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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 11/07/2024
Date Signed: 11/07/2024 05:54:24 PM

Substantiated


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
06/21/2024 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20240621170515
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: 90DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Office Manager Assistant, Yahaira GardunoTIME COMPLETED:
03:32 PM
ALLEGATION(S):
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Neglect/Lack of Supervision resulting in use of illegal drugs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Natasha Persaud conducted a visit to conclude the complaint investigation regarding the above mentioned allegation. LPA met with Office Manager Assistant, Yahaira Garduno.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and residents. It was alleged Neglect/Lack of Supervision resulting in use of illegal drugs. Evidence obtained revealed there were multiple residents using illegal drugs inside the facility and it has been going on for a period of time. There were reports of staff’s observations involving residents possessing and using illegal drugs in their room, which were photographed by staff. Staff stated that the reports, photographs, video, and drugs that they confiscated were turned over to the facility’s administrator. The administrator’s interview revealed there were a lot of rumors from staff and residents of drug use on facility property, but they lacked evidence to prove those allegations. The administrator also stated once the illegal drugs were confiscated by staff and turned into her, she disposed of them in the trash. Continued on an LIC 9099C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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 6
Control Number 08-AS-20240621170515
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 LIVING HEALTH MANAGEMENT, INC.
FACILITY NUMBER: 374602369
VISIT DATE: 11/07/2024
NARRATIVE
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Administrator also revealed she has spoken to some of the residents about drug usage at the facility and advised them they would be evicted if it continued. However, none of the residents involved have ever received an eviction notice despite their continued drug usage. The facility’s House Rules reflected “smoking is prohibited within the facility, except in designated areas, smoking within the community or vicinity of community may result in eviction.” Illegal drugs that were confiscated, were not reported to the police department, according to the administrator. In addition, the police records reviewed confirmed illegal drug use was not reported to local law enforcement.

There were two incidents involving Resident #1 (R1). On 1/06/2024, a caregiver was in R1’s room changing their briefs when the caregiver found a clear plastic baggie containing a crystal substance between R1’s legs. On 2/2/2024, the same caregiver was in R1’s room and observed a clear plastic baggie containing marijuana on R1’s nightstand. R1 does not have a prescription for marijuana and the substance is prohibited on facility property without one. Both incidents were reported to the administrator. R1’s interview revealed that R1 was warned both times, but no other action was taken. There was another incident on 6/27/2024, involving Resident #2 (R2), which indicated that two staff members entered the room of R2, and the room was filled with smoke. R2 was in the room with another resident and R2’s roommate who was confined to their bed. The staff told R2 they could not smoke in the room, and they opened the doors and windows to let the room air out. The staff stated the smoke smelled “weird” and both felt sick after being exposed to the smoke. Of the interviews conducted, two (2) of the residents admitted to smoking methamphetamine and marijuana in their rooms. Further observations revealed on 07/18/24 Resident #3 (R3) had a plate with marijuana on a table in their room in plain view. Next to the plate was a glass pipe and four cigarette lighters. Resident interviews confirmed witnessing resident’s using illegal drugs inside the facility. Further resident interviews revealed residents were admonished about smoking marijuana at the facility. However, they were told to be discrete about it. Continued on a LIC 9099C.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 08-AS-20240621170515
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 LIVING HEALTH MANAGEMENT, INC.
FACILITY NUMBER: 374602369
VISIT DATE: 11/07/2024
NARRATIVE
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Additional evidence confirmed on 06/27/24, an observation of a clear glass pipe with a bulbous end from which was recognized as a pipe/device used to smoke illegal substances such as methamphetamine. Also, the same day was observed a square piece of aluminum foil with black burnt residue in a trash can on the patio area where residents admitted other residents smoke illegal drugs. The foil was recognized as a device used to smoke illegal drugs and the black substance was residue of the product that was smoked. On 07/18/24, a glass marijuana pipe, four lighters, and a rectangle plate with marijuana on it was observed in R3’s room.

Facility records reflected on 1/23/2024 Resident #4 (R4) admitted R3 was the person who sold drugs to other residents, and they bought from R3, and everyone knew. On 02/06/XX, year unknown, revealed a photograph of clear plastic bag containing white crystal substance believed to be Crystal Methamphetamine, which was taken in R2’s room. On 08/18/XX, year unknown, revealed a photograph of a glass pipe with a bulbous end and burnt residue in the bowl, which was confiscated by staff, and also found in R2’s room. Staff indicated the photographs with unknown years were taken on or about 2023. In addition, a photograph of laptop and glass pipe with black burnt residue inside, was confiscated by staff from R4’s room.

Based on observations, record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation was found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Office Manager Assistant, Yahaira Garduno whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Residents #1, #2, #3, and #4]
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 08-AS-20240621170515
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 LIVING HEALTH MANAGEMENT, INC.
FACILITY NUMBER: 374602369
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/08/2024
Section Cited
CCR
87405(b)
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Administrator – Qualifications and Duties. The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. This requirement is not met as evidenced by:
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Administrator agreed to attend vendor training regarding Administrator duties and responsibilities. Administrator will schedule the training by POC due date and provide proof of scheduled training. In addition, the administrator will submit proof of training within 2 weeks.
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Based on interviews, the licensee did not ensure the administrator carried out the policies of the licensee for 4 out of 90 [R1-R4] residents, regarding illegal drug use in the facility, which poses an immediate health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
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
06/21/2024 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20240621170515

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: 90DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Office Manager Assistant, Yahaira GardunoTIME COMPLETED:
03:32 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Supervision resulting in sale of illegal drugs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Natasha Persaud conducted a visit to conclude the complaint investigation regarding the above mentioned allegation. LPA met with Office Manager Assistant, Yahaira Garduno.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged Neglect/Lack of Supervision resulting in sale of illegal drugs. Staff interviews revealed they heard rumors about residents selling illegal drugs/marijuana at the facility, but none have ever witnessed this for themselves or had any proof/evidence to prove the allegation. Resident interviews confirmed they also heard of rumors of residents selling drugs, but none have witnessed the sale of drugs. It was reported some residents were aware of some residents selling illegal drugs/marijuana at the facility. However, those residents interviewed, denied the allegation. The administrator’s interview indicated she was not aware of any residents selling illegal drugs/marijuana at the facility. Facility records reviewed did not reflect any knowledge of residents selling illegal drugs/marijuana at the facility. Continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 08-AS-20240621170515
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 LIVING HEALTH MANAGEMENT, INC.
FACILITY NUMBER: 374602369
VISIT DATE: 11/07/2024
NARRATIVE
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Facility records reflected on 1/23/2024 a resident admitted another resident was the person who sold drugs to other residents. However, the resident accused of selling drugs denied the allegation.

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 allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Office Manager Assistant, Yahaira Garduno whose signature below confirms receipt of these rights.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6