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Facility Evaluation Report

Golden Manor Rest Home, Los Angeles08/13/2025Licence 197606170

Capacity98
Census55
Date signed08/13/2025 12:01:21 PM
Name of licensing program analystRegina Cloyd
Name of licensing program managerUlysses Coronel
The inspector’s account

On 08/13/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted a case management - deficiencies visit and met with Med-Tech Cristina Revolorio. The purpose of the visit was to conduct an investigation on complaint #11-AS-20250806090400 and while there, LPA noticed deficiencies.

Record review of Resident #1 medical assessment revealed that R1 is nonambulatory (dated 03/28/2024) and R1 lives on the second floor. Record review of the facility's license revealed that the first floor is for non-ambulatory residents only.

Deficiencies are being cited according to California Code of Regulations, Title 22, see LIC 9099D.

An exit interview was conducted, plans of correction developed, and a copy of this report with the appeal rights was provided to Administrator Mark Ingber.

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