Golden Age VI

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-20260326164957

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced. To deliver ORDERS TO INDIVIDUAL FOR IMMEDIATE EXCLUSION FROM ALL FACILITIES. S1 was not present at the time of this visit and was not on the Personnel Report dated 11/20/2025. Facility understands this is an Immediate Exclusion effective today. S1 is excluded and prohibited from being a licensee, owning a beneficial ownership of 10% interest or more in a licensed facility, or being an Administrator, officer, director, member, or manager of a licensee or entity controlling a licensee. S1 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. Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies were observed and cited. Exit interview held, Copy of report giventhe state’s words, verbatim · CDSS document, Nov 20, 2025

Allegation investigated: Facility did not report incident

On 09/22/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Venice Andrews and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegation above. Current census was 6. A brief interview with FDA Andrews was conducted. It was alleged that the facility did not report an incident. Based on interviews conducted, it was admitted that the incident report regarding R1 for an incident that occurred on 07/12/2025 was not sent to the department. In addition, the department did not receive an incident report until 08/06/2025. Based on the information gathered, the facility did not report incident. Based on observations, review of records and information gathered through interviews, the above allegations were SUBSTANTIATED meaning that there was a preponderance of evidence to prove that the allegations occurred as alleged. The following deficiencies were cited per Title 22 Division 6 of the California Code of Regulation. An exit interview was conducted, a copy of this report and appeals rights were provided to the facility at the end of this visit. Substantiated According to staff, R1 approached them, pulled their hair, and struck them in the face while they were still assisting R2. In an effort to release R1's grip, the staff member attempted to hold R1’s hands. Additionally, during an interview, R1’s responsible party confirmed that R1 has a history of being physically aggressive toward facility staff. However, the responsible party denied any allegations that a staff member bit a resident. Based on the information gathered, it is unclear if the staff bit resident. Allegation: Staff took residents phone away. It was alleged that the facility staff took residents phone away. During the course of this investigation, the department conducted interviews. Based on interviews conducted, it was reported that Resident 1 (R1) consistently attempted to contact emergency services using their personal phone. It was determined that both R1’s responsible party and emergency services agreed that R1 should use the facility phone when seeking assistance. This agreement helped reduce the frequency of unnecessary calls to emergency services. R1’s responsible party also denied any claims that facility staff had taken away R1’s personal phone. Based on the information gathered, it is unclear if the facility staff took residents phone away. Based on information provided through interviews and records reviewed, this allegation is deemed UNSUBSTANTIATED, meaning that there was not a preponderance of evidence to prove or disprove that the allegation occurred as reported. There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.the state’s words, verbatim · CDSS document, Sep 22, 2025 · control 27-AS-20250729092521

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Oct 22, 2025

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.the state’s words, verbatim · CDSS document, Sep 22, 2025

Plan of correction: Licensee shall send in an statement of correction to this LPA by POC date.

Type of visit: Required - 1 Year

On 09/22/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Staff Member (SM), Paulette Williams and explained the purpose of the visit. LPA asked SM Williams to call the Facility Designated Administrator (FDA) Venice Andrews to inform them that CCL was present. Shortly after, LPA met with FDA Venice Andrews and explained the purpose of the visit. There was one other staff member present during the course of this visit, Raffy Corla. Current census was 6. A brief interview with FDA Andrews was conducted. LPA reviewed 6 resident files and 3 staff files. All files were complete and up to date. The Facility Designated Administrator, Venice Andrews, does have an active administrator certificate. A tour of the facility was conducted. A tour of the living room, dining room, and other areas intended for resident use were conducted. Furniture and furnishings were observed to be in good repair and meet the residents needs. Kitchen area was toured. LPA observed a sufficient amount of 2 day perishable and 7 day non-perishable food supply to meet the residents needs. Knives were observed to be locked and made inaccessible to the residents in care. A tour of the garage was conducted. Additional storage for supplies were identified. Additional food supply was identified. A tour of the laundry room was conducted, laundry detergent, bleach and all other cleaning supplies were made inaccessible to the residents at this time A tour of the resident bedrooms was conducted. Resident furniture was observed to be sufficient to meet the resident needs at this time. A tour of two staff bedrooms were also conducted. A tour of the bathrooms were conducted. Hot water temperature was taken to ensure compliance with Title 22 regulations. A medication cabinet was located in the kitchen. Along with the Facility Designated Representative, LPA observed, compared, and reviewed medication with medication dispensing logs. First aid kit was reviewed and had all the required components. Fire extinguisher was observed and was last serviced by Jorgenson Co on and is in compliance at this time. Smoke detectors and carbon monoxide was observed to be in working condition. The exterior of the physical plant was in good repair with no hazards present. 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 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 the facility at the end of this visit. An exit interview was held, and a copy of the report was provided in-person.the state’s words, verbatim · CDSS document, Sep 22, 2025

Type of visit: Required - 1 Year

On 10/21/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Staff Member (SM), Paulette Williams and explained the purpose of the visit. LPA asked SM Williams to call the Facility Designated Administrator (FDA) to inform them that CCL was present. Shortly after, LPA met with Licensee Marinela Placintar and explained the purpose of the visit. There was one other staff member present during the course of this visit, Raffy Corla. Current census was 5. A brief interview with Licensee Placintar was conducted. LPA reviewed 5 resident files and 3 staff files. 3 out 5 resident files were not complete and up to date. 3 out 3 staff files were complete and up to date. The Facility Designated Administrator, Traian Oancea, does not have an active administrator certificate at this time. There is not an active administrator to this facility. A tour of the facility was conducted. A tour of the living room, dining room, and other areas intended for resident use were conducted. Furniture and furnishings were observed to be in good repair and meet the residents needs. Kitchen area was toured. LPA observed a sufficient amount of 2 day perishable and 7 day non-perishable food supply to meet the residents needs. Knives were observed to be locked and made inaccessible to the residents in care. A tour of the garage was conducted. Additional storage for supplies were identified. Additional food supply was identified. A tour of the laundry room was conducted, laundry detergent, bleach and all other cleaning supplies were made inaccessible to the residents at this time A tour of the resident bedrooms was conducted. Resident furniture was observed to be sufficient to meet the resident needs at this time. A tour of two staff bedrooms were also conducted. A tour of the bathrooms were conducted. Hot water temperature was taken to ensure compliance with Title 22 regulations. A medication cabinet was located in the kitchen. Along with the Facility Designated Representative, LPA observed, compared, and reviewed medication with medication dispensing logs. First aid kit was reviewed and had all the required components. Fire extinguisher was observed and was last serviced by Jorgenson Co on 05/10/2024 and is in compliance at this time. Smoke detectors and carbon monoxide was observed to be in working condition. The exterior of the physical plant was in good repair with no hazards present. 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 Per California Code of Regulations (CCR) – Title 22 – Division 6, Chapter 6, deficiencies were observed during today’s visit. Citations can be found on the LIC 809 – D. Failure to correct deficiencies may result in civil penalties. Appeal Rights were provided to facility. An exit interview was held, and a copy of the report was provided in-person and sent via email.the state’s words, verbatim · CDSS document, Oct 21, 2024

Type of visit: Case Management - Other

On 11/27/2023, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a case management visit. LPA met with Kenroy Anderson and explained the purpose of the visit. The purpose of this visit was to follow up on a Decision and Order in regards to S1 who was deemed to be excluded from being present, employed, or have any contact with any licensed facility by the Department. It was learned that S1 was asked to leave the facility on 11/12/2023 and has not been present in this facility since that date. A tour of the facility was conducted to confirm S1 was not present. There were no deficiencies observed or cited during today's case management visit. An exit interview was conducted and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Nov 27, 2023

Type of visit: Required - 1 Year

On 10/24/2023, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Staff Member (SM), Farah Bailey and explained the purpose of the visit. LPA asked that SM Bailey call the Facility Designated Administrator to inform them that CCL was present. Shortly after, LPA met with Facility Designated Representative (FDR), Kenroy Anderson and explained the purpose of the visit. There was one other staff member present at the facility, Raffy Corla. Shortly later, LPA met with Licensee, Marinela Placintar. LPA reviewed 6 resident files and 3 staff files. 5 out 6 resident files did not have a complete 602, Pre-Apprasial, and Needs and Services Plan. 3 out 3 staff files were complete and up to date. It was learned that the facility does not have an administrator that does not have a current administrator certificate. A tour of the facility was conducted. A tour of the kitchen was toured. Knives were observed to be locked and made inaccessible. Food supply was observed to ensure that there was a 2 day supply of perishable food supply and 7 day non-perishable food supply. The refrigerator was observed to have a flat of eggs, 2 loafs of bread, a gallon of milk, 2 half empty containers of juice, half a bell pepper, half of a onion, and a head of lettuce. A tour of the backyard was conducted. LPA observed the cement walkway was lifted about 5 inches off the original pavement. It was observed by the LPA that there were miscellaneous items such as floss, receipts, batteries, bottle caps all throughout the fences and front of the facility. A tour of the garage was conducted. An additional regriferator unit was observed. Additional hygiene items were identified. A tour of the laundry was conducted. Toxins, laundry supplies, and other cleaning supplies were observed to be locked and made inaccessible. A tour of the resident bedrooms was conducted. LPA observed a strong smell of urine in 3 out of 4 bedrooms. Furniture and furnishings were observed to be in good repair and meet the residents needs. A tour of the bathrooms were conducted. Hot water temperature was taken to ensure compliance with Title 22 regulations. A medication cabinet was located in the kitchen. Along with the Facility Designated Representative, LPA observed, compared, and reviewed medication with medication dispensing logs. First aid kit was reviewed and had all the required components. Fire extinguisher was observed and was last serviced by Jorgenson Co on 02/27/2023 and is in compliance at this time. Smoke detectors and carbon monoxide was observed to be in working condition. 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 (CCR) – Title 22 – Division 6, Chapter 6, deficiencies were observed during today’s visit. Citations can be found on the LIC 809 – D. Failure to correct deficiencies may result in civil penalties. Appeal Rights were provided to facility. An exit interview was held, and a copy of the report was provided in-person and sent via email.the state’s words, verbatim · CDSS document, Oct 24, 2023