Senior Care Records.

Facility Evaluation Report

Golden Age VII, Modesto07/11/2022Licence 507206765

Capacity6
Census6
Date signed07/12/2022 08:53:50 AM
The inspector’s account

An unannounced plan of correction visit was conducted on 07/11/2022 by Licensing Program Analysts (LPAs) Arielle Pascua and Avellina Martinez. LPA Arielle Pascua and LPA Avellina Martinez met with the designated, authorized representative, Kenroy Anderson and explained the purpose of today's visit.

The purpose of this visit was to clear the deficiencies that were cited on the last annual visit on 06/22/2022.

During this visit LPAs toured the facility and it was discovered that the laundry room was left open with accessible toxins. It was also observed that two people were not wearing masks and hand sanitizer dispenser was empty.

One deficiency was not cleared LPA observed front window screen was not repaired. The screen was bend and not properly sealed allowing for air to come through into the facility.

Facility staff was informed an immediate civil penalty of $1,200 was assessed for a violation of Section 8088(b) on 07/11/2022. This civil penalty was due to not clearing Plan of Correction (POC) that was not cleared by POC date 06/29/2022.

Facility staff was informed an immediate civil penalty of $500 was assessed for a violation of Section Health and Safety Code 1569.50(a)(3) on 07/11/2022.

As a result of this visit, deficiencies were cited per California Code of Regulations, Title 22 and Health and Safety Code. Exit interview was conducted, and a copy of 809, 809D, and appeals rights were given to the facility at the end of visit.

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