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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006417
Report Date: 11/06/2025
Date Signed: 11/06/2025 01:32:10 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
11/03/2025 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20251103115854
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: 6DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Ameer AttrahTIME COMPLETED:
01:46 PM
ALLEGATION(S):
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9
Staff member yells at residents in care.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

It was alleged staff member yells at residents in care. During the investigation, LPA conducted interviews with residents in care and staff. LPA reviewed records obtained.

The investigation determined as follows: Regarding the allegation staff member yells at residents in care, it was reported a staff member yells at everyone. LPA interviews with three out of four residents stated they have not been yelled at directly. One out of those three residents added they have heard loud voices through the door but does not know who is speaking. The remaining resident stated they have been yelled at by staff sometimes but believes that is the staff's personality. The resident added she likes the staff. LPA interviews with two out of three staff stated staff 1 (S1) speaks with a loud voice but that is their regular voice and does not yell at residents or other staff. Continued on LIC9099-C dated 11/6/2025
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
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 4
Control Number 22-AS-20251103115854
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: 11/06/2025
NARRATIVE
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The two staff members added resident 1 (R1) is hard of hearing and must speak to them loudly to communicate. The remaining staff stated S1 yells but believes that is part of their culture. LPA attempted to interview R1 but was unable to as R1 is hard of hearing and visual cues were difficult for R1 to read. LPA record review indicated training for two staff members were up to date including mandated reporter and personal rights training. LPA observed R1 speaking in a loud voice when speaking to staff. LPA toured the facility and did not observe any health or safety concerns.

Therefore based on resident interviews, staff interviews, records observed, and LPA observations, the allegation of staff member yells at residents in care is deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of the report was left with the facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
11/03/2025 and conducted by Evaluator Fred Arias
COMPLAINT CONTROL NUMBER: 22-AS-20251103115854

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: 6DATE:
11/06/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Ameer AttrahTIME COMPLETED:
01:46 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff member physically abuses residents in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

It was alleged staff member physically abuses residents in care. During the investigation, LPA conducted interviews with residents in care and staff. LPA reviewed records obtained.

The investigation determined as follows: Regarding the allegation staff member physically abuses residents in care, it was reported a staff member pushes residents. LPA inteviews with four out of four residents stated they have not been physically abused by staff. Four out of four residents added their needs are being met. LPA interviews with three out of three staff stated they have not witnessed any staff push residents. LPA record review indicated training for two staff members were up to date including mandated reporter and personal rights training.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20251103115854
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: 11/06/2025
NARRATIVE
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LPA observed residents being attended to during the visit including breakfast being served and a visit by hospice personnel. LPA toured the facility and did not observe any health and safety concerns.

Based on record review, interviews and observations, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted and a copy of the report was left with the facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Fred Arias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4