374602369-8-21-2024-08-AS-LTEZ-D8N2JT-20240830172654

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 08/20/2024
Date Signed: 08/21/2024 08:29:28 AM

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
07/09/2024 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20240709161340

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: 87	DATE:	08/20/2024
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Office Manager, Yahaira Garduno		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not ensure residents have access or assistance to required appointments

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Office Manager, Yahaira Garduno.

During the investigation, LPA briefly toured the facility, reviewed records, and interviewed staff and resident. It was alleged staff did not ensure residents have access or assistance to required appointments. It was reported Resident #1 (R1) needed additional physical therapy (PT) and the facility would not assist with obtaining it for R1. The administrator’s interview revealed the facility requested additional PT but R1’s insurance declined the request. Interview with the Home Health agency that provided PT indicated R1 was discharged from PT on 05/20/24 due to reaching maximum potential. The Wellness Director’s interview revealed she asked the Physical Therapist and Registered Nurse for additional PT approximately one week later. 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: 08/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024

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-20240709161340

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: 08/20/2024

NARRATIVE

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The Wellness Director explained she asked both individuals in person, while they were at the facility assisting other residents. On 06/26/24, the verbal request for additional PT was due to R1’s feet hurting, and difficulty ambulating was sent to the Home Health agency. The Home Health agency’s interview confirmed receiving the request and stated the following day on 06/27/24, the therapist responded to the request. The therapist stated R1 needed a higher level of care, reached maximum potential, with no current rehabilitation potential. Therefore, PT was not authorized. R1’s interview revealed they asked the facility for additional PT but did not receive it. However, the decision was up to the Home Health agency, not the facility. R1 is currently receiving PT through a different Home Health agency. The facility complied with Title 22 Regulations and assisted R1 with the request for additional PT.

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 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. This is an amended version of the original report created on 08/20/24.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

LIC9099 (FAS) - (06/04)

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