374602369-8-23-2024-08-AS-JLOT-D9LTYA-20240930150823

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 08/23/2024
Date Signed: 08/23/2024 01:07:12 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
03/01/2021 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20210301103537

FACILITY NAME:	GOLDEN LIVING HEALTH MANAGEMENT, INC.		FACILITY NUMBER:	374602369
ADMINISTRATOR:	ROCIO GRANDOLA		FACILITY TYPE:	740
ADDRESS:	3223 DUKE STREET		TELEPHONE:	(619) 222-1109
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92110
CAPACITY:	113	CENSUS: 85	DATE:	08/23/2024
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Administrator Rocio Grandola		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee did not address resident's change in condition.
Licensee is not meeting resident's incontinent care needs.
Licensee is not meeting resident care needs.
Licensee does not have sufficient staffing.
Licensee is not meeting resident's dietary needs.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Assistant Office Manager Yahaira Garduno. Administrator Rocio Granda arrived shortly after.

On March 1, 2021, Community Care Licensing (CCL) received a complaint alleging licensee did not address resident's change in condition, licensee is not meeting resident's incontinent care needs, licensee is not meeting resident care needs, licensee does not have sufficient staffing, and licensee is not meeting resident's dietary needs.

During the investigation, the Department collected facility documentation and conducted interviews. According to the first allegations the licensee did not address an unnamed or undescribed resident's changed in condition as that resident did not receive medical care to a wound on their feet. The Department received a picture of the unknown resident’s feet but there was no identifying information to the image.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 08-AS-20210301103537

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: 08/23/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Additionally, the image only showed two legs and feet that were wrapped in bandages with no visible wound. Interview with staff present between February 2021 and March 2021 did not reveal any resident with a wound that was not being treated by an outside source. Additionally, outside source interview could not corroborate that licensee is not addressing residents change in conditions.

It was also alleged that licensee was not meeting Resident 1, Resident 2 and Resident 3’s incontinence care. According to interviews with staff present R1, R2, and R3’s incontinence needs were met. Interview with current residents corroborated that they are currently receiving incontinence care timely and appropriately. Lastly, LPA Strong reviewed records that confirmed R1 was being provided incontinence care regularly.

It was also alleged that licensee is not meeting resident’s care needs in that they are not providing residents with showers. Interview with residents did not corroborate that they are not receiving showers regularly. Records reviewed revealed residents have scheduled shower days and are allowed to decline showers. Interview without outside source could not corroborate that residents do not receive regular showers.

Additionally, it was alleged that facility did not have sufficient staffing between February 2021 and March of 2021. Records reviewed revealed that there were, on average, 3.75 staff present within the Assisted Living area. Interviews with outside source revealed there is staff turnover, but they have not witnessed short staffing within the last three years. Interview with staff revealed though there are times staff may be limited, managers and supervisors assist in resident care.

Lastly it was alleged that licensee is not meeting R3’s dietary needs as they required chopped or pureed food. Interview with residents revealed that if they need a special diet the facility would accommodate their needs or special requests. Interview with staff established that R3 was provided with their specific dietary need but would purchase own food that was not part of their specialized diet. Interview with outside source established that there have been no issues observed with resident’s food accommodations.

Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Administrator Rocio Granda, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2