Senior Care Records.

Facility Evaluation Report

Golden Star Home, Rio Vista04/22/2025Licence 486801846

Capacity6
Census3
Date signed04/22/2025 04:32:31 PM
Name of licensing program analystEthel Contreras
Name of licensing program managerKimberley Mota
The inspector’s account

Licensing Program Analysts (LPAs) Coppo and Contreras arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Estrella Valendo.

At approximately 10:30am LPA and Admin toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Frozen chilis found opened and uncovered in freezer expired from October 2024.Frozen mushrooms found with black and brown substance unwrapped. Head of lettuce found in overflow refrigerator with black and brown substance with pooling liquid in wrapping. Bread packages found expired from March 2025.Rice container found with live bugs crawling and noticeable rodent droppings inside rice container (deficiency cited, see 809D).

Sharp knife found in kitchen drawer unlocked. Sharps container found in kitchen counter accessible to residents, LPAs discussed with admin maintaining location of sharps container inaccessible to residents( deficiency cited, see 809D).

All bedrooms were equipped with lighting, night stand, and chest of drawer. Bedrooms have doors leading outside alarms present but not operational. LPAs discussed with admin ensuring doors have operating alarms. Room two (2) had noticeable odor of incontinence . Additionally, facility has a cat and incontinence odor could also be from animal waste( deficiency cited, see 809D).

Resident bathroom had required bath mat and grab bar. Bathroom found without any paper towels to dry hands. Bathtub faucet in disrepair. Toxins found in laundry room was found unlocked. Dryer and washer found operational. Water temperature in sink accessible to residents in care measured at 105.1 degrees F which is within the allowable range of 105 to 120 degrees F.

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