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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 507005492
Report Date: 03/30/2022
Date Signed: 03/30/2022 09:20:39 PM


Document Has Been Signed on 03/30/2022 09:20 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:GOLDEN AGE VIFACILITY NUMBER:
507005492
ADMINISTRATOR:TRAIAN OANCEAFACILITY TYPE:
740
ADDRESS:2008 DAMASK COURTTELEPHONE:
(209) 495-2504
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY:6CENSUS: DATE:
03/30/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee, Marinela PlacintarTIME COMPLETED:
04:00 PM
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An office meeting was conducted today in the Sacramento Regional Office via Microsoft Teams. The purpose of this meeting was to discuss the 3rd quarter 2021 audit findings. Present at the meeting was Regional Manager (RM) Krystall Moore, Licensing Program Manager (LPM) Stephenie Doub, Licensing Program Analyst (LPA) Sarah Hurt, Jacqueline Juarez, Xiao Ni, DSS Auditors, Marinela Placintar, Licensee, and Licensee Attorney Michael Levin.

Since 11/5/2020, the Department has been conducting quarterly financial monitoring due to the findings of a solvency audit. The Licensee furnished documents for the 3rd quarter of 2021 which showed despite there being funds available there is still non-sufficient fund payments, water bills not paid timely and food costs below the required food requirements. The Licensee agreed that payments may have been late in 2021, but that she is working on correcting this by hiring a new bookkeeper and incorporating each facility independently to avoid having to pay each facility bills one by one. The licensee further explained that all food receipts may not have been provided, which may be the reason for the low food costs.

It was agreed that financial monitoring will continue six months from now with a smaller one-month audit. The licensee would provide all requested documents for only the month of September of 2022 to DSS Audits section by October 20,2022. The Licensee will submit applications to Licensing by next week to incorporate her facilities. The Licensee will also submit letters to Licensing and facility clients regarding the incorporation of the facilities by close of business on Tuesday 4/5/2022. The Licensee was encouraged to reach out to the Department should there be any questions regarding receipts to submit. An exit interview was conducted with Licensee Marinela Placintar and copy of this report was provided via email.
SUPERVISOR'S NAME: Stephenie DoubTELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: (916) 879-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/30/2022
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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