Inspection
No deficiencies recorded in this report
GOLDEN HEARTS ELDERLY CARE
27778 BAHAMONDE, Mission Viejo CA 92692
6 bedsLatest official report Oct 23, 2025Licensed
Additional info
- Telephone
- (949) 716-0016
- Licensee
- GOLDEN HEARTS ELDERLY CARE, INC.
- Administrator
- NARGIS ELAHI
- Contact
- NARGIS ELAHI
- License first date
- Sep 12, 2013
- License effective date
- Sep 12, 2013
- District office
- ORANGE COUNTY RO · (714) 703-2840
- Regional office
- 22
- Clients served
- 935 - ELDERLY
Summary
The available records show 6 Type A and 8 Type B deficiencies for this facility.
- Most recent inspection
- Oct 23, 2025
- Most recent deficiency
- Sep 15, 2025
2 later reports, from Sep 25, 2025 through Oct 23, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 984 Orange County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 7 reports for this facility: 7 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 6 Type A and 8 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 7
- Recorded deficiencies
- 14
- Type A deficiencies
- 6
- Type B deficiencies
- 8
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 4
3 in the last 12 months
Well above the typical 1
10 in the last 12 months
Most this size have none
4 in the last 12 months
Well above the typical 1
6 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed knives and scissors unsecured in a kitchen cabinet which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/16/2025 Plan of Correction Licensee to secure noted items and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above. Facility does not have documentation of quarterly emergency drills which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/16/2025 Plan of Correction Licensee to conduct drill and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 1569.311
- Regulation authority
- HSC
What the official deficiency says
Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. Facility does not have a carbon monoxide detector which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee to obtain and install a carbon monoxide detector and forward proof to LPA by POC due date. Licensee installed carbon monoxide during the visit.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in three out of three faucets with temperature ranging from 94-101 degrees F which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee to adjust water temperature and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not comply with the section cited above in one out of one staff without required annual training which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee to obtain training for staff including 4 hours of postural support, restricted conditions and hospice and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. 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 in one out of six residents with PRN medications not being documented which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction License to maintain documentation for PRN administration and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(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 record review, the licensee did not comply with the section cited above in three out of six residents (R 1, 3, and 6) without updated appraisals which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee to obtain updated appraisals/ physician reports and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in one out of six residents (R6) without physician orders for bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Licensee to obtain order for bed rail and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202
- Regulation authority
- CCR
What the official deficiency says
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, Two resident rooms do not match the floor plan in which the licensee put up a wall splitting the room in half which negates fire clearance granted to the facility which poses an immediate health, safety or personal rights risk to persons in care. CIVIL PENALTY ASSESSED
Official plan of correction
POC Due Date: 09/16/2025 Plan of Correction Licensee to submit an LIC 200 and updated floor plan to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(b)
- Regulation authority
- CCR
What the official deficiency says
Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in one out of one resident with full rails and not on hospice which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/16/2025 Plan of Correction Licensee to remove rails and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 1569.17(c)(1)(A)
- Regulation authority
- HSC
What the official deficiency says
(c)(1)(A) Subsequent to initial licensure, a person specified in subdivision (b) who is not exempted from fingerprinting shall obtain either a criminal record clearance or an exemption, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in a facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation and interview the licensee did not comply with the section cited above in one of one caregivers which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/20/2024 Plan of Correction Administrator (AD) immediately removed caregiver from premises and drove her to get fingerprinted. AD will email LPA as soon as caregiver is background cleared. An immediate civil penalty of $100 X 1 day was assessed.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs. (A) When any medical assessment, appraisal, or observation indicates that the resident's dementia care needs have changed, corresponding changes shall be made in the care and supervision provided to that resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA interview and record review, the licensee did not comply with the section cited above in two of five residents which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 09/30/2024 Plan of Correction Administrator Nargis Elahi will obtain updated assessments for two of five residents and will email the LPA with updated assessments by the Plan of Correction Date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(1)
- Regulation authority
- CCR
What the official deficiency says
The following shall be stored inaccessible to residents with dementia: Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPAs observed unsecured cleaning supplies, knife and scissors unsecured in a kitchen cabinet. This poses an immediate health and safety risk to persons in care.
Official plan of correction
POC Due Date: 09/16/2022 Plan of Correction Licensee to secure noted items and forward proof to LPA.
Plan of correction recorded
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and observation, the licensee did not comply with the section cited above. Staff are not taking visitor temps or documenting temps for staff or residents. This poses a potential health and safety risk to persons in care.
Official plan of correction
POC Due Date: 09/29/2022 Plan of Correction Licensee to take temperatures and document for all staff, residents and visitors and forward proof to LPA by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology