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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 06/05/2025
Date Signed: 06/05/2025 11:33:52 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRALIZED APP UNIT, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2021 and conducted by Evaluator Andrea Palado
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20210406114823
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: 76DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Rocio GrandaTIME COMPLETED:
08:35 AM
ALLEGATION(S):
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Medication not given as prescribed;
Licensee did not arrange for medical care appropriate to meet the needs of a resident;
Facility is not adequately staffed at night to handle facility responsiblities
INVESTIGATION FINDINGS:
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On 04/06/21 the Department received a complaint alleging medication not given as prescribed; the licensee did not arrange for appropriate medical care to meet the needs of a resident; and the facility is not adequately staffed at night to handle facility responsibilities.

The Department reviewed complaint information gathered from R1, staff interviews and facility records. The Administrator was contacted for additional follow-up information. R1 requests and is taken to the emergency room for medical attention. The Administrator has contacted R1’s Primary Care Physician to address R1’s medical needs and make any medical referrals as needed. R1 interviewed and admits to refusing PRN medication prescribed. There is insufficient evidence provided to support the facility is not adequately staffed at night.

Based on interviews conducted and records reviewed, information obtained does not present a preponderance of evidence to support or corroborate the referenced allegations. The allegations are deemed unsubstantiated. A copy of this report along with Licensee Rights was emailed to Administrator, Rocio Granda.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stacy Barlow
LICENSING EVALUATOR NAME: Andrea Palado
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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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