Inspection Reports for Golden Harvest Care Homes
11623 Chanera Ave, Hawthorne, CA 90250, United States, CA, 90250
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Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jul 10, 2025
Visit Reason
The visit was an unannounced one-year inspection of the Golden Harvest Care Homes facility to assess compliance with licensing requirements.
Findings
The Licensing Program Analyst conducted a thorough inspection of the facility, including resident bedrooms, bathrooms, kitchen, and outdoor areas, and found no deficiencies during the visit.
Report Facts
Residents diagnosed with dementia: 1
Residents receiving hospice care: 1
Hospice approved beds: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Moore | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Sparkle Day | Licensing Program Analyst | Conducted the unannounced inspection visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
May 20, 2024
Visit Reason
The inspection was an unannounced required annual visit conducted using the full CAREs Inspection Tool to evaluate compliance with licensing requirements for the facility serving elderly developmentally disabled residents.
Findings
The facility was found to be in good repair with all required documents, staff training, and certifications in place. All areas including bedrooms, kitchen, bathrooms, and common areas were clean, safe, and properly equipped. No deficiencies were observed during the visit.
Report Facts
Water temperature: 109.6
Resident count: 6
Licensed capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Moore | Administrator | Met with Licensing Program Analyst during inspection and received report copy |
| Felisa Shirley | Licensing Program Analyst | Conducted the inspection visit |
| Stephanie Cifuentes | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
May 22, 2023
Visit Reason
An unannounced required annual visit was conducted using the CARE Inspection Tools to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found to be in compliance with all applicable regulations. The physical plant, bedrooms, bathrooms, kitchen, common rooms, safety equipment, medication storage, infection control practices, and documentation were all observed to be in good condition and properly maintained. No deficiencies were noted during the visit.
Report Facts
Residents on hospice care: 3
Ambulatory residents: 1
Non-ambulatory residents: 5
Fire extinguisher last serviced: Mar 29, 2023
Last emergency drill date: Apr 20, 2023
Liability insurance expiration: Feb 24, 2024
Staff training hours annually: 20
Perishable food supply: 3
Nonperishable food supply: 7
Water temperature resident bathroom: 110.7
Water temperature kitchen/laundry room: 108.7
Staff interviews conducted: 3
Resident interviews conducted: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Moore | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Wendy Gibbs | Licensing Program Analyst | Conducted the inspection visit and authored the report |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
May 5, 2023
Visit Reason
An unannounced required annual visit was conducted using the CARE Inspection Tools to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst found that all required documentation and certifications were in order, infection control practices were properly followed, and no deficiencies were observed during the visit. Staff interviews confirmed understanding of procedures and residents' rights.
Report Facts
Residents on hospice care: 3
Staff interviews conducted: 3
Annual training hours: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Moore | Administrator | Met with Licensing Program Analyst during inspection and exit interview |
| Wendy Gibbs | Licensing Program Analyst | Conducted the inspection visit |
| Eva M Alvarez | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Dec 7, 2022
Visit Reason
An unannounced required annual visit was conducted with a primary focus on Infection Control measures using the CARE Inspection Tools.
Findings
The facility was found to be in compliance with infection control practices, safety measures, and proper documentation. All resident and staff files were complete, medications were properly stored, and safety equipment was functional. The facility maintained adequate supplies and followed COVID-19 screening protocols.
Report Facts
Licensed capacity: 6
Current census: 6
Fire extinguisher last serviced: Mar 29, 2022
Liability insurance expiration: May 31, 2023
Water temperature bathroom: 112.2
Water temperature kitchen: 114.3
Smoke detectors: 5
Carbon monoxide detectors: 1
PPE supply: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Moore | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
| Wendy Gibbs | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 4
Capacity: 6
Deficiencies: 2
Jun 16, 2021
Visit Reason
The unannounced case management visit was conducted to address deficiencies observed during the annual inspection visit on 2021-05-28.
Findings
The inspection found that an exit security door next to the service room was locked and converted into a utility room storing various items, and a den next to the family room was converted into a resident bedroom, which posed potential risks to health, safety, and residents' personal rights.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| An exit security door next to the service room was locked and the exit ramp was converted into a utility room storing items such as broom, pail, cardboard box, black bin, and mops. | Type B |
| A den next to the family room was converted into a resident bedroom, which is not allowed as no room commonly used for other purposes shall be used as a sleeping room for any resident. | Type B |
Report Facts
Capacity: 6
Census: 4
Plan of Correction Due Date: Jun 22, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Moore | Administrator | Named in relation to findings and interview during inspection |
| Lourdes Montoya | Licensing Program Analyst | Conducted the inspection and observations |
| Angela J Kendrick | Licensing Program Manager | Conducted the inspection and observations |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 3
May 28, 2021
Visit Reason
An unannounced required annual visit was conducted with a primary focus on Infection Control measures using the new CARE Inspection Tools.
Findings
The facility was found to be clear of Covid-19 infection with approved mitigation plans and proper infection control practices observed. However, three deficiencies were cited including failure to provide printed copies of CDSS PINs to residents/families, failure to complete N-95 Fit Testing for all staff, and an unpermitted garage conversion into a bedroom with an en-suite bathroom.
Deficiencies (3)
| Description |
|---|
| LPA did not observe printed copies of CDSS PINs; summaries were not provided to residents/families/responsible parties. |
| License failed to complete the N-95 Fit Testing requirement for all staff. |
| Garage was converted into a bedroom with an en-suite bathroom without a permit or notice to CCLD. |
Report Facts
Capacity: 6
Census: 5
PPE supply: 30
Carbon Monoxide Detectors: 1
Smoke Detectors: 5
Fire Extinguishers: 1
Water Temperature: 110
Plan of Correction Due Date: Jun 27, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Moore | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Lourdes Montoya | Licensing Program Analyst | Conducted the inspection and authored the report |
| Angela J Kendrick | Licensing Program Manager | Supervisor named in the report |
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