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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004771
Report Date: 06/26/2026
Date Signed: 06/26/2026 09:20:28 AM

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
03/05/2026 and conducted by Evaluator William Vanegas
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20260305104334
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: 3DATE:
06/26/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Florica Gheorghe (Administrator)TIME COMPLETED:
09:25 AM
ALLEGATION(S):
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-Staff did not respond to a resident's call button in a timely manner
-Staff do not ensure the residents toileting needs are met
-Staff do not treat resident with dignity and respect
-Staff did not ensure resident was provided with clean linen and or bedding
-Staff did not report incident to responsible party
-Unlawful eviction
INVESTIGATION FINDINGS:
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On this day Licensing Program Analyst (LPA) William Vanegas made an unannounced visit to the facility for the purpose of delivering the findings of the above-mentioned allegations. Additionally, LPA conducted an initial 10-day inspection on March 13, 2026; during initial inspection LPA conducted interviews with staff on duty, and residents in care. Furthermore, LPA gathered pertinent documents related to allegations listed above. On today’s date LPA was greeted and granted entry into the facility by caregiving staff after introducing himself and stating the purpose for the visit. LPA began to explain the detailed information of the findings. LPA Vanegas explained the following. In reference to the allegation stating Staff did not respond to a resident’s call button in a timely manner the following has been determined. LPA conducted an Interview with staff 1 (S1) and the interview revealed the following: S1 states that they respond to resident’s calls for assistance within five to ten seconds; S1 states that they are always in close proximity and can hear the call bell right away. S2 states that if they are assisting another resident as soon as they are available they assist the other resident calling for help; however the wait time is never longer than five minutes. CONTINUED ON LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
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 6
Control Number 22-AS-20260305104334
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: 06/26/2026
NARRATIVE
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S3 states that they have observed staff members responding as soon as possible. Interview with Resident 2 (R2) revealed the following: R2 states that the staff are doing just fine. They come to the residents aid as quickly as they can. Interview with Resident 3 (R3) revealed the following: R3 was non verbal, however was able to nod yes or no when questions were asked. R3 noted “yes” when asked if staff help them with their everyday needs. Based on interviews conducted the following allegation is deemed to be unsubstantiated. Although the allegation may have or may not have occurred the preponderance of evidence has not been met

Regarding the allegation that states Staff do not ensure the residents’ toileting needs are met the following was revealed: LPA conducted an interview with S1 that revealed the following. S1 states staff are changing briefs as soon as they are requested to be changed by residents or when they are conducting their daily checks. Interview with S2 revealed the following. S2 states that staff clean residents as soon as possible, and they ensure that all resident needs are being met. Interview with S3 revealed the following. S3 states that they have observed staff on duty cleaning residents as soon as possible. Interview with complainant revealed the following. Complainant states that they do not assist R1 with toileting needs in a timely manner, and they left R1 in soiled sheets and briefs for an extended period of time. Based on interviews conducted and observations made by LPA the following allegation is deemed to be unsubstantiated. Although the allegation may have or may not have occurred the preponderance of evidence has not been met.

Regarding the allegation stating Staff do not treat resident with dignity and respect Interviews conducted revealed the following: Interview with S1 revealed the following. S1 states that they treat residents with respect, and S1 states that they go above and beyond for the residents in care. The interview with S2 revealed the following S2 states that they have never yelled at or disrespect any residents in care nor have they witnessed any staff committing this type of behavior. S2 states that some staff have strong voices, and they feel that this may be interpreted as being rude or disrespectful. The interview with S3 revealed the following: S3 states that they have never witnessed any staff yelling at or being rude to residents in care. The interview with the complainant revealed the following: Complainant states that the Administrator was being very rude to R1 and was threatening to have R1 out of the facility by the end of the night. Interview with R2 revealed the following: R2 states that they feel that they are treated with dignity and respect. Interview with R3 revealed the following: R3 nodded yes when asked if staff are nice to them. Based on interviews conducted the following allegation is deemed to be unsubstantiated. Although the allegation may have or may not have occurred the preponderance of evidence has not been met. CONTINUED ON Additional LIC 9099C.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
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
03/05/2026 and conducted by Evaluator William Vanegas
COMPLAINT CONTROL NUMBER: 22-AS-20260305104334

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: 3DATE:
06/26/2026
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Florica Gheorghe (Administrator)TIME COMPLETED:
09:25 AM
ALLEGATION(S):
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--Licensee accepted resident that required a higher level of care
INVESTIGATION FINDINGS:
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Regarding the allegation stating licensee accepted resident that required a higher level of care The following has been concluded based on the evidence gathered and interviews conducted the following conclusion has been made. Interview with S1 revealed that they do not accept residents who require a higher level of care. S2 states that they take care of residents basic needs and do not accept residents that require medical assistance. Interview with complainant revealed that they believe Resident 1 (R1) required a higher level of care that the facility was not fit to assist with. Per LPA review of R1’s pertinent documents and the interviews conducted it has been determined that R1 did not have a restricted health condition that prohibits their admittance into the facility; however per resident physicians report and medical assessment the resident was diagnosed with diabetes that required daily insulin injections and resident was deemed to be unable to provide their own injections without the assistants of a skilled professional, per interview with S1 they state that they would not inject the resident, however they would set up the injections for the resident and the resident would inject themselves with the insulin therefore, the preponderance of evidence for this allegation has been met and is deemed to be substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 22-AS-20260305104334
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2026
Section Cited
CCR
87629(b)(1)
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In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensees who admit or retain residents who require injections shall be responsible for the following:
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Administrator will conduct training to ensure that staff are updated on the policies for inectable medications, and who can asisst and can not asisst with injections. Administrator will send proof of correction to LPA prior to POC due date Via email.
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(1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6
Control Number 22-AS-20260305104334
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: 06/26/2026
NARRATIVE
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In regard to the allegation Staff did not ensure resident was provided with clean linen and or bedding the following was concluded: Interview with S1 revealed the following. S1 states that they change bedding and linens upon request and when ever they observe that they need to be changed due to an accident. Interview with S2 revealed the following: S2 states that they change linens on a daily basis and upon request of the residents. Interview with S3 revealed the following: S3 states that they observe staff in care changing linens when ever they are at the facility for training. Interview with R2 revealed the following. Staff on duty change their linens when they ask them to. Interview with R3 revealed the following. R3 nodded yes when asked if linens are changed often. Based on interviews conducted the following allegation is deemed to be unsubstantiated. Although the allegation may have or may not have occurred the preponderance of evidence has not been met.

Regarding the allegation Staff did not report incident to responsible party. The following was concluded. The interview with S1 revealed the following: S1 states they were on the phone the entire time with R1’s responsible party when R1 was being transported from the facility to the hospital via ambulance. S1 states that the paramedics gave complainant the name of the hospital of where R1 was being transported and once they left S1 had no way of knowing where the resident was being transported to if they were to be transported to a different hospital as mentioned by emergency responders. Interview with complainant revealed the following: Complainant states that resident was taken to the hospital via ambulance, but they were not notified to which hospital R1 was being taken too. Complainant states that they were on the phone, but they were given the wrong hospital name and later Administrator did not provide them with the name of the hospital R1 was transported too. Based on interviews conducted the following allegation is deemed to be unsubstantiated. Although the allegation may have or may not have occurred the preponderance of evidence has not been met.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 22-AS-20260305104334
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: 06/26/2026
NARRATIVE
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Regarding the allegation stating Unlawful Eviction. The following has been concluded. LPA conducted interview with S1 and the interview revealed the following. S1 states that resident was not evicted. S1 states that Complainant requested for R1 to be sent to the hospital for three days in order for R1 to qualify for admittance into their previous facility. S1 states that resident had been requesting to go back to their long term care facility since the moment they were admitted into this facility. S1 states that R1’s family wanted R1 back at R1’s original long term care facility, but they were unable to due so unless resident is sent to the facility by a hospital. S1 states that R1’s responsible party is the one who requested for the resident to be sent to the hospital in order to be moved back into the long term care facility of their choice. Interview with complainant revealed the following. Complainant states that Administrator stated that R1 was complaining to much, and that Administrator was stating that they did not want R1 at their facility anymore. Complainant states that Administrator advised complainant to come pick up resident or she will be out of the facility by the end of the night. Complainant states that S1 did notify them about the process to get R1 back into the long term care facility, however they did not feel that the Administrator calling the ambulance to get her out was justified. Based on interviews conducted the following allegation is deemed to be unsubstantiated. Although the allegation may have or may not have occurred the preponderance of evidence has not been met.

The hospitalization was not justified. Complainant admitted that Administrator advised her that the only way resident would be accepted into long term care facility again is if they are hospitalized for three days or more. Administrator stated that Complainant requested for this to be done in order for Resident to be admitted back into LCF. Furthermore reporting party states that the resident is now in the long-term care facility again. Based on observations made, and interviews conducted, the following allegations are deemed to be unsubstantiated. Although the allegations may have or may not have occurred the preponderance of evidence has not been met. An exit interview was conducted, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: William Vanegas
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 6