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GOLDEN PINE GUEST HOME

314 WEST PINE STREET, Lodi CA 95240

Facility 397004502 · RESIDENTIAL CARE ELDERLY (740)

15 bedsLatest official report Jul 21, 2026Licensed

Additional info
Licensee
MARIVIC LOPEZ
Administrator
MARIVIC TEANO-CHUA
Contact
MARIVIC TEANO-CHUA
License first date
Jul 27, 2010
License effective date
Jul 27, 2010
District office
SACRAMENTO SOUTH ASC · (916) 263-4700
Regional office
27
Clients served
935 - ELDERLY

Summary

The available records show 4 Type A deficiencies for this facility.

Most recent inspection
Jul 21, 2026
Most recent deficiency
Jul 21, 2026

No later report is available, so the records do not show what happened afterward.

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 11 San Joaquin County facilities licensed for 7 to 15 beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 4 Type A and 0 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
6

Fewer than the typical 11

1 in the last 12 months

Recorded deficiencies
4

Fewer than the typical 8

1 in the last 12 months

Type A deficiencies
4

About the same as most this size

1 in the last 12 months

Type B deficiencies
0

Fewer than the typical 4

0 in the last 12 months

Substantiated complaints
0

Fewer than the typical 1

0 in the last 12 months

Repeated topics
0

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.

All report types
All report typesInspectionComplaintLicensing record
Inspection
Fire safety and emergency preparednessType A
Official classification
Type A
Official code
87203
Regulation authority
CCR

What the official deficiency says

Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. 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 4 out of 4 times the fire extinguishers were expired. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/22/2026 Plan of Correction Per discussion, the licensee agreed to call the Touch Down Fire the company they use to make an appointment to have the extinguishers serviced. by COB 07/22/2026. Kesha.Lewis@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
View official source
Inspection
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(f)
Regulation authority
CCR

What the official deficiency says

(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 a 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, the licensee did not comply with the section cited above in [1] out of [5] facility personnel files did not contain an updated medical assessment proving that facility staff was in good health and free of TB which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/03/2025 Plan of Correction The facility designated Administrator stated that all facility personnel files will be audited to make sure that all staff are deemed to be in good health and free/clear of TB at all times. A statement of correction, along with updated medical assessment, will be completed and submitted into CCL by the due date for review by this LPA.

Plan of correction recorded
Correction not verified in available records
View official report
View official source
Inspection
Not classified in the sourceType A
Official classification
Type A
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 LPA observation and interview, the licensee did not comply with the section cited above in 1569.311. LPA observed carbon monoxide is not present at the facility. Based on Administrator interview, the facility did not install carbon monoxide, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/08/2022 Plan of Correction Administrator agreed to purchase carbon monoxide and submit proof to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType A
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 LPA observation, the licensee did not comply with the section cited above in 87202(a). LPA observed fire extinguisher last serviced on May 27, 2021 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/10/2022 Plan of Correction Administrator agreed to service fire extinguisher and submit proof to CCLD by POC date.

Plan of correction recorded
Correction not verified in available records
View official report
View official source

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