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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003932
Report Date: 10/10/2025
Date Signed: 10/10/2025 02:22:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/28/2021 and conducted by Evaluator Kevin Saborit-Guasch
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20211228154049
FACILITY NAME:GOLDEN YEARS - VILLA GRANDEFACILITY NUMBER:
306003932
ADMINISTRATOR:MARY CHIERICHETTIFACILITY TYPE:
740
ADDRESS:4332 VILLA GRANDE DRIVETELEPHONE:
(714) 223-0994
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:6CENSUS: 5DATE:
10/10/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Paul Chierichetti, facility ownerTIME COMPLETED:
02:40 PM
ALLEGATION(S):
1
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9
Staff spoke to resident in an inappropriate manner.

Staff handled resident in a rough manner.
INVESTIGATION FINDINGS:
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13
On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the two allegations listed above. LPA was greeted and granted entry by facility staff after introducing himself and stating the purpose of the visit. Facility owner Paul Chierichetti was notified via telephone and arrived shortly afterwards to assist with the visit.

The initial complaint investigation visit was conducted by LPA Quiroz on January 4, 2022. During the visit, LPA Quiroz requested resident records for R1 as well as documentation regarding staff. Additional witness interviews were conducted during the investigation.

During the present visit, licensing staff requested and reviewed the resident census and staff roster. Resident and staff interviews were also conducted. Additional resident records were also provided during the visit.
CONTINUED ON FORM LIC9099
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20211228154049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GOLDEN YEARS - VILLA GRANDE
FACILITY NUMBER: 306003932
VISIT DATE: 10/10/2025
NARRATIVE
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CONTINUED FROM FORM LIC9099
Regarding the allegation that Staff spoke to resident in an inappropriate manner, the following has been concluded: Records reviewed, interviews and observations conducted failed to provide sufficient corroborating evidence that staff member S1 had spoken inappropriately to resident R1 while providing care for her. R1 is stated to have passed away approximately three years prior to the follow-up visit taking place.

Regarding the allegation that Staff handled resident in a rough manner, the following has been concluded: Resident, staff and witnesses interviews conducted failed to yield evidence of rough handling of R1 or any other facility resident by S1 or any other staff members present at the facility. Observation made during a facility visit showed residents relaxing in theirs bedrooms or in the facility's common areas and displaying no signs of distress or agitation.

Based on the evidence gathered during the investigation, the allegations are both found to be Unsubstantiated, meaning that although both allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025
LIC9099 (FAS) - (06/04)
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