Hazardous items and storage
Cited in 2 reports, with 2 deficiencies in total.
GOLDEN AGE INC.
624 CYPRESS AVENUE, Millbrae CA 94030
6 bedsLatest official report Jul 31, 2026Licensed
Additional info
- Telephone
- (650) 877-8258
- Licensee
- GOLDEN AGE, INC
- Administrator
- ZITSER, ALEX
- Contact
- ZITSER, ALEX
- License first date
- Jul 23, 2004
- License effective date
- Jul 23, 2004
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 6 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Jul 31, 2026
- Most recent deficiency
- Jul 31, 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 150 San Mateo County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 3 reports for this facility: 3 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 6 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 3
- Recorded deficiencies
- 8
- Type A deficiencies
- 6
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 1
Fewer than the typical 4
1 in the last 12 months
More than the typical 4
2 in the last 12 months
Well above the typical 1
0 in the last 12 months
About the same as most this size
2 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(h)(1)
- Regulation authority
- CCR
What the official deficiency says
87463(h)(1) Reappraisals - Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This regulation has not been met as evidenced by: Based on resident records reviewed, R1, does not have documentation of an annual routine medical visit on file. Interview with administrator, it was indicated that R1 has had a medical visit since 2023, but there just is not any record kept on file at time of inspection.
Official plan of correction
Facility shall develop a written plan showing how it will meet this regulation at all times in having on file record of annual medical visit. Written plan shall be submitted by the due date shown.
Deadline recorded: Aug 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 7, 2026
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
87463(a) Reappraisals - 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 regulation has not been met as evidenced by: Based on resident records reviewed, 1 of 5 residents have LIC625 on file. LIC625 is considered as part of the reappraisal, and all apprasails are to be trasferred to the LIC625.
Official plan of correction
Facility shall develop a written plan showing how it will meet this regulation at all times. Written plan shall be submitted by the due date shown.
Deadline recorded: Aug 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 7, 2026
Correction not verified in available records
Inspection
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
87309 Storage Space - (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This regulation has not been met as evidenced by: Based on facilty observations, LPA observed cleaning solutions stored below resident bathroom sink, on the upper level. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Facility shall develop a written plan showing how it will meet this regulation at all times. Written plan shall be submitted by the due date shown. FACILITY REMOVED ITEMS DURING TODAY'S VIST THUS THE DEFICIENCY IS CLARED ON THIS DAY.
Deadline recorded: Jul 22, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 22, 2025
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h)(2) - The following requirements shall apply to medications which are centrally stored: Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This regulation has not been met as evidenced by: Based on facilty observations, LPA observed prescribed medications such as insulin and eye drops in an unlocked refrigerator of the facility in the main kitchen. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Facility is developing a plan to ensure the medications are secured and locked within the refrigerator. The facility will secure with a lockable bag or similar that will be placed in the refrigerator. Plan and evidence of locked medications in refrigerator is to be received by due date.
Deadline recorded: Jul 22, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 22, 2025
Correction not verified in available records
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
87303(e)(2) Maintenance and Operation (e)(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 degree C) and not more than 120 degree F (49 degree C). This regulation has not been met as evidenced by: Based on physical plant tour and water temperature taken in common hallway bathroom, the water temperature was measured at 133F which poses an immediate health and safety risk to residents in care.
Official plan of correction
Facility shall develop a written plan on how to address this regulation and keep a record showing that the water temperature delivered is within regulatory standards at all times.
Deadline recorded: Jul 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2024
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
§1569.695 Emergency Plans(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 notrequired 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 health and safety code has not been met as evidenced by: Based on documentation reviewed, LPA observed that there is no disaster drill log present. Per interviews with staff, a disaster drill has not been conducted in about a year. This poses an immediate health and safety risk to residents and staff in the facility.
Official plan of correction
Facility shall create a written plan on how to meet this health and safety code section at all times and maintaining the record of such drills accurately and conduct drills quarterly.
Deadline recorded: Jul 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2024
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
87309 Storage Space - (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This regulation has not been met as evidenced by: Based on facilty observations, LPAs observed cleaning solutions stored below resident bathroom sinks, on both the upper level and lower level. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Facility shall develop a written plan showing how it will meet this regulation at all times. Written plan shall be submitted by the due date shown. FACILITY REMOVED ITEMS DURING TODAY'S VIST THUS THE DEFICIENCY IS CLARED ON THIS DAY.
Deadline recorded: Jul 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2024
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
1569.618(c)(3) Administration and management of residential care facilities; substituted qualifications; employee scheduling - (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This health and safety code has not been met by: Based on staff file review observations, LPAs discovered that no staff on duty have first aid or cpr training on file. Per interview with administrator/licensee, he was unaware that the facility had to maintain first aid/cpr any longer.
Official plan of correction
Facility shall develop a plan in writing to reflect the assurance that all staff will have at least first aid training and one staff with CPR training and obtain curren first aid/CPR certifications to meet this requirement. Such evidence shall be submitted to the department.
Deadline recorded: Jul 24, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 24, 2024
Correction not verified in available records
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