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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345920133
Report Date: 01/06/2026
Date Signed: 01/06/2026 02:21:38 PM

Unfounded


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
12/02/2025 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20251202082405
FACILITY NAME:ALL SEASONS GOLDEN GATEFACILITY NUMBER:
345920133
ADMINISTRATOR:CHIKIVCHUK, GALINAFACILITY TYPE:
740
ADDRESS:9470 GOLDEN GATE AVE.TELEPHONE:
(916) 776-6665
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:6CENSUS: 5DATE:
01/06/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Anatoliy Molitvenik, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff handled resident in a rough manner resulting in bruising to the resident.
Staff pulled resident's catheter.
INVESTIGATION FINDINGS:
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5
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9
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12
13
Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 01/06/26 to deliver complaint findings for above allegations. LPA met with Anatoliy Molitvenik, Administrator and explained the purpose of the visit.

The department conducted records review ,facility observations and interviews to investigate the complaint.



**Report continued on LIC9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
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-20251202082405
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 GOLDEN GATE
FACILITY NUMBER: 345920133
VISIT DATE: 01/06/2026
NARRATIVE
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**Report continued from 9099......

Allegation- Staff handled resident in a rough manner resulting in bruising to the resident. UNFOUNDED

The department conducted record review, interviewed residents and staff to investigate this allegation. Record reviews did not indicate that residents R1 was bruised by staff manner. Three residents’ interviews reflected that they feel safe with staff and their care needs were met. Three staff interviews indicated that R1 bruised easily due to their health conditions and it was not due to staff’s lack of care. During complaint investigation, it was learnt that law enforcement came to do the welfare check on R1 regarding this allegation and there were no findings. Based on the information gathered, this allegation was found to be UNFOUNDED.

Allegation - Staff pulled resident's catheter. UNFOUNDED

The department conducted record review, interviewed residents and staff to investigate this allegation. It was learned that resident, R2 was receiving hospice care at the facility before they passed away under hospice care. Record review reflected that there were incident(s) where R2 would get agitated and pull out their catheter and staff notified hospice agency, physician, responsible party and other agencies and addressed the issue per R2’s care needs. Three staff interviews indicated that they were providing care to R2 per their needs and service plan and there were no concerns. Three resident’s interviews reflected that staff were meeting their care needs, and they were satisfied with their care at the facility. Based on the information gathered, this allegation was found to be UNFOUNDED.

A finding that the allegations are Unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. A copy of this report has been provided to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2