Golden Age III

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 in care. 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-20260326164730

Type of visit: Required - 1 Year

On 1/13/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua was met by Staff Member (SM), Shelly Ann Allen and explained the purpose of the visit. Shortly after, LPA met with Facility Designated Representative (FDR), Venice Andrews and Licensee Marinela Placintar and explained the purpose of the visit. There was one other staff member present, Phillip Campbell. This facility is licensed to serve 6 non-ambulatory elderly residents at this time. This facility has a hospice waiver allowable for 2 residents at this time. The current census was 5. A brief interview with Licensee Placintar was conducted. It was learned that the two staff members present were not associated to this facility at this time. LPA Pascua FDR directed that both staff members were unable to be present at the facility at this time. LPA Pascua reviewed 5 resident files and 2 staff files. All files were complete and up to date. LPA conducted a tour of the facility. Smoke detectors and carbon monoxide were observed to be in working condition. Fire extinguisher was serviced on 06/16/2025 by the local fire company Jorgenson Co. The kitchen area was toured. LPA observed a non-perishable and perishable foods in the cabinets and refrigerator. Additional perishable food supplies were identified in the garage. LPA observed a locked centralized stored medication cabinet located in the kitchen. Along with the administrator, the LPA observed, reviewed, and compared resident medication and medication dispensing logs. First Aid Kit was present and contained all of the required components. A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A linen closet was located in the hallway and presented a sufficient amount of linens to adequately supply and meet the needs of the residents at this time. A tour of the bedrooms was conducted. Resident furniture was observed to be sufficient to meet their needs at this time. Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Common areas were toured. Living room, dining area and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time. A tour of the garage was conducted. Additional perishable food supplies were identified. LPA observed that the sliding glass door that leads to the backyard yard. LPA was unable to open the sliding glass door, upon inspection of the sliding glass door it was observed that the door was stopped by the a wood plank. The exterior of the physical plant was toured. Perimeter fence was observed to be stable and gates were in good repair. The following forms and documents were requested to be updated and submitted into CCL -LIC 308 -LIC 400 -LIC 500 -LIC 610 -Liability Insurance An immediate civil penalty was issued for Section 87355(e)(3) for criminal background transfer for S1 and S2. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview and a copy of this report was provided to this facility at the end of this visit.the state’s words, verbatim · CDSS document, Jan 13, 2026

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

On 03/20/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an case management. LPA met with Licensee, Marinela Placintar and explained the purpose of this visit. The purpose of this visit was to follow up on the documentation that was requested by the department during a Non-Compliance meeting on 1/17/2025. Current census was 4. A brief interview with Licensee Placintar was conducted. On 1/17/2025, a Non-Compliance meeting was held with the Adult and Senior Sacramento South Regional Office and Licensee, Marinela Placintar. It was agreed during this meeting that Licensee Marinela Placintar would supply the Regional Office with the following documentation which was due by 1/24/2025: · A copy of the facilities bank statements from September 2024-Current · A copy of the facilities gas utility statements from September 2024-Current · A copy of the facilities electric statement from September 2024-Current · A copy of the facilities trash/garbage statement from September 2024-Current In addition, a copy of all major utility statements are due at the end of each month for January 2025-March 2025. A subsequent email as sent to Licensee, Marinela Placintar and Facility Designated Administrator (FDA), Bianca Placintar on 02/5/2025 as a reminder that documentation requested has not been received. As of the date of the visit, 03/20/2025, the Regional Office has not received any documentation from the Licensee or Administrator. It was stated by the Licensee that she miss understood what was requested and will send documentation by the end of the day. LPA asked that Licensee Placintar to provide the documentation by Friday, 03/21/2025 end of business day 5:00pm. LPA reminded Licensee that failure to provide documentation by due date will result in civil penalties. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.the state’s words, verbatim · CDSS document, Mar 20, 2025

Type of visit: Office

A Non-Compliance Conference (NCC) was conducted on this day, 1/17/2025, by the Sacramento South Regional Office via Microsoft Teams. The purpose of this NCC meeting was to discuss an incident that occurred during an annual visit on 1/06/2025. Present at the meeting were Regional Manager (RM), Stephenie Doub, Licensing Program Manager (LPM), Lisa Rios, Licensing Program Analyst (LPA), Arielle Pascua, and Licensee, Marinela Placintar. The Non-Compliance Conference process was explained during this meeting to include the administrative process. On 01/06/2025, the department conducted an unannounced visit to this facility and found that the facility power had been shut off at this location. Upon further interview with the Licensee, it was learned that all facilities owned by this Licensee did not any electricity. Items discussed during the Non-Compliance Conference were: -Facility Maintenance -Responsibility to provide care and supervision The Licensee has agreed to do the following in order to bring the facility into compliance no later than 04/01/2025: -Ensure that proper care and supervision are provided to all residents at all times. -Provide copies of all major utility statements to the LPA for the next 3 months. -Provide the following copies to the LPA by 1/2/24025: -A copy of the facilities bank statements from September 2024-Current -A copy of the facilities gas utility statements from September 2024-Current -A copy of the facilities electric statement from September 2024-Current -A copy of the facilities trash/garbage statement from September 2024-Current The RO will continue increased monitoring and revisit compliance in 6 months. Completing the non-compliance conference does not deprive the Department of its authority to take appropriate formal legal action under the Health and Safety Code if such action is deemed necessary by the Regional Manager. In the event that the Department determines that the licensee has violated the law/regulations or is inadequately implementing the approved plans, the Department, in its discretion, may seek formal legal action or other appropriate administrative action. Per California Code of Regulations (CCRs) - Title 22 no deficiencies are being cited during this visit. An exit interview was conducted with Licensee, Marinela Placintar, and a copy of this report was provided via email and an electronic email read receipt confirms receiving these documents. In addition, a copy of this report will be sent out certified mail.the state’s words, verbatim · CDSS document, Jan 17, 2025

Type of visit: Required - 1 Year

On 01/06/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Marsha Spencer and explained the purpose of the visit. LPA entered the facility and found that there was a power outage at this facility at this time. It was stated that that the local electrical company had turned off the electricity due to payment issues. LPA conducted a health and safety check of all residents and found that all residents were either sleeping or sitting in the designated resident areas. LPA continued the visit and reviewed facility records. LPA reviewed 5 resident files and 3 staff files. It was observed that 3 out 5 resident files did not have an updated needs and services plan. 3 staff files were observed to not have updated dementia training within the last year. The administrator has an expired administrator certificate but this LPA was able to confirm that the administrator certificate was sent prior to expiration on 08/10/2023. At 11:47am, the facility power was turned back on. LPA conducted a tour of the facility. Smoke detectors and carbon monoxide were observed to be in working condition. Fire extinguisher was serviced on 08/21/2024 by the local fire company Jorgenson Co. The kitchen area was toured. LPA observed a non-perishable and perishable foods in the cabinets and refrigerator. Additional perishable food supplies were identified in the garage. LPA observed a locked centralized stored medication cabinet located in the kitchen. Along with the administrator, the LPA observed, reviewed, and compared resident medication and medication dispensing logs. First Aid Kit was present and contained all of the required components. A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A linen closet was located in the hallway and presented a sufficient amount of linens to adequately supply and meet the needs of the residents at this time. A tour of the bedrooms was conducted. Resident furniture was observed to be sufficient to meet their needs at this time. Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Common areas were toured. Living room, dining area and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time. A tour of the garage was conducted. Additional perishable food supplies were identified. LPA observed that the sliding glass door that leads to the backyard yard. LPA was unable to open the sliding glass door, upon inspection of the sliding glass door it was observed that the door was stopped by the a wood plank. The exterior of the physical plant was toured. Perimeter fence was observed to be stable and gates were in good repair. The following forms and documents were requested to be updated and submitted into CCL -LIC 308 -LIC 400 -LIC 500 -LIC 610 -Liability Insurance Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview and a copy of this report was provided to this facility at the end of this visit.the state’s words, verbatim · CDSS document, Jan 6, 2025

From the deficiency page — Deficiency type: Type B · Plan of correction due date: Feb 6, 2025

(2) Eight hours of in-service training per year on the subject of serving residents with dementia. This is not met as evidenced by: Based on observation and record review, this licensee did not ensure that 3 out 3 staff members did not have annual dementia training. This poses a potential health, safety, and personal rights risks in persons in care.the state’s words, verbatim · CDSS document, Jan 6, 2025

From the deficiency page — Deficiency type: Type B · Plan of correction due date: Feb 6, 1987

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This is not met as evidenced by: Based on observation and record review, this licensee did not ensure that 3 out 5 residents did not have an updated reappraisal. This poses a potential health, safety, and personal rights risks in persons in care.the state’s words, verbatim · CDSS document, Jan 6, 2025

From the deficiency page — Deficiency type: Type A · Plan of correction due date: Jan 7, 2025

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This is not met as evidenced by: Based on observation, the Licensee did not ensure that the sliding glass door was not easily opened. LPA observed a wood plank that was prohibiting the sliding glass door from opening. This poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 6, 2025

Type of visit: Required - 1 Year

On 1/24/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct an annual visit. LPA met with Staff Member (SM) Nehomi Macfarlane and explained the purpose of the visit. LPA as SM Macfarlane to call the Facility Designated Administrator (FDA) to inform them that CCL was present at this time. Shortly after, LPA met with Licensee Marinela Placintar and explained the purpose of the visit. There were two other staff members present at the time of this visit, Marsha Spencer and Christopher Nnam. This facility is licensed to serve 6 non-ambulatory elderly residents at this time. This facility has a hospice waiver allowable for 2 residents at this time. The current census was 5. A brief interview with Licensee Placintar was conducted. LPA Pascua reviewed 4 resident files and 3 staff files. 4 out 4 residents files were current and up to date. There are currently 2 residents were receiving hospice services. LPA Pascua reviewed 3 staff files. 3 out 3 staff files were complete and up to date. The administrator does not have an active administrator certificate #6036635740 and expired on 08/30/2023, however is awaiting for the department for a renewed certificate. LPA was able to confirm that the administrator provided the department documentation and payment prior to the expiration date. A tour of the facility was conducted. A fire extinguisher was also observed to be in the kitchen and was annually inspected by Jorgenson Co on 03/18/2022 The kitchen area was toured. LPA observed a non-perishable and perishable foods in the cabinets and refrigerator. Additional perishable food supplies were identified in the garage. LPA observed a locked centralized stored medication cabinet located in the kitchen. Along with the administrator, the LPA observed, reviewed, and compared resident medication and medication dispensing logs. First Aid Kit was present and contained all of the required components. A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A linen closet was located in the hallway and presented a sufficient amount of linens to adequately supply and meet the needs of the residents at this time. A tour of the bedrooms was conducted. Resident furniture was observed to be sufficient to meet their needs at this time. Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Common areas were toured. Living room, dining area and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time. A tour of the garage was conducted. Additional perishable food supplies were identified. The exterior of the physical plant was toured. Perimeter fence was observed to be stable and gates were in good repair. The following forms and documents were requested to be updated and submitted into CCL -LIC 308 -LIC 400 -LIC 500 -LIC 610 -Liability Insurance As a result of this visit, no deficiencies were observed or cited during this annual visit. An exit interview was conducted and copy of the 809 and 809-C was provided to Licensee, Marinela Placintar.the state’s words, verbatim · CDSS document, Jan 24, 2024