Senior Care Records.

Facility Evaluation Report

Golden Senior Assisted Living I, Santa Ana01/10/2025Licence 306006462

Capacity6
Census0
Date signed01/10/2025 12:24:20 PM
The inspector’s account

Licensing Program Analyst (LPA) Jenifer Tirre made a announced inspection visit to follow up on corrections identified during Pre Licensing visit on 12/18/2024. LPA identified themselves and discussed the purpose of the visit with Licensee Stephen Gradney and Assistant Administrator Nino Lozada. An initial application to operate a Adult Residential Facility was submitted to CCL on 08/14/2024. There are 0 clients in care during today's visit. LPA observed the following:

At 10:30 AM LPA toured facility with Licensee and Assistant Administrator. The following was observed:

Department postings are posted in central area near entrance

Facility Sketch was updated and reflected correlating rooms

most face plates were repaired (one face plate in restroom 1 near toilet needs to be adjusted)

Facility had First Aid Pamphlet (Licensee ordered First Aid Manual book to be delivered 1-2 business days)

First Aid has required tweezers and scissors

Drain inside restroom 2 was repaired and operational

Outside crawl space piping was repaired and adjusted

Water Temperature in resident restroom 3 is still out of compliance and needs to be adjusted. During visit Assistant Administrator lowered water temperature. LPA later attempted measuring and water was too hot. Applicant to hire Plumber to repair water temperature to meet regulations.

Component III was conducted during visit. At this time facility is not ready to be licensed. Licensee to contact LPA when corrections addressing water temperature are complete. Exit interview conducted with Licensee and a copy of this report was provided to the facility.

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