Golden Age

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-20260326163018

Type of visit: Required - 1 Year

At 1:30 PM on 07/15/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived at the facility `unannounced to conduct a required annual inspection and was greeted by a Caregiver. The LPA identified herself, explained the purpose of the visit, and asked to meet with the Designated Facility Administrator (DFA). A second Caregiver called the Licensee to announce the LPA’s arrival. Venice Andrews, an Administrator for Golden Age facilities, arrived at the facility at 2:00 PM and a brief interview followed. The Administrator accompanied the LPA on a tour of the physical plant. The LIcensee arrived at 4:30 PM. The CARE inspection tool was used during this inspection. This facility was a four-bedroom house located in a residential neighborhood. It was licensed to serve six non-ambulatory residents and had a hospice waiver for six residents. The census was six residents and give residents receive hospice care. There were two Caregivers on duty at the time of this visit. The LPA toured the inside of the house, including four resident bedrooms, the kitchen/dining combination room, the two bathrooms, a family room, and the garage. The entire house was clean, odor-free, and pest-free. Two bedrooms were double-occupancy and two bedrooms were single-occupancy. Each occupied bedroom had the required furniture and closet space for personal belongings. The windows and window screens were in good repair. One bathroom was a shared bathroom located in a hallway. This bathroom had grab bars, a shower chair, and non-slip mats. The second bathroom was connected to the master bedroom. The bathrooms were clean and the water temperature at the bathroom sink was 109 degrees Fahrenheit. The LPA observed that the temperature in the house was set at 76 degrees Fahrenheit. There were three smoke detectors -one in the hallway near the bedrooms, one in the family room, and one in the living room. The LPA tested the detectors -all three are interconnected, are operable, and sounded an alarm. There is a carbon monoxide detector in the hallway as well, which sounded an alarm when tested. The fire extinguisher was located in the front living room. It was last serviced on 5/25/2025 by Jorgensen Co. The facility has conducted fire drills on a quarterly basis. The LPA toured the kitchen. The kitchen is clean, the appliances are operable, and the trash can had a lid on it. There is a seven-day non-perishable and two-day perishable supply of food located in the refrigerator/freezer, kitchen cabinets, and in a locked pantry in the kitchen. The refrigerator was thirty-seven degrees Fahrenheit and the freezer was zero degrees Fahrenheit. Kitchen cleaners were locked beneath the kitchen sink. The LPA toured the living room, dining room, and family room, which contained enough furniture for all residents, including a dining table and chairs, two couches, and recliners. The rooms are clean and windows let in natural light. The LPA toured the garage. The LPA observed additional food in a refrigerator/freezer and tall cabinets, as well as cleaners in a locked cabinet in the garage. The LPA toured the back yard, which included a concrete patio and walkways that were free of obstruction. There were chairs, a table, and large shade umbrella for resident use. There were ornamental plants planted along the backyard fence. The LPA inspected the central medication storage area. The first aid kit contained all the required items. Residents’ medication is kept in a locked cabinet in the living room. Each resident’s medication is stored separately in its original containers with intact labels. The LPA inspected one resident’s medication in depth. The medication counts matched the medication prescription lables. The LPA reviewed records for three residents and three staff. The LPA observed that the records were organized and complete. All staff associated with the facility have criminal background clearances, current first aid/CPR certifications, and proof of annual training. The LPA requested that updated copies of these documents be submitted to Licensing by 5:00 PM on 07/29/2025. These documents can be emailed to LPA at ellen.lindstrom@dss.ca.gov. (1) LIC 308 Designation of Facility Responsibility (2) Copy of a current Administrator Certificate (3) LIC 500 Personnel Report (4) LIC 610 Emergency Disaster Plan (5) Proof of Liability Insurance (6) LIC 309 Administrative Organization As a result of this inspection, no deficiencies were cited. The facility was in compliance with California Code of Regulations (CCR), Title 22, Division 6. An exit interview was conducted with the DFA, to whom a copy of this LIC809 report was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Jul 15, 2025

Type of visit: Required - 1 Year

On 8/16/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual. LPA Jensen met with Licensee Marinella Placintar and explained the purpose of today's visit. LPA Jensen toured the grounds and observed all paths to be free of obstruction. There is a shaded area and patio furniture available for outdoor activities. All window screens were observed to be in good repair. LPA Jensen toured the interior of the facility. The facility was observed to be sanitary, free of odor and adequately furnished. LPA Jensen toured the kitchen and observed there to be 2 days of perishable of food and 7 days of non-perishable food. There was fresh produce and a variety of food options. The bathroom water temperature was 107 degrees which is within the required range of 105-120 degrees. The thermostat was set to a comfortable 72 degrees. LPA Jensen observed activities available for residents if needed. There is an adequate supply of linens available. All toxins, medications and sharp objects were locked and inaccessible to residents in care. LPA Jensen checked the smoke detector and carbon monoxide detectors and determined they are good working order. The emergency disaster plan was reviewed and is in compliance. Fire drills are conducted on a regular basis and logged. There is an emergency supply kit that is complete and in compliance. LPA Jensen reviewed 6 of 6 resident files and found them to be complete. 6 of 6 residents are on hospice and the facility has a hospice waiver for 6. According to the physician reports there are no bedridden residents. All staff present had criminal background clearance. A hospice plan was reviewed and found to be complete. The facility was determined to be in substantial compliance. The inspection told was used during the course of this process. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 16, 2024