374602062-7-26-2023-08-AS-SJAB-CU5VTM-20230727164322

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602062
Report Date: 07/26/2023
Date Signed: 07/26/2023 02:40:53 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2023 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20230711100034

FACILITY NAME:	GOLDEN SUNSET RESIDENTIAL		FACILITY NUMBER:	374602062
ADMINISTRATOR:	MIGUEL A MALONE		FACILITY TYPE:	740
ADDRESS:	7541 MILKY WAY POINT		TELEPHONE:	(619) 794-2889
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92120
CAPACITY:	6	CENSUS: 2	DATE:	07/26/2023
		UNANNOUNCED	TIME BEGAN:	01:36 PM
MET WITH:	Miguel Malone Administrator		TIME COMPLETED:	02:37 PM

ALLEGATION(S):

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Facility is operating on a foreclosed property.
Staff did not inform residents and responsible parties of facility foreclosure.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted a complaint investigation visit to deliver findings for the above allegation. LPA Domingo met with Administrator Miguel Malone and shared the findings.
The Department’s investigation consisted of record reviews, interviews with staff, clients and outside sources.

On July 11, 2023 a complaint was made regarding the above allegations. LPA Domingo spoke to the Reporting Party (RP1) (See LIC811 list of confidential list of identification) stated that he would like to retract the complaint of facility operating on a foreclosed property. RP1 stated that Staff 1 (S1) had resolved the miscommunication regarding the foreclosure of the facility. RP1 stated that the facility is not in foreclosure. The residents and Licensee of the property are in agreement with the future sale of the facility once the residents are transferred to another residential care facility. RP1 and S1 concurred that the facility is not in foreclosure.
[Continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023

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 08-AS-20230711100034

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 SUNSET RESIDENTIAL	FACILITY NUMBER: 374602062
	VISIT DATE: 07/26/2023

NARRATIVE

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[Continued from LIC9099]

It was alleged that staff did not inform resident and responsible parties of the facility foreclosure. Interviews with the staff, resident and outside sources confirmed that the residents and responsible parties have been made aware of the future closure of the facility. LPA Domingo confirmed that the 2 residents have been pre assessed and accepted at two different licensed residential care facilities. The residents, their families, and all Licensee’s confirmed that the 2 resident’s living at Golden Sunset Residential will be transferred to the agreed upon facilities by the end of July 2023.

The Department has investigated the allegations listed above. Based on evidence obtained, including interviews and records reviewed, the above allegation is determined to be unsubstantiated as the Department could not meet the preponderance of the evidence standard. An exit interview was conducted with Administrator Miguel Malone and a copy of this report and Licensee/Appeals Rights (LIC 9058 03/22) was provided.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Amy Domingo	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023

LIC9099 (FAS) - (06/04)

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