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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700929
Report Date: 03/10/2026
Date Signed: 03/10/2026 12:49:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2026 and conducted by Evaluator Michael Hood
COMPLAINT CONTROL NUMBER: 59-AS-20260304085032
FACILITY NAME:ALL SEASONS HIALEAHFACILITY NUMBER:
342700929
ADMINISTRATOR:TOLY MOLITVENIKFACILITY TYPE:
740
ADDRESS:8407 HIALEAH WAYTELEPHONE:
(916) 776-6665
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:6CENSUS: 4DATE:
03/10/2026
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Galina Chikivchuk, Operations DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff are confining residents to their room.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Operations Director (OD), Galina Chikivchuk, to open a complaint investigation into the allegation listed above. LPA was joined by Local Long-Term Care Ombudsman (LTCO) during visit.

During today’s visit, LPA and LTCO toured the facility and conducted interviews. The results of the investigation are as follows:

Interviews conducted with Licensee, OD, staff member (S1), and resident (R1) indicated that they have never witnessed any parties take place at the facility, resulting in residents being confined to their rooms. Licensee, OD, and S1 all deny residents ever being prevented from leaving their rooms.

** Report continued on 9099-C **
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
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 59-AS-20260304085032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ALL SEASONS HIALEAH
FACILITY NUMBER: 342700929
VISIT DATE: 03/10/2026
NARRATIVE
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Interview with R1 indicated that they have never seen people at the facility who are not staff or not familiar to the resident. R1 stated that they have only seen family of residents or prospective families conducting tours at the facility. R1 stated that they have never been told that they cannot leave their room. No other interviews conducted with residents indicated any concerns regarding residents being confined to their rooms.

LPA and LTCO conducted a tour of the premises and observed residents ambulating throughout the facility. LPA observed staff bedrooms at the facility and observed non-client adult residents residing at the facility. LPA confirmed with the Department's criminal background system that non-client adult residents residing at the facility received a criminal background clearance with the Department and have been associated to the facility.

Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means 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.

Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
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