated. Licensee is to submit LIC 9182 Fingerprint transfer request to Fresno CCL office by POC due date 08/10/24.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA observed cleaning chemicals stored under kitchen sink unlocked at approximately 12:41PM accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/10/2024 Plan of Correction Staff immediately locked chemicals. POC cleared during visit.