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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604843
Report Date: 03/06/2025
Date Signed: 03/06/2025 03:29:23 PM

Document Has Been Signed on 03/06/2025 03:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:GOLDEN HEART HOME CAREFACILITY NUMBER:
374604843
ADMINISTRATOR/
DIRECTOR:		VENTURA, ABIGAILFACILITY TYPE:
740
ADDRESS:1744 HERMES STREETTELEPHONE:
(858) 294-3011
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY: 6CENSUS: 0DATE:
03/06/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Administrator, Abigail VenturaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an announced licensing inspection to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted at the front entrance by the Administrator, Abigail Ventura, and was granted entry after identifying herself and disclosing the purpose of their visit. The facility’s licensee is under the name The Golden Investment Adventure, LLC.

The applicant applied for approval to have one (1) bedridden resident under care. The fire clearance was approved on January 8, 2025, and reflected that the facility was approved for a residential facility for the elderly 60 and over. Maximum capacity six (6) non-ambulatory residents of which one (1) resident may be bedridden in master bedroom only. In addition, the facility has hospice waiver for two (2) residents. The facility sketch was consistent with the current layout of the facility.

During today’s visit, LPA accompanied by Administrator, Ventura, conducted an overall inspection of the internal and external areas of the facility.

LPA discussed continuing operation requirements, record keeping, reporting requirements, and physical plant compliance with the applicant. The items reviewed were compliant with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code.

No violations were observed during today’s visit.

continue at LIC809C
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: GOLDEN HEART HOME CARE
FACILITY NUMBER: 374604843
VISIT DATE: 03/06/2025
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Continued from LIC809



The inspection was completed during today’s visit. The applicant was advised that the facility is ready for licensure for a maximum capacity of six (6) non-ambulatory residents of which one (1) resident may be bedridden in the designated room (master bedroom) per fire clearance approved on 1/8/2025. LPA indicated that the inspection report will be submitted for management's final review and approval.

An exit interview was conducted with Administrator, Ventura, to whom a copy of this report along with the licensee Appeal Rights were provided at the conclusion of the visit to Licensee, Ronald Andres, via email at RONSEGA@GMAIL.COM. The signature below confirms receipt of these documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
LIC809 (FAS) - (06/04)
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