Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced case management visit in conjuction with ongoing complaint investigation for complaint control # 22-AS-20250110122555 . LPA was greeted and granted entry into the facility by Noor Elahi, Caregiver and explained the reason for the visit. Administrator/Licensee Nargis Elahi arrived shortly after.

Per review of LIC 500 Personnel Report received on 02/03/2025 the facility personnel record indicated that that Staff 1 started working at the facility on 10/2/2024. Per review of both Guardian and internal system for CCLD indicate S1 is not associated with Golden Hearts Elderly Care 2.

S1 was advised to leave the facility and Staff 3 (S3) and Administrator took over care of the residents.

Per review Staff 2 (S2) on LIC 500 started on 01/23/2025 and based on Administrator S2 worked a minimum of 5 days in January 2025. S2 was not associated to Golden Hearts Elderly Care 2.

Based on observations made during today's visit deficiencies are being cited. An immediate civil penalty is assessed. An exit interview was conducted and a copy of this report was provided along with appeal rights.