374602369-2-8-2024-08-AS-SJAB-D2VSCD-20240228124521

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 02/08/2024
Date Signed: 02/08/2024 12:24:38 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
07/28/2022 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20220728101558

FACILITY NAME:	GOLDEN LIVING HEALTH MANAGEMENT, INC.		FACILITY NUMBER:	374602369
ADMINISTRATOR:	ROCIO GRANDA		FACILITY TYPE:	740
ADDRESS:	3223 DUKE STREET		TELEPHONE:	(619) 222-1109
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92110
CAPACITY:	113	CENSUS: 89	DATE:	02/08/2024
		UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Rocio Granda, Administrator		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff not providing adequate service to resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out a complaint. LPA identified herself, was granted entry, and stated the purpose of the visit to Rocio Granda, Administrator. During the investigation, LPA toured the facility, conducted interviews and completed a records review. It was alleged that staff are not providing adequate service to resident in care. Interviews revealed staff provide several services to the residents. Services include cleaning the rooms, assisting residents when they need assistance and showering along with other duties as deemed necessary as requested by the residents. Interviews with staff denied not providing services to residents. Interviews revealed that the staff assist residents when the residents need help they let the staff know. Staff do rounds and check on the residents so they can meet their needs.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

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-20220728101558

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: 02/08/2024

NARRATIVE

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Interviews revealed that about two years ago Resident 1 (R1) fell, and alleged they could not get staff to help. Interviews with staff revealed that R1 never mentioned that they fell and did not call to report the fall. Interviews with staff revealed that R1 is one of the most independent residents here and that R1 will let them know anytime there is a problem. Interviews revealed that R1 had medication stolen back (2020), Linens (2021) and recently their clorox wipes (2022). Interviews with staff revealed that R1 had surgery in 2020 and R1 had their friend pick up some of their belongings and that is when R1 noticed the medications were missing out of their room. R1 admitted that a friend did pick up the items and doesn't really know who took their medications. There was no report of missing linen from R1 to staff and although the facility provides linens, interviews revealed that R1 did not provide their own linens at any time. Interviews revealed R1's clorox wipes were missing and R1 reported it to the administrator. Interviews revealed that once R1 reported the wipes missing they were replaced. There were no witnesses that reported the staff are not providing adequate service to resident in care.

The allegation is unsubstantiated. An exit interview was conducted with Rocio Granda, Administrator. A copy of this report and Licensee Appeal Rights (9058 03/22) were provided at the conclusion of the visit.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC9099 (FAS) - (06/04)

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