FINE GOLD MANOR

Official classification

Type A

Official code

87555(b)(7)

Regulation authority

CCR

What the official deficiency says

87555...Food Service Requirements (b) The following...shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: Based on observation, interview, and record review the Licensee did not comply with the section cited above as the facility did not adhere to R1's Ground NAS CCD/CCHO Diet which posed an immediate health risk to clients in care.

Official plan of correction

Administrator agreed to submit a statement of understanding confirming that kitchen staff will adhere to resident's prescribed diets, that resident's prescribed diets will be accurately posted in the kitchen in a place where staff can easily view the dietary restriction list... ...Administrator agreed to submit the statement to CCLD no later than POC due date.

Deadline recorded: Aug 14, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as facility fire extinguishers were last serviced on 11/22/2024 and one on 01/18/2023 which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 02/11/2026 Plan of Correction Administrator agreed to have all fire extinguishers serviced by a licensed professional and to submit proof of all serviced fire extinguishers to CCLD no later than POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as one resident was observed to have a wheelchair in their room and a signed request for a wheelchair/walker but was listed to be Ambulatory on their 2024 physician's report with no re-appraisal which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 02/24/2026 Plan of Correction Administrator agreed to have a medical professional reassess R1 to determine if R1’s ambulatory status has changed since their last physician’s report. Administrator agreed to submit proof of the reappraisal to CCLD no later than POC due date.