361881309-9-25-2025-56-AS-EMAN-DLYPUF-20250929113730

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361881309
Report Date: 09/25/2025
Date Signed: 09/25/2025 10:17:42 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/01/2025 and conducted by Evaluator Raquel Hernandez

COMPLAINT CONTROL NUMBER: 56-AS-20250701160048

FACILITY NAME:	GOLDEN HORIZON SENIOR CARE		FACILITY NUMBER:	361881309
ADMINISTRATOR:	HAMED, EBRAHEEM		FACILITY TYPE:	740
ADDRESS:	1524 S EUCLID AVE		TELEPHONE:	(786) 564-3771
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91762
CAPACITY:	22	CENSUS: 22	DATE:	09/25/2025
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Staff Muhamad Hamad		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff allowed an underage individual to work at the facility
Staff stole resident's funds
Staff did not ensure a comfortable facility temperature was maintained for residents in care
Staff allowed resident in care to leave the facility unassisted

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews and facility tour.

For the allegation, Staff allowed an underage individual to work at the facility.

LPA Hernandez observed staff roster and did not observe underage staff working at the facility. Additionally, LPA Hernandez conducted (4) resident interviews that indicated 4 out of the 4 residents did not witness an underage individual working at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

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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Control Number 56-AS-20250701160048

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: GOLDEN HORIZON SENIOR CARE	FACILITY NUMBER: 361881309
	VISIT DATE: 09/25/2025

NARRATIVE

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For the allegation, Staff stole resident's funds.

LPA Hernandez spoke with Administrator Ebraheem Hamed who stated all residents receive money monthly and is given to them to use. LPA Hernandez conducted (4) resident interviews. 4 out of the 4 residents stated facility staff have never stolen their funds.

For the allegation, Staff did not ensure a comfortable facility temperature was maintained for residents in care.

LPA Hernandez conducted (4) resident interviews. 4 out of the 4 residents stated facility temperature is maintained at a comfortable temperature. LPA observed facility temperature to be at 74 degrees Fahrenheit.

For the allegation, Staff allowed resident in care to leave the facility unassisted.

LPA Hernandez spoke with Administrator Ebraheem Hamed who stated Resident #5 is able to leave the facility unassisted. LPA observed Resident #5 physician report which indicates Resident #5 is able to leave the facility unassisted.

Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

During today’s visit, pertaining to the allegations listed, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Staff Muhamad Hamad.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

LIC9099 (FAS) - (06/04)

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