<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 02/21/2024
Date Signed: 02/22/2024 08:38:58 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/14/2024 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20240214155043
FACILITY NAME:GOLDEN LIVING HEALTH MANAGEMENT, INC.FACILITY NUMBER:
374602369
ADMINISTRATOR:ROCIO GRANDAFACILITY TYPE:
740
ADDRESS:3223 DUKE STREETTELEPHONE:
(619) 222-1109
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY:113CENSUS: DATE:
02/21/2024
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Medication Technician Supervisor, Yahaira GardunoTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Residents were financially abused while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit regarding the above-mentioned allegations. LPA met with Medication Technician Supervisor, Yahaira Garduno.

It was alleged residents were being financially abused while in care. Resident #1 (R1) and Resident #2 (R2) were the alleged victims. It was reported R1’s fanny pack, wallet, Identification card and $400 was stolen. R1 wears a key around their neck, which is for a lock to their drawer in their bedroom. R1 reported someone took the key off their neck and stole their items in the locked drawer. LPA observed R1’s fanny pack sitting on their table in their room. R1 opened their fanny pack, and their wallet was located inside the fanny pack. In addition, R1’s locked drawer also contained another wallet that R1 claimed was also stolen. R1 was unable to state having possession of the fanny pack and wallets, that were allegedly stolen. R1 was unable to locate the $400 or provide proof they had possession of the $400. R1 reported the theft occurred between 02/10/24 and 02/11/24. However, R1 reported today that the theft occurred back on 09/03/23, then also stated it occurred on 02/12/24, along with a credit card being stolen not cash. Conflicting statements were made. Continued on an LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 08-AS-20240214155043
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: GOLDEN LIVING HEALTH MANAGEMENT, INC.
FACILITY NUMBER: 374602369
VISIT DATE: 02/21/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Outside source interviews revealed R1 reported several months ago $400 cash was stolen and their wallet, then R1 found their wallet but not the cash. Outside source interviews confirmed R1 reports false accusations and may need to be reassessed. On 02/15/24, the facility met with R2 regarding their rent payment being due. R2 stated they were unable to make rent due to someone stealing their debit card while out in the community. R2 confirmed today being out at a hotel and being robbed of their debit/credit card back on 01/25/24. On 02/16/24 R2 reported their debit and credit card was stolen out of their room around 4am-5am.

According to interviews, the debit card was reported as stolen by an outside source in the community prior to the report being made that the facility stole their debit and credit card. R2 was able to confirm no fraudulent activity was made on the accounts and the cards were cancelled. Both residents have a resident property and valuables form on file, which indicated nothing to report. Both residents also were provided a lock in their room on a drawer to store their personal items. Both residents’ physician’s reports indicated they are able to leave the facility unassisted. Facility’s Incident Report dated 02/16/24 confirmed the facility spoke with R2 on 02/15/24 trying to obtain a rent payment. However, R2’s card was stolen a few weeks ago, as they were assaulted and robbed out in the community. R2 was waiting for their new card to arrive, then reported it was stolen at the facility on 02/16/24. R2 denied receiving a new card then having it stolen again. Staff interviews confirmed they have not stolen any items from residents. Other resident interviews confirmed no items have been stolen from them.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Medication Technician Supervisor, Yahaira Garduno whose signature below confirms receipt of these rights.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2