Golden Oasis

On 01/06/26 at 12:30PM, LPA D Panlilio arrived announced for a required annual inspection. LPA met with administrator (ADM) and explained the purpose of the visit. The facility has zero (0) residents and remain under construction. Ar 12:50PM, LPA toured the facility with ADM including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizers were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were observed free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Fire extinguisher was observed fully charged. The facility consists of five (5) total bedrooms, and three (3) bathrooms. Bedrooms two (2) and (3) have water damage in the ceilings. No bodies of water observed. A comfortable temperature was maintained at 70 deg F. The facility is in disrepair (leaking pipes, buckling floors, Bosch Security Alarm System issues). LPA observed there are no residents living at the facility. ADM will make corrections/renovations to the facility before accepting any residents. ADM will contact CCLD as soon as the renovations are complete. Updated copies of the following documents were collected for facility file:  LIC500- Personnel Report  Administrator Certificate  LIC308- Designation of Facility Responsibility  LIC610E- Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance No deficiencies observed during visit. Exit interview conducted and a copy of this report provided .

On 12/30/24 at 1:40 PM, LPA L. Holmes arrived unannounced and attempted a required annual inspection. LPA observed the front gate to the driveway and entrance locked. LPA left a voicemail at the facility number and made contact with the Licensee on the cell number. The facility has zero clients and remain under construction. An announced visit is scheduled for 01/03/2024 at 9:30 AM.. On 01/03/24 at 9:45 AM, LPA L. Holmes arrived announced for a required annual inspection. LPA was greeted by Eufrocina Zaragosa, Administrator. The facility has zero (0) clients and remain under construction. The facility is in disrepair (leaking pipes, buckling floors, Bosch Security Alarm System issues) there are no residents at the facility. Administrator will make corrections/renovations to the facility before accepting any residents. Administrator will contact CCLD as soon as the renovations are complete. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. The facility consists of five (5) total bedrooms, and three (3) bathrooms. Bedrooms two (2) and (3) have water damage in the ceilings. No bodies of water observed. A comfortable temperature was maintained. Continue on LIC809C... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continue from LIC 809 LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars, and are in sanitary condition. Fire extinguisher was last serviced on 04/25/2022, observed full and to be serviced. First aid kit complete. The following forms to be updated and submitted to CCLD prior to operation. -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610E Post Emergency Disaster Plan -An updated copy of Administrator Certificate(s) Exit interview conducted and a copy of this report provided to ADM.

LPA Carol Fowler attempted to conduct an unannounced annual visit on 1/13/2024 at 9:30am. LPA arrived at the home, tried to enter the front yard but the gate was locked. There was no car located in the driveway. LPA attempted to call the facility there was no answer, LPA then attempted to call the Licensee (mobile number) but call went straight to voicemail, LPA left a message on both phone lines. LPA Carol Fowler made a 2nd attempt to conduct an unannounced annual visit on 1/13/2024 at 2:30pm. The gate at the facility was still locked. LPA will arrive at a later date to conduct an annual required visit. On 04/3/2024 at 1:30 PM, Licensing Program Analyst (LPA) Carol Fowler arrived announced to conduct a 1 Year Annual Inspection, LPA was greeted by the Administrator, Eufrocina Zaragosa (ADM) and explained the purpose of the visit. The facility is in disrepair (leaking pipes, buckling floors, Bosch Security Alarm System issues) there are no residents at the facility. Administrator will make corrections/renovations to the facility before accepting any residents. Administrator will reach out to the Department (LPA) Analyst as soon as the renovations are complete. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. The facility consists of five (5) total bedrooms, and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained. Continue on LIC809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continue from LIC 809 LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 112.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors was in operating condition during visit. Fire extinguisher was last serviced on 03/25/2022. Emergency Disaster Plan was not posted. First aid kit was observed to be complete. The following forms are to be updated and submitted to CCLD once operation resumes -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610E Emergency Disaster Plan -An updated copy of Administrator Certificate(s) Exit interview conducted and a copy of this report provided.

On 04/28/2022 at 12:50 PM, Licensing Program Analyst (LPA) L. Holmes arrived announced to conduct an annual Infection Control Inspection, LPA was greeted by the Administrator, Eufrocina Zaragosa (ADM) and explained the purpose of the visit. The facility has an Infection Control Plan (ICP) on file. A screening station is at the entry with hand sanitizer, gloves, masks and COVID-19 signage. COVID-19 signage is at the entry. ADM is to maintain 30 day supply of PPE upon operation. LPA and ADM toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, and courtyard. Advised ADM to install or obtain locks and/or containers for sharps and medication. Add 20 second handwashing signs to all shared bedrooms. Bathrooms were equipped with grab bars, soap and covered garbage cans. Decorative towels are to be removed. Hot water temperature in the shared residents' bathroom was measured at 108.4 degree Fahrenheit. Fire extinguisher was last serviced on 04/25/2022. Smoke and Carbon Monoxide detectors observed operational. The alarm system is not interconnected to the sprinkler system. ADM to create an isolation cart in the event of a COVID-19 outbreak and maintain a surplus of PPE in a centrally stored location. The following forms are to be updated and submitted to CCLD once operation resumes: -A copy of the facility's COVID-19 mitigation plan to be sent to CCLD. -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610 Emergency Disaster Plan -An updated copy of Administrator Certificate(s) Exit interview conducted and a copy of this report provided.