GOLDEN YEARS RESIDENTIAL CARE HOME, THE

Official classification

Type B

Official code

87211(a)(d)

Regulation authority

CCR

What the official deficiency says

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.

Official 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.

Deadline recorded: May 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

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 requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above. LPA observed mold in the male communal shower. LPA observed two sofas in common areas cushions and fabric were ripped and in bad condition. LPA observed the facility's roof drip edge deteriorating. LPA observed several unused furniture, mattresses, chairs, cabinets and refrigerator in the back-parking lot of the facility, which poses potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction Licensee shall remove all items from the back-parking lot and removed the mold from the male communal shower and will submit photos to CCLD on 05/27/2022. Licensee will repair or replace two sofas for the common area and the facility's roof drip edge by 06/03/2022.

Official classification

Type B

Official code

87412(a)(2)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (2) Health screening documents as specified in Section 87411(f). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited. Licensee was uable to provide record of Health Screening for a total of five (5) staff Health Screening forms at the time of the inspection, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/27/2022 Plan of Correction Licensee shall submit Health Screening documents for the five staff by 05/27/2022 to CCLD. Licensee shall a submit a written plan of how to maintain personnel records by 05/27/2022.