342701167-5-12-2026-27-AS-SRIN-DUM885-20260531221658

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342701167
Report Date: 05/07/2026
Date Signed: 05/12/2026 04:31:34 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
05/04/2026 and conducted by Evaluator Pang Lee

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20260504084458

FACILITY NAME:	YOUNG AT HEART RCFE NO.1, INC.		FACILITY NUMBER:	342701167
ADMINISTRATOR:	MOLINYAWE, GLENDA		FACILITY TYPE:	740
ADDRESS:	9027 COLOMBARD WAY		TELEPHONE:	(916) 689-7378
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95829
CAPACITY:	6	CENSUS: 5	DATE:	05/07/2026
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Glenda Molinyawe		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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2
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5
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7
8
9

Staff did not ensure emergency paperwork went with the resident to medical appointment
Staff did not notice residents change in condition requiring hospitalization

INVESTIGATION FINDINGS:

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2
3
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5
6
7
8
9
10
11
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13

On 05/07/2026, Licensing Program Analyst (LPA) Pang Lee conducted an unannounced facility visit to initiate and close a complaint investigation. LPA Lee met with Administrator Glenda Molinyawe. The facility census were five residents with two staff present at the time of the visit.

It was alleged that staff did not ensure emergency paperwork went with the resident to a medical appointment and that staff did not notice a resident’s change in condition requiring hospitalization. The investigation consisted of record reviews and interviews with Administrator Molinyawe. During the investigation, it was learned that Resident 1 (R1) did not reside at Young at Heart RCFE No. 1, Inc., but instead resided at Young at Heart RCFE No. 2, Inc.

The Department has investigated the complaint allegations listed above and determined the complaint to be UNFOUNDED, meaning the allegations were false, could not have happened, and/or was without reasonable basis. Therefore, the complaint has been dismissed. No deficiencies were observed or cited during today’s complaint visit. An exit interview was conducted.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 05/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2026

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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