Senior Care Records.

Facility Evaluation Report

Golden State Care Home, INC, Antioch08/30/2024Licence 079201210

Capacity4
Census4
Date signed08/30/2024 11:58:49 AM
The inspector’s account

On 08/30/24 at 11:30 AM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced Health and Safety check to discuss the denial of a 3 day eviction.

During the health and safety check, LPA observed a total of 3 staff members and 4 clients at the facility. LPA toured facility with staff, including but not limited to bedrooms, kitchen, bathroom, and common areas. Residents in care appear to be safe and there are no imminent health/safety concerns on today's date.

No deficiencies cited during the health and safety check. Exit interview conducted and a copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction