Golden Age 9

Allegation investigated: Uncleared staff providing care to the residents

On 05/12/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to deliver complaint findings for the allegation above. LPA Pascua met with Facility Designated Administrator (FDA), Marinela Placintar and explained the purpose of the visit. Current census was 6. A brief interview with FDA Placintar. It was alleged that there is an uncleared staff member providing care to the residents. Based on information gathered, the determination of the exclusion order of S1 is still pending, however S1 is able to be present in the facility at this time. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. An Exit Interview was conducted and copy of this report was provided to the facility at the end of this visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 12, 2026 · control 27-AS-20260326164548

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 04/21/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Joseph Romasanta. A brief interview was conducted with the facility designated Administrator at this time. Current census was 6 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 03/25/2026. This visit was to follow up on the Plan of Correction that was due. The following deficiencies were observed and cited on 03/25/2026: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Plan of Correction clearance letters were printed and copies were provided to the facility designated Administrator at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Apr 21, 2026

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 04/02/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person Sherill Lindo. A brief interview was conducted with the facility staff person at this time. This LPA requested that she go ahead and contact the facility designated Administrator to inform them that CCL was present at this time. It was learned that the facility designated Administrator and the Licensee were unable to be present at this time. All forms were signed and given to the present caregiver at this time. Current census was 6 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 03/25/2026. This visit was to follow up on the Plan of Correction that was due. The following deficiencies were observed and cited on 03/25/2026: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. As of today's Plan of Correction visit date, 04/02/2026, this facility has not submitted any communications or verifications into CCL for review by this LPA to satisfy any of the citations that were issued at that time. The following civil penalties were issued in the amount of $2900 on the following LIC 421FC. Appeal Rights were printed and a version was given to the facility designated representative at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Apr 2, 2026

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 03/25/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregiver, Sherill Lindo, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Administrator to inform them that CCL was present at this time. The facility designated representative, Marinela Placintar, arrived thereafter to this facility and was briefly interviewed at this time. Current census was 6 residents. It was learned that there was (1) resident under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (4) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there were (2) residents diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. It was learned that this facility does not have an approved bedridden fire clearance to be able to accept or retain any residents deemed to be bedridden at any given time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway closet, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Laundry area was toured and observed to be locked at this time. A review of the bleach, detergent, and all other cleaning supplies was conducted to make sure that they were locked and made inaccessible to the residents at this time. Administrator certificate # 6080741740 for Joseph Romasanta was observed to have an expiration date of 02/22/2028 and in compliance at this time. Medication cabinet, located in the facility kitchen cabinet, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the medication cabinet, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher located hanging on the wall adjacent to the kitchen was observed to have been annually inspected by the local fire extinguisher company, Jorgensen Company Fire Extinguisher, with the inspection date of 08/26/2025 and in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees at all times. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (4) facility personnel records was conducted and noted on the following LIC 859. A review of (6) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Code. Appeal Rights were printed and a copy was given to the facility representative at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Mar 25, 2026

Type of visit: Case Management - Legal/Non-compliance

Unannounced case management visit made out to this facility on 03/25/2026 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative, Marinela Placintar, who was briefly interviewed at this time. Current cenus was 6 residents. The purpose of this case management visit was to follow up with the initial case management visit that was conducted back on 11/20/2025 for the exclusion and removal of facility staff person R1. It was learned that R1 was also the facility designated Administrator at that time so this facility, and its designated representative, would have had to appoint and designate a new facility designated Administrator at that time. It was learned that there wasn't a proper appointment for the new facility designated Administrator made at that time up until today's visit made by this LPA. This was a lapse without an appointed facility designated Administrator since November of 2025 which was a span of 4 months. The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed a version was given to the facility representative at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Mar 25, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87405(a) · Plan of correction due date: Mar 26, 2026

Administrator-Qualifications and Duties All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This facility was found to be deficient as evidenced by not having a designated facility Administrator appointed at this time. There weren't any forms or documents submitted into CCL to properly designate a new Administrator which posed an immediate threat to the Health, Safety, and Personal Rights of all residents in care.the state’s words, verbatim · CDSS document, Mar 25, 2026

Plan of correction: The facility representative stated that all forms, with relevant documents, will be updated to properly appoint a new Administrator with submission into CCL for review by this LPA by the due date. Note: The designated representative did provide all updated forms and documents to this LPA on this visit date to update and appoint a new facility designated Administrator. No further POC required at this time.

Type of visit: Case Management - Legal/Non-compliance

Unannounced case management visit made out to this facility on 11/20/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Marinela Placintar, who was briefly interviewed at this time. The purpose of this visit was explained to the facility designated Administrator at this time. This LPA stated that the nature of this visit was to inform this facility, and it's representative, that the person, Kenroy Anderson, was no longer fingerprint cleared and had been excluded from being employed or even be present in any licensed care facility through this Department at this time. A copy of the Exclusion letter was presented and given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Nov 20, 2025

Type of visit: Required - 1 Year

On 03/20/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua met with Licensee, Marinela Placintar, and explained the purpose of the visit. The purpose of the visit was to conduct an annual visit. Current census was 6. A brief interview with Licensee Placintar was conducted. This facility is licensed to serve residents who are 6 residents who 62 and above, of which 6 are non-ambulatory. This facility also has a hospice waiver for 4. A review of 3 resident files. 3 out 3 resident files were complete and up to date. A review of 3 staff files were complete and up to date. The facility administrator has an active administrator certificate #7027437740 and expires on 01/02/2026. Fire extinguishers were inspected on 08/21/2024. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Hot water temperature was measured at 110.3 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. First Aid kit is on site and complete. LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed and compared resident medication vs. resident medication logs. The following documents were requested: LIC 308,and LIC 610-E, Liability insurance Certificate. No deficiencies cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Exit interview held with Administrator and a copy of report given at the conclusion of the visit.the state’s words, verbatim · CDSS document, Mar 20, 2025

Type of visit: Required - 1 Year

On 2/26/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Licensee Marinela Placintar and explained the purpose of today's visit. LPA Jensen toured the grounds and physical plant. The grounds were observed to be well maintained and all paths were free of obstruction. There is outdoor furniture and shaded areas available for clients to enjoy outdoor activities. LPA Jensen toured the interior of the facility. The facility sketch was observed to reflect the current layout. There is hospice waiver for 4. The current census is 6. The facility was observed to be sanitary and free of odor. The layout of the physical plant is very open and easily accommodates residents with specialized mobility needs. The facility had adequate lighting and furniture. All furniture was observed to be in good repair. The facility maintains a 2 day supply of perishable food and a 7 day supply of non-perishable food. There was no expired food observed. LPA Jensen reviewed the Emergency disaster plan and determined it to be in compliance. LPA Jensen reviewed the fire drill log and determined it to be in compliance. The smoke detector was determined to be in good working order. The carbon monoxide detector was determined to be in good working order. The first aid kit was determined to be complete. All sharp objects and toxins were observed to be locked and inaccessible to residents in care. Water temperature was measured at 115 degrees. LPA Jensen reviewed 5 of 5 staff files. 2 of 5 staff files were missing health screens. Technical assistance was provided. LPA Jensen reviewed 6 of 6 resident files. 6 of 6 files had Needs and Service Plans that were not signed by the resident or responsible party. Technical assistance was provided. 1 of 6 residents did not have a TB test on file. 1 of 6 residents did not have an LIC 602 within the last 12 months. LPA Jensen interviewed 1 client and 1 staff member. No other residents of staff were available. The inspection tool was used during the course of this visit. LPA Jensen requested and received a copy of the liability insurance and the LIC 500. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 26, 2024

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.