Inspection Reports for Golden Age Care

CA, 94030

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Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 2 Jul 21, 2025
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and ensure the safety and well-being of residents.
Findings
The facility was generally clean and well-maintained with appropriate safety equipment in place; however, immediate health and safety risks were identified due to cleaning supplies stored below a resident bathroom sink and prescribed medications stored unlocked in the kitchen refrigerator. Additional documentation and updated forms were requested.
Severity Breakdown
Type A: 2
Deficiencies (2)
DescriptionSeverity
Cleaning solutions stored below resident bathroom sink, posing an immediate health and safety risk to residents.Type A
Prescribed medications such as insulin and eye drops observed in an unlocked refrigerator in the main kitchen, posing an immediate health and safety risk to residents.Type A
Report Facts
Residents present: 6 Total capacity: 6 Staff present: 2 Water temperature: 115 Fire extinguisher inspection date: Apr 25, 2019
Employees Mentioned
NameTitleContext
Alex ZitserAdministratorFacility administrator met during inspection and named in report
Jaime VadoLicensing Program AnalystConducted the inspection visit
Lee CollanoCaregiverMet initially by Licensing Program Analyst during inspection
Marat ZitserAdministratorSon of licensee and administrator of the facility
April CowanLicensing Program ManagerNamed in report as licensing program manager
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 4 Jul 23, 2024
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with regulatory requirements and ensure resident safety and facility operation standards.
Findings
The inspection found the facility generally clean and well-maintained with proper storage of medications and food supplies. However, immediate health and safety risks were identified including excessively high water temperature (133F), lack of documented emergency/disaster drills for at least a year, cleaning supplies stored within reach of residents, and staff files lacking current first aid and CPR certifications.
Severity Breakdown
Type A: 4
Deficiencies (4)
DescriptionSeverity
Water temperature measured at 133F in a common resident bathroom, exceeding the maximum allowed temperature and posing an immediate health and safety risk.Type A
No disaster drill log present and no disaster drill conducted for about a year, posing an immediate health and safety risk to residents and staff.Type A
Cleaning supplies stored below resident bathroom sinks accessible to residents, posing an immediate health and safety risk.Type A
No staff on duty have current first aid or CPR training on file, violating health and safety code requirements.Type A
Report Facts
Water temperature: 133 Census: 5 Total capacity: 6 Deficiency count: 4
Employees Mentioned
NameTitleContext
Alex ZitserAdministrator/LicenseeMet during inspection and named in interview regarding staff training deficiencies
Inspection Report Plan of Correction Census: 3 Capacity: 6 Deficiencies: 1 Aug 11, 2021
Visit Reason
The visit was an unannounced plan of correction (POC) inspection to evaluate the facility's response to previous observations and citations made during the annual inspection on 7/26/21.
Findings
The inspection observed compliance with COVID-19 protocols such as temperature screening, symptom logs for residents, posted signage, and staff wearing face coverings. However, debris remained in the backyard and additional COVID signage was advised. Proof of payment for renewal of the RCFE administrator certification was submitted.
Deficiencies (1)
Description
Debris in backyard that should be removed from premises
Report Facts
Facility capacity: 6 Census: 3
Employees Mentioned
NameTitleContext
Alex ZitserAdministratorFacility administrator involved in providing updates and certification renewal
Marisa TadeoMet with licensing program analyst during inspection
Inspection Report Follow-Up Census: 3 Capacity: 6 Deficiencies: 2 Aug 11, 2021
Visit Reason
The visit was conducted as a Case Management - Deficiencies follow-up in response to information provided during the annual inspection on 07/26/2021 and observations made on 08/11/2021.
Findings
Two deficiencies were cited: (1) staff member R.S. lacked criminal record clearance and association with the facility, posing an immediate health and safety risk, resulting in a $100 civil penalty; (2) failure to report four clients with COVID-19 infection to CCLD in January 2021, which also posed an immediate health and safety risk.
Severity Breakdown
Type A: 1 Type B: 1
Deficiencies (2)
DescriptionSeverity
Staff member R.S. providing care did not have criminal record clearance and association with the facility, posing an immediate health and safety risk.Type A
Failure to report four clients with COVID-19 infection to CCLD in January 2021, posing an immediate health and safety risk.Type B
Report Facts
Civil penalty amount: 100 Number of clients with COVID infection not reported: 4
Employees Mentioned
NameTitleContext
Alex ZitserAdministratorFacility administrator met during the visit
Julio MontesLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection
Audrey JeungLicensing Program AnalystLicensing Program Analyst conducting the inspection
Inspection Report Annual Inspection Census: 2 Capacity: 6 Deficiencies: 2 Jul 26, 2021
Visit Reason
The inspection was a required unannounced 1-year visit to evaluate the facility's compliance with regulations and licensing requirements.
Findings
The inspection found that the facility generally maintained adequate infection control, safety, and environmental conditions, but cited deficiencies related to a padlocked exit gate posing a safety risk and unpermitted alterations to the building including an additional bedroom, bathroom, elevator, and hallway.
Severity Breakdown
Type A: 1 Type B: 1
Deficiencies (2)
DescriptionSeverity
Wood gate on side of house is padlocked from street side, posing an immediate health, safety or personal rights risk to persons in care as it is one of two exits to street from backyard.Type A
Additional bedroom, bathroom, elevator and hallway added after initial licensure without obtaining building permits or city planning approval, posing a potential health, safety or personal rights risk.Type B
Report Facts
Facility Capacity: 6 Census: 2 Deficiencies Cited: 2 Plan of Correction Due Date: Jul 26, 2021 Plan of Correction Due Date: Aug 9, 2021
Employees Mentioned
NameTitleContext
Alex ZitserAdministratorCertified RCFE administrator overseeing facility operations
Audrey JeungLicensing Program AnalystConducted facility tour and inspection
Julio MontesLicensing Program ManagerSupervising licensing official

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