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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004771
Report Date: 09/30/2026
Date Signed: 09/30/2026 04:07:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
10/10/2024 and conducted by Evaluator Taylor Simerly
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241010161817
FACILITY NAME:GOLDEN FLOWER MANOR, LLCFACILITY NUMBER:
306004771
ADMINISTRATOR:FLORICA GHEORGHEFACILITY TYPE:
740
ADDRESS:2411 E. LA PALMA AVE.TELEPHONE:
(714) 215-4283
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY:6CENSUS: 4DATE:
09/30/2026
UNANNOUNCEDTIME BEGAN:
01:04 PM
MET WITH:Florica Gheorghe, AdministratorTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff kept resident's belongings
Staff did not allow resident to have visitors
INVESTIGATION FINDINGS:
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On September 30, 2026, LPA Taylor Simerly and LPM Alfonso Iniguez conducted an unannounced subsequent complaint visit. LPA and LPM Iniguez met Florica Gheorghe, Administrator and explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Licensee Interview (A#1), Staff Interviews (S#1-S#3), Resident Interview (R#1-5) and Witness Interview (W#1-5). LPA gathered the following documents: copy of the current resident roster, R1s face sheet, R1s client personal items record, R1s physician report and physician orders, R1s power of attorney form, and R1s admission agreement.

Allegations: Staff kept resident's belongings. Staff did not allow resident to have visitors

Evaluation Report continues LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alfonso Iniguez
LICENSING EVALUATOR NAME: Taylor Simerly
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
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 3
Control Number 22-AS-20241010161817
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GOLDEN FLOWER MANOR, LLC
FACILITY NUMBER: 306004771
VISIT DATE: 09/30/2026
NARRATIVE
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 Investigation Revealed the Following:
Allegation: Staff kept resident’s Belongings

It is alleged that facility staff kept (R#1) belongings

On September 30, 2026, at approximately 2:00 PM, during the records review, the Department examined the copy of R1’s Resident/Personal Property and Valuables, the department observed that R1 did not have any personal items listed on it upon admission.

On September 30, 2026, at approximately 02:00 PM, the department interviewed (A#1). A1 shared that family completes an inventory of residents’ belongings when they move in and the family will take the belongings when they leave. A1 shared that they store the belongings in the garage if the family does not pick them up. A1 denied that any staff has denied the dignity of the residents. A1 stated that when R1 arrived they had no belongings and arrived in a hospital gown.

The department was unable to interview Resident #1 (R1) as they no longer reside at the residence. Resident #2 (R2), Resident #3 (R3) Resident #4 (R4) were unable to engage in any interviews. Resident #5 engaged in an interview but due to medical diagnosis, was unable to provide reliable information.

On September 30, 2026, two out of four witnesses confirmed that they have not had any concerns about belongings going missing. One witness shared that an itemized personal belongings form was completed upon moving in, the other witness was unable to answer as they were not there.

On September 30, 2026, the Department interviewed Staff 1-3(S#1-3). Two out of three staff members shared that when residents move in, an itemized list is created with their belongings, and the list is reviewed upon the resident leaving. One staff member was unable to answer the question. Three out of three staff members denied witnessing any staff members denying residents dignity or disrespect them.

Allegation: Staff did not allow resident to have visitors

It is alleged that facility staff did not allow (R#1) to have visitors

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Alfonso Iniguez
LICENSING EVALUATOR NAME: Taylor Simerly
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20241010161817
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GOLDEN FLOWER MANOR, LLC
FACILITY NUMBER: 306004771
VISIT DATE: 09/30/2026
NARRATIVE
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On September 30, 2026, at approximately 2:00 PM, during the records review, the Department examined the copy of R1s admission agreement, which states that visitors can come at any time but requests a phone call to the administrator if it is before 9am or after 6pm.

On September 30, 2026, at approximately 02:00 PM, the department interviewed (A#1). A1 shared that the visiting hours for the facility are from 8am-9pm and denied anyone ever being turned away to visit.

On September 30, 2026, two out of four witnesses confirmed the visitation hours and did not have any concerns about visits.. LPA was unable to speak with W1 and W4 stated that R1 has not lived at the new facility for over one year.

The department was unable to interview Resident #1 (R1) as they no longer reside at the residence. Resident #2 (R2), Resident #3 (R3) Resident #4 (R4) were unable to engage in any interviews. Resident #5 engaged in an interview but due to medical diagnosis, was unable to provide reliable information.

On September 30, 2026, the Department interviewed Staff 1-3(S#1-3). Two out of three staff members shared that the visiting hours are from 9am-7pm. One staff member shared that the visiting hours are from 8:30am-12pm and 2pm-4:45pm. Three out of three staff members confirmed that no visitors have ever been denied entry.

During this investigation, the department did not find sufficient evidence to support the above-mentioned allegations.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegations are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, and a copy of the Complaint Report was given to Florica Gheorghe, Administrator.

SUPERVISORS NAME: Alfonso Iniguez
LICENSING EVALUATOR NAME: Taylor Simerly
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3