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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 02/06/2025
Date Signed: 02/06/2025 05:11:03 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
07/09/2024 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20240709163518
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: 83DATE:
02/06/2025
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Administrator, Rocio GrandaTIME COMPLETED:
04:35 PM
ALLEGATION(S):
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Staff did not safeguard resident's personal belongings
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to conclude the complaint investigation. LPA identified herself and discussed the allegation mentioned above with Administrator, Rocio Granda.

During the investigation, LPA briefly toured the facility, requested records, and interviewed staff, residents, and outside sources. It was alleged staff did not safeguard resident's personal belongings. It was reported Resident #1's (R1) money and clothing was missing. R1’s Physician's Report dated 08/18/22 indicated R1 was able to manage their own cash resources, and independently dress/groom, feed self, and toilet. R1 was interviewed and provided conflicting information by stating no money or clothing was missing, then stated money was missing. R1 expressed money was missing but couldn’t determine the amount. R1 does not have a bank account due to financial issues. R1 cashes their checks and keeps money at the facility hidden in their room. Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
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-20240709163518
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: 02/06/2025
NARRATIVE
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The administrator was interviewed and confirmed not having knowledge R1 was storing cash in their room. A review of R1’s records indicated the Resident Personal Property And Valuables form dated 04/27/21 was blank and signed by the resident, indicating there was nothing for the facility to safeguard for R1.

R1’s interview also revealed they’ve become forgetful, as they provided different amounts of cash missing. The administrator explained providing facility transportation and escort to obtain money orders for R1’s rent. R1 was three months delinquent in rent. Therefore, the administrator, staff and R1 went to obtain payment for the overdue rent balance. R1 cashed their own checks and obtained the money orders on their own. The administrator explained after assisting with obtaining money orders, R1 had cash left over and requested a ride to the bank the deposit the remainder. However, it was revealed R1 did not deposit the cash at the bank, as they do not have an active bank account. R1 then stored the cash in their room in a book. R1 was unable to locate the cash or determine the amount.

R1 admitted they wanted to pay their rent and not be delinquent but fell behind due to bank issues. R1 also confirmed they were not forced to pay their rent but aware they could be served an eviction notice for non-payment. Therefore, they paid their past due balance once provided transportation to obtain money orders to pay their rent. The facility provides transportation for residents to conduct their personal affairs. R1 has transportation for medical appointments and day program were provided through their insurance. However, R1 does not have family or friend involvement and relies on the facility for assistance unrelated to medical appointments.

Resident interviews confirmed their belongings are not missing or stolen. Staff interviews revealed R1 will report missing items. Staff will assist in the search with R1 to locate missing items, usually the items are retrieved in R1’s room. Staff also revealed R1 has become forgetful but does not qualify for the secured memory care unit. R1 is their own responsibly party and handles all their own appointments/affairs. However, the facility has involved an outside agency to assist R1 with their finances.

During 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 is deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Rocio Granda whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1]

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC9099 (FAS) - (06/04)
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