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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 11:33:14 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
03/29/2021 and conducted by Evaluator Andrea Palado
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20210329163620
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:
08:35 AM
MET WITH:Rocio GrandaTIME COMPLETED:
08:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee failed to secure a resident's medication;
Facility staff is not properly cleaning a resident's bathroom
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 03/29/21 the Department received a complaint alleging the licensee failed to secure a resident's medication and facility staff is not properly cleaning a resident's bathroom.

The Department reviewed complaint information gathered from client/staff interviews conducted. R1 states a bottle of syrup was left on the dresser by staff the contents of the bottle were not verified but believed by R1 to be medication – facility staff deny medication left on dresser because the medication is maintained on a medication cart. In addition, based on interviews and the facility’s housekeeping schedule there is insufficient evidence to support that facility staff are not properly cleaning the restrooms.

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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