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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006417
Report Date: 12/11/2025
Date Signed: 12/11/2025 10:18:22 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/25/2025 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20251125145221
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:
12/11/2025
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Ahmed AttrahTIME COMPLETED:
10:35 AM
ALLEGATION(S):
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9
Staff leaves a resident soiled while in care
Staff throws water at a resident
Staff does not provide a comfortable accommodation for a resident
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Licensee Ahmed Attrah and explained the purpose of the inspection.

Regarding the allegation, Staff leaves a resident soiled while in care, the following was revealed: It is alleged Staff 1 (S1) leaves Resident 1 (R1) soiled for an extended period of time, up to three hours. During the course of the investigation, interviews were conducted with R1, three additional facility residents, and two staff. During their interview, R1 denied being left soiled for an extended period of time and stated facility staff change them regularly. During their interview, three of three additional facility residents denied being left soiled or wet for extended periods and denied having any knowledge of any other resident being left soiled or wet for extended periods of time. LPA attempted to contact S1 on three separate occasions, however, S1 could not be reached to confirm or deny allegation. Two of two additional staff interviewed denied staff leaving any resident, including R1, soiled for an extended period of time. (Cont. LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
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 3
Control Number 22-AS-20251125145221
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GOLDEN YEARS GROUP
FACILITY NUMBER: 306006417
VISIT DATE: 12/11/2025
NARRATIVE
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Regarding the allegation, Staff throws water at a resident, the following was revealed: It is alleged S1 throws water at R1. During the course of the investigation, interviews were conducted with R1, three additional facility residents, and two staff. During their interview, R1 denied S1 throwing water at them and stated it is actually Staff 2 (S2) that throws at them when S2 is upset for having to assist them with hygiene and/or grooming tasks. Per R1, S2 uses a small bowl to throw cold water at them. During their interview, two of three additional facility residents denied any facility staff throwing water at them personally and denied having any knowledge of staff throwing water at any resident; one of three residents stated water is thrown at them by staff, however, denied S1 throwing water at them and was unable to identify individual staff throwing water at them. LPA attempted to contact S1 on three separate occasions, however, S1 could not be reached to confirm or deny allegation. During their interview, S2 denied throwing water at any resident, including R1. S2 stated R1 and other facility residents are assisted with bed baths, but denied water is thrown, as wipes are primarily used. During their interview, S3 denied water is thrown at any resident and stated there are a few residents who take bed baths and will indicate water is being thrown at them during their bed bath.

Regarding the allegation, Staff does not provide a comfortable accommodation for a resident, the following was revealed: It is alleged R1 is not provided with comfortable accommodations due to care and treatment by facility staff. During the course of the investigation, interviews were conducted with R1, three additional facility residents, and two staff. During their interview, R1 denied having any concerns about the care being provided, however, stated they are not comfortable with the treatment provided by staff due to S2 using a small bowl to throw cold water at them when S2 is upset for having to assist with them with hygiene and/or grooming tasks. During their interview, two of three additional facility residents denied having any concerns regarding the care or treatment provided by staff at the facility; one of three residents stated their only concern is regarding staff throwing water at them, however, was unable to identify individual staff throwing water at them. During their interview, S2 denied throwing water at any resident, including R1 and stated R1 and other facility residents are assisted with bed baths and denied water is thrown at any resident, as wipes are primarily used. During their interview, S3 denied water is thrown at any resident and stated there are a few residents who take bed baths and will indicate water is being thrown at them during their bed bath.

(Cont. LIC9099-C)
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20251125145221
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GOLDEN YEARS GROUP
FACILITY NUMBER: 306006417
VISIT DATE: 12/11/2025
NARRATIVE
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Due to conflicting information received during interviews conducted, the Department is unable to determine if Staff leaves a resident soiled while in care, if Staff throws water at a resident, or if Staff does not provide a comfortable accommodation for a resident. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3