374602369-5-2-2024-08-AS-LTEZ-D5QPVN-20240529113923

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 05/02/2024
Date Signed: 05/02/2024 04:53:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/07/2021 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20210907104633

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: 92	DATE:	05/02/2024
		UNANNOUNCED	TIME BEGAN:	01:31 PM
MET WITH:	Administrator, Rocio Granda		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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-Resident sustained multiple falls while in care, due to neglect
-Staff gave resident wrong medication
-Resident consumed facility food, resulting in food poisoning

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above-mentioned allegations. LPA met with Administrator, Rocio Granda.

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and residents. It was alleged Resident #1 (R1) sustained multiple falls while in care, due to neglect and staff gave R1 the wrong medications. R1’s Physician’s Report dated 10/07/20 indicated R1 was ambulatory, able to leave the facility unassisted, and was independent of activities of daily living to include medication management. R1’s interview revealed they were having falls and went to the hospital approximately nine (9) months ago. R1 stated while at the hospital they were told they were being given the wrong medications. A review of R1’s records did not indicate any hospital visits regarding falls or incorrect medications being given. However, R1 did go to the hospital multiple times for other medical issues. R1’s also stated they were falling because they were getting older and had some physical therapy which helped but it had nothing to do with the facility. Continued on an LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024

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-20210907104633

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: GOLDEN LIVING HEALTH MANAGEMENT, INC.	FACILITY NUMBER: 374602369
	VISIT DATE: 05/02/2024

NARRATIVE

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Staff interviews revealed not being aware of any falls for R1. A review of R1’s facility records did not indicate any falls. R1’s interview also confirmed they did not receive or require assistance from staff, as they were independent and ambulatory. Staff interviews confirmed R1 was independent and managing their own medications. The administrator confirmed R1 was provided with a lock for a drawer to store their medications. Further staff interviews revealed if any medications were incorrect, R1’s physician would have to make that determination.

It was also alleged, R1 consumed facility food, resulting in food poisoning. On 09/16/21, LPA observed the kitchen and did not observe any cross contamination. All food was being stored and handled properly. Staff interviews revealed they also eat the facility food and have not gotten sick or food poisoning. Further staff interviews revealed R1 eats from fast food establishments and restaurants. Resident interviews revealed they were also eating the facility food and did not sustain food poisoning. R1 admitted they also eat outside food and was not able to confirm how they got food poisoning.

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 allegations. The allegations are 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.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024

LIC9099 (FAS) - (06/04)

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