374602369-10-1-2025-08-AS-LTEZ-DM4PH8-20251003111927

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 10/01/2025
Date Signed: 10/01/2025 03:28:36 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
06/11/2025 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20250611162354

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: 78	DATE:	10/01/2025
		UNANNOUNCED	TIME BEGAN:	03:10 PM
MET WITH:	Administrator, Rocio Granda		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Staff did not accord resident dignity in their relationship with staff or residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude complaint investigation regarding the above-mentioned allegation. LPA spoke with Administrator, Rocio Granda.

During the investigation, a brief tour of the facility was conducted, record review, and interviews conducted with staff, residents, and outside sources. It was alleged that staff did not accord resident dignity in their relationship with staff or residents. It was reported Resident #1 (R1) and Resident #2 (R2) had a quarrel about the bedroom door being opened. R1 wanted the door open due to an odor caused by R1’s medical condition. R2 preferred to keep the door closed at all times. On 06/19/25, LPA observed a sign on R1 & R2’s door that stated to keep the door closed. Resident interviews revealed on 06/06/25, R1 and R2 were yelling at one another, and R2 was in their wheelchair and kicked R1’s hand. R1 did not sustain any injuries and the altercation was unwitnessed. Continued on LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025

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-20250611162354

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: 10/01/2025

NARRATIVE

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R2 is paralyzed on one side of their body, R2 admitted they were flailing their one operational hand and leg at R1 but uncertain if they made contact. Staff stated they entered the room and R1 and R2 were having a disagreement about the door being opened or closed. R2 has a history of wanting the door to remain closed all day. Staff confirmed they did not witness R2 hit or kick R1. Staff explained they would have intervened if there was any physical altercation. The facility does not provide one on one supervision. Staff addressed the ongoing concern between the two residents not agreeing with the status of the door. Therefore, the facility took action by relocating R1 to a private room to avoid further conflict.

During the course of 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 was deemed unsubstantiated. An exit interview was conducted via telephone and a copy of this report along with Licensee Rights (LIC 9058 03/22) were emailed to Administrator, Rocio Granda. [See LIC 811 Confidential Names List to identify Resident #1 and Resident #2]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025

LIC9099 (FAS) - (06/04)

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