GOLDEN GUEST HOME

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. 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 by not having liability coverage as noted on the regulation listed above. which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/23/2026 Plan of Correction The Licensee has agreed to read over the regulation stated above and will provide LPA with acknowledgement of understanding signed and dated which states that the facility understands that a facility shall maintain liability insurance covering injuries to residents and guests (etc.). The Licensee will search for liability coverage and will provide LPA with proof of current coverage by POC date 1/23/2026.

Official classification

Type B

Official code

87303(c)

Regulation authority

CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above window screens shall be clean and maintained in good repair, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/23/2026 Plan of Correction The Licensee has agreed to read over the regulation stated above and will provide LPA with acknowledgement of understanding signed and dated which states that the facility understands that the facility shall always be in good repair. The licensee will replace the window screens and provide receipts and pictures to LPA by POC 1/23/2026

Official classification

Type A

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... Based on observation, the licensee did not ensure the facility to be kept clean, safe, and sanitary from insects which poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

Licensee has agreed to call and schedule an exterminator to come and spray the entire faciliy, a scheduled date will be provide to LPA by POC due date, and an invoice will be provided upon visit.

Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87457(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. (1) The appraisal shall include, at a minimum, an evaluation of the prospective resident's functional capabilities, mental condition and an evaluation of social factors as specified in Sections 87459, Functional Capabilities and 87462, Social Factors. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above by not maintaining a preplacement appraisal for (R1) on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/04/2024 Plan of Correction Licensee/Administrator shall submit to the Licensing Agency a completed resident appraisal by POC due date.

Official classification

Type B

Official code

87458(a)

Regulation authority

CCR

What the official deficiency says

(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above by not maintaining a completed physician's report or medical assessment for R1 on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/04/2024 Plan of Correction Licensee/Administrator shall submit to the licensing agency a completed resident physician's report by POC due date.

Official classification

Type B

Official code

87458(b)(1)

Regulation authority

CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above by facility did not maintain tuberculosis results for resident #1 (R1) on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/04/2024 Plan of Correction Licensee/Administrator shall submit to the Licensing Agency proof of residents' tuberculosis results by POC due date.