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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345920176
Report Date: 09/23/2025
Date Signed: 09/23/2025 11:47:39 AM

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
09/15/2025 and conducted by Evaluator Cassie Yang
COMPLAINT CONTROL NUMBER: 59-AS-20250915111530
FACILITY NAME:GOLDEN AGE LIVING 1FACILITY NUMBER:
345920176
ADMINISTRATOR:SOUMAHORO, MUAMOUDOU AFACILITY TYPE:
740
ADDRESS:3375 LA CADENA WAYTELEPHONE:
(916) 389-9683
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:6CENSUS: 5DATE:
09/23/2025
UNANNOUNCEDTIME BEGAN:
10:02 AM
MET WITH:Camille McFarlaneTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not respond to residents' calls for assistance in a timely
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 On September 23, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to investigate the allegation cited above. LPA met with caregivers and explained the purpose of the visit.
Today's investigation, LPA conducted interview with Administartor, four residents in care and two caregivers.
For the allegation of staff does not respond to residents calls for assistance timely, LPA conducted an interview with R1, R2 and R3 which revealed that staff assist residents as needed. R3 stated they need full assistance with everything and does not have any concerns getting staff's attention as they are attentive. Interview conducted with R4 revealed they have to wait when calling for assistance but staff does come to assist. Interview conducted with S1 and S2 revealed they have not witnessed other caregivers not assisting to residents call. S2 stated if it takes a little longer it is due to staff assisting to other residents in care.
Based on information above, the department concluded that the allegation is unfounded. A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview and copy of report provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025
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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