Senior Care Records.

Facility Evaluation Report

Golden Palm Life Care, Highland05/14/2025Licence 361881047

Capacity4
Census3
Date signed05/14/2025 11:39:33 AM
Name of licensing program analystRenese Howell-Small
Name of licensing program managerKaren Clemons
The inspector’s account

On 05/14/2025 at 09:02 AM, Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection. LPA was greeted by a staff and gained access to the home. Facility Manager, Dominador Bartolata was contacted, informed of the purpose of the visit and arrived at the facility during the inspection.

The facility has five (5) bedrooms, two (2) bathrooms, kitchen, dining room, living room, attached one (1) car garage, backyard and one (1) shed. The facility is vendorized by Inland Regional Center (IRC). LPA completed a walk through of the facility, review of records, and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA observed one (1) client during the visit. Two (2) clients were out in the community. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 67 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPA inspected the client bathroom; the bathroom was clean, and appliances were found functional. Water temperatures tested at 114 degrees Fahrenheit. The facility is equipped with operational combination smoke detector/carbon monoxide detectors, a charged fire extinguisher, and first aid kit with first aid book.

Posters such as; the personal rights, CCLD complaint poster, labor laws, and emergency disaster plan were posted in a common area. Client medications were kept in a secure kitchen cabinet inaccessible to clients. LPA observed night lights in the hallway leading to clients' shared bathroom. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility.

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