374602369-2-29-2024-08-AS-JLOT-D2X7UY-20240229205908

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 02/29/2024
Date Signed: 02/29/2024 01:20:12 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
10/16/2020 and conducted by Evaluator Liliana Silveira

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20201016163901

FACILITY NAME:	GOLDEN LIVING HEALTH MANAGEMENT, INC.		FACILITY NUMBER:	374602369
ADMINISTRATOR:	MNOYAN, MAYA S.		FACILITY TYPE:	740
ADDRESS:	3223 DUKE STREET		TELEPHONE:	(619) 222-1109
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92110
CAPACITY:	113	CENSUS: 89	DATE:	02/29/2024
		UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Administrator Rocio Granda		TIME COMPLETED:	12:55 PM

ALLEGATION(S):

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Staff did not respond timely to assist resident.
Illegal eviction.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced complaint investigation visit. LPA Silveira introduced themselves, met with Administrator Rocio Granda and disclosed the purpose of the visit. The purpose of the visit was to deliver complaint findings for the above-mentioned allegations.

The Department’s investigation consisted of interviews with staff, residents and outside sources, as well as a facility records review. It was alleged that the facility attempted to evict Resident #1 (R1) illegally. It was also alleged that staff did not respond timely to assist R1.

In an interview conducted with an outside source on 10/21/2020, it was alleged that facility management illegally evicted R1. An interview conducted by the Department with the current Administrator revealed that R1 was never evicted and actually continued to reside in the facility up until 2023. [CONTINUED 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 767-2311
LICENSING EVALUATOR NAME: Liliana Silveira	TELEPHONE: (619) 481-0844
LICENSING EVALUATOR SIGNATURE:	DATE: 02/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024

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-20201016163901

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: 02/29/2024

NARRATIVE

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[CONTINUED FROM 9099] The interview also revealed that while the previous facility administration had initially attempted to evict the resident, all issues were resolved and the previous Administrator never followed through with the eviction. Interviews with staff corroborated that the resident was never evicted.

It was also alleged that during October 2020 staff did not respond timely to assist R1 with their care needs. The Department made multiple attempts to contact R1, but the attempts were unsuccessful. The Department also attempted to interview other relevant witnesses to no avail. The Department conducted interviews with other residents who lived at the facility during October 2020. An interview with Resident #2 (R2) revealed that R2 had no complaints regarding staff responses to their care need requests. An interview with Resident #3 (R3) revealed that during this timeframe, they believed there was a loss of facility staff due to the COVID-19 pandemic. R2 believed that this caused a temporary strain on services due to a temporary change in staff and training issues. R3 stated that they are content with care services at the facility. Interviews with caregivers that worked at the facility during October 2020 also revealed that they believed R1’s care needs were addressed in a timely manner and they were not made aware of response time issues from other residents during that time.

Due to a lack of corroborating evidence, the allegations that there was an illegal eviction and that staff did not respond timely to assist a resident are unsubstantiated.

LPA Silveira conducted an exit interview with Administrator Rocio Granda. At the time of the exit interview Rocio was provided with a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016). The signature on this report acknowledges receipt of the rights.

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 767-2311
LICENSING EVALUATOR NAME: Liliana Silveira	TELEPHONE: (619) 481-0844
LICENSING EVALUATOR SIGNATURE:	DATE: 02/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024

LIC9099 (FAS) - (06/04)

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