Golden Legacy Elderly Care III.
A small home, reviewed on public record.
Compared to 68 California facilities with a similar number of beds.
RCFE · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
Citation history, plotted month by month.
13 deficiencies on record. Each bar is a month with a citation.
Finding distribution
13 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Every inspection visit, verbatim.
7 inspections in the public record, most recent first. Plain-language summaries open first — click into any row for the full citation text.
2026-07-02Other VisitType B · 4 findings
“Based on observation and file review, the Licensee did not ensure that a reappraisal was conducted for R1.”
“file reviews, the Licensee did not ensure to have a current Centrally Stored medication record. This posed a potential health and safety risk to residents in care.”
“the licensee did not ensure that documents were current, maintained, and complete. This posed a potential health and safety risk to the residents in care.”
“based on interviews, file review, and observations, the licensee did not ensure that residents were administered their medications as needed. This posed a potential health and safety risk to residents in care.”
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Licensing Program Analysts (LPA) Avelina Martinez and Sulma Lopez arrived at this facility unannounced on July 02, 2026, at 10:11 AM to conduct a case management visit. LPAs met with Gloria Clarke-Daley and Diana Garcia and explained the purpose of the visit. The purpose of the visit today, is in response to the following learned deficiencies: Reappraisals, It was learned that R1 last Reappraisal/Needs and Service Plan was on May 13, 2025. Resident 6 (R6) last Reappraisal/Needs and Service Plan was on June 24, 2025. Resident 3's (R3) LIC 602 Medical Assessment for Residential Care Facilities for the Elderly (LIC602) is not complete. Section V. Licensed Medical Professional information is missing information. Resident 4 (R4) LIC 602 Medical Assessment for Residential Care Facilities for the Elderly (LIC602) is not complete. The document has multiple sections that are not completed. It was also learned that the facility printer is not in good repair. As a result, facility staff are not able to print out July 2026 medication administration records (MAR). There is no record for medication administration as of July 1, 2026. As of 9:30 AM today July 02, 2026, the Administrator has not provided MARs to the facility. The Licensee arrived at the facility approximately 12:37 PM. Continued... 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 LPA Lopez conducted a medication audit and based on the audit findings, the facility did not have the following medications for Resident 3 (R3): diphenhydramine 25mg, Guaifenesin 100mg/15ml. Additionally, R3's prescription medication Senna 8.6mg was not included in the MAR entry. Resident 5 (R5) did not have the following medications in the facility: Chlorhexidine 0.12% Solution, and Docusate Sodium 250mg. It was learned that these medications ran out yesterday and refills were requested yesterday. This resulted in R5 missing their morning dosages. Resident 6's (R6) MAR did not reflect the following medications: Senna 8.6mg and Milk of Magnesia 400mg/5m. It was learned by S1 that the facility printer is in disrepair. Medication Administration Records (MAR) for the month of July have not been printed. As a result of this visit, the following deficiencies were cited, per Title 22 Regulations, Division 6. The deficiencies were cited on 809-D
2025-07-30Complaint InvestigationNo findings
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On 7/30/25 at 1:45pm Licensing Program Analyst (LPA) Kevin Gould arrived at Golden Legacy Elder Care III for the purpose of conducting a required 1 year annual inspection. LPA met with Staff, Gloria Clarke-Daley and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 108 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.
2024-11-22Other VisitNo findings
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Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced case management visit on 11/22/2024. This visit is to confirm ORDERS TO INDIVIDUAL FOR IMMEDIATE EXCLUSION FROM ALL FACILITIES. LPA met with caregiver Gloria and stated the purpose of visit. Facility understands this is an Immediate Exclusion effective 11/21/2024 and S1 is excluded and cannot be allowed to work, live in, and/or have contact with clients in any residential facility licensed by the California Department of Social Services. Therefore, the Department orders the facility to remove S1 from any contact with clients and not allow this employee to be physically present in the facility. Exit interview conducted, a copy of this report provided on this date. A signature on these forms acknowledges receipt of these forms .
2024-11-14Other VisitType A · 2 findings
“statements on audio recordings obtained during the inspection where staff S2 verbally abused resident R1 wich poses an immediate health, safety and personal rights violation to the residents in care.”
“statements that she smelled R1 had soiled self the prior evening and did not assist resident until the following morning which poses an immediate health, safety and personal rights risk to residents in care.”
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The audio recordings also revealed staff S2 made statements of knowing R1 had soiled themselves in the evening by the smell and did not assist resident R1 until the following morning where S2 can be heard cursing and making inappropriate comments to R1. S2 did not assist resident in a timely manner. LPA has identified the conduct of staff S2 as an immediate risk to residents in care and had them removed from the facility during the inspection and per licensee will not be returning to the facility. During the interviews with S2, they made false statements to LPA when denying the allegation as LPA has recordings if their statements to residents. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Personal Rights is substantiated. The following deficiency is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the home. 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 Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Physical Abuse a re unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.
2024-11-14Annual Compliance VisitType A · 4 findings
“of in an unlocked cabinet some in an overflowing syringe container and other syringes just placed in the cabinet which poses an immediate health, safety and personal rights risk to residents in care.”
“staff's conduct inimical to the health safety and well-being of residents in care which poses an immediate health, safety and personal rights risk to residents in care.”
“such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by unreported incidents including a resident's agressive acts against staff and inapropraite actions by staff inluding verbal abuse wich poses an immediate health, safety and personal rights risk to residents in care.”
“observation to require awake night supervision. This requirement was not met as evidence by: LPA review of resident files and identified needs for night supervision and the staff schedule with no identified overnight staff which poses a potential health, safety and personal rights risk to residents in care.”
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On 11/14/24 at 1:00pm, Licensing Program Analyst (LPA) Kevin Gould conducted a case management deficiencies inspection to address deficiencies observed while conducting a complaint investigation. LPA met with Licensee, Diana Garcia to discuss the inspection. LPA observed the facility is not disposing of resident's used syringes in a manner consistent with title 22 regulations, LPA observed a overflowing syringe container and used syringes in an unlocked cabinet near the living room. LPA was made aware of an aggressive act by a resident against a staff member. LPA was informed the resident attacked a staff member (S1) in September 2024 and no report was provided to the department. The facility did not meet title 22 regulations for reporting requirements. LPA conducted file review for all residents and observed several residents diagnosed with dementia with identified behaviors of inappropriate behaviors, wandering and aggressiveness. LPA reviewed the current staff schedule and did not observe an overnight staff member available to meet residents needs. Per LPAs review of records and resident needs, LPA has determined the facility does require an awake and on duty overnight staff member. LPA has determined the number of violations and the nature of the violations have demonstrated the administrator has not completed the duties of an administrator and has not demonstrated the knowledge and ability to remain in compliance of title 22 regulations. Per California Code of Regulations, Title 22, the follow deficiencies are cited during todays inspection. A copy of this report and appeal rights were left at the facility.
2024-07-09Annual Compliance VisitNo findings
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On 7/9/24 at 3:00pm Licensing Program Analyst (LPA) Kevin Gould Conducted an unannounced Plan of Correction (POC) inspection to ensure previous deficiencies have been corrected and there are no current health and safety issues. LPA conducted the inspection and observed all medications made inaccessible to residents in care and cigarettes and lighters in the home used by residents are stored secured from residents with a diagnosis of dementia. POC clearance letters were generated and a copy of this report was left at the facility.
2024-06-28Annual Compliance VisitType A · 3 findings
“Based on LPA observations, the licensee did not comply with the section cited above as LPA observed several medications (inhalers) and unused needles not centrally stored or secured from residents which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 A written plan of correction will be submitted indicting the steps facility will take to ensure all medications and equipment are stored locked and inaccessible to residents in care.”
“Based on LPA observations the licensee did not comply with the section cited above as LPA confirmed resident with dementia is retaining a lighter for smoking cigarettes which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 facility will submit a written plan of correction indicting the steps facility will take to secure items such as lighters and matches used from smoking and how the items will be made available to resident upon request and how they will be secured after use.”
“Based on LPA observations, the licensee did not comply with the section cited above as LPA observed cigarettes to be unsecured and left on an outside table along with a lighter which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/01/2024 Plan of Correction 1 2 3 4 facility will submit a written plan of correction indicting the steps facility will take to secure items such as cigarettes used from smoking and how the items will be made available to resident upon request and how they will be secured after use.”
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On 6/28/24 at 9:30am Licensing Program Analyst (LPA) Kevin Gould arrived at Golden Legacy Elderly Care III (RCFE) for the purpose of conducting a required 1 year annual inspection. LPA met with Staff, Kimberly Sloan and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 117 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed medications, not centrally stored or secured from residents. LPA observed several medications and inhalers in common areas not secured from residents. Additionally, LPA observed unused needles stored in a unsecured cabinet along with the needle disposal container. LPA also observed a resident with dementia who retains their own lighter for smoking cigarettes. The facility is retaining cigarettes for resident but other residents also leave their cigarettes in common areas accessible to residents with dementia. Report Continued on LIC 9099-C 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 LPA Requested the following documents for facility file: LIC 308 Designation of Facility Responsibility, LIC 500 personnel report, LIC 9020 client roster and current administrator certificate. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.
2 older inspections from 2022 are not shown above.
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