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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006417
Report Date: 04/15/2025
Date Signed: 04/15/2025 03:49:11 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
04/10/2025 and conducted by Evaluator Alvaro Ramirez Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250410140648
FACILITY NAME:GOLDEN YEARS GROUPFACILITY NUMBER:
306006417
ADMINISTRATOR:ATTRAH, AMEERFACILITY TYPE:
740
ADDRESS:507 S. CITADELL LANETELEPHONE:
(949) 994-2900
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY:6CENSUS: 5DATE:
04/15/2025
UNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:Stefania Paunesco-Caregiver, Ameer Attrah-AdministratorTIME COMPLETED:
04:05 PM
ALLEGATION(S):
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Facility staff emotionally abuses resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced initial 10-Day complaint visit to initiate the investigation into the above allegation and to deliver the findings of the investigation. LPA was greeted and granted entry into the facility and met with Caregiver Stefania Paunescu. LPA explained the reason for the visit. Administrator (AD) Ameer Attrah arrived during the visit.

This agency has investigated the complaint alleging that facility staff emotionally abuses resident. Regarding the allegation, the following was revealed: During the course of the interviews one of seven individuals interviewed confirmed the allegation. During the course of the interviews with residents, Resident 1 (R1) reported that staff have never emotionally abuse her. Per R2, staff are respectful and stated that she feels safe. During the course of the interviews with staff, Staff 1 (S1) reported that she had a perfect relationship with the resident and stated that staff treat the residents with respect. During the investigation LPA reviewed documents including the Caregiver Personal Rights Training dated January 10, 2025 for S1.
CONTINUED ON LIC9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 22-AS-20250410140648
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 GROUP
FACILITY NUMBER: 306006417
VISIT DATE: 04/15/2025
NARRATIVE
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Per Caregiver Personal Rights Training: Residents have the right to be treated with dignity, respect and kindness, be free from abuse, neglect or exploitation. During the course of the interviews with witnesses, Witness 1 (W1) reported that staff were not emotionally abusing his mother. W1 stated that S1 is a great person. Per W1 they found a place where caregivers are Filipino and stated that his mother is happy

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported due to conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, this allegation is deemed UNSUBSTANTIATED.

For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations.


LPA conducted an exit interview with facility representative, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
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