Senior Care Records.

Facility Evaluation Report

Golden Age V, Modesto01/26/2022Licence 507005174

Capacity6
Census6
Date signed02/08/2022 02:20:09 PM
The inspector’s account

Licensing Program Analyst (LPA) Charlie Yang made an unannounced visit on 01/26/2022 for the purpose of conducting a Case Management visit. LPA Yang met with facility representative Kenroy Anderson and explained the reason for this visit.

On 06/09/2021 an Office meeting was held with the Licensee Marinela Placintar, the RO and DSS Auditors. During the meeting, the RO explained the audit findings and related expectation of financial monitoring of this facility for one year. Licensee Placintar was advised of documents that needed to be provided to the Audits Department along with the dates expected to submit them to this Department. The Audits Department also sent emails to Licensee Placintar reminding her of the deadlines.

The documents required for the solvency monitoring were as followed:

These documents were to be submitted quarterly and were due for the third quarter as of October 15, 2021. As of this date, these documents have not been received.

The following deficiencies were cited on the following LIC 809-D per Title 22, Division 6 of the California Code of Regulations.

An exit interview was conducted with the facility representative Kenroy Anderson and a copy of this report, along with appeal rights, was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction