Senior Care Records.

Facility Evaluation Report

Golden Leaf Manor, La Puente12/26/2023Licence 197606306

Capacity6
Census1
Date signed12/26/2023 02:21:15 PM
The inspector’s account

Licensing Program Analysts (LPA) Jose Villalobos conducted an Case Management - Annual Continuation using the full Care Compliance and Regulatory Enforcement (CARE) Tools to complete the yearly annual for the facility. LPA met with Licensee Percy Olidan and the purpose of the visit was discussed. The following is the remaining (9) of (12) (CARE) tool domains completed during the inspection:

Infection control practices and Personal Protective Equipment (PPEs) were observed. COVID-19 screening is no longer in place. An Infection Control Plan was observed

A current Plan of Operation observed. Dementia Care Plan Observed

A fire clearance for 6 residents of which (6) may be non ambulatory

Hospice care waiver approved for up to one (1) resident.

Administrator on file is not current and is currently expired.

Staff have criminal background clearances.

Four (4) staff files were reviewed. Staff #1 Requires training

A total of one (1) resident file were reviewed.

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