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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602369
Report Date: 01/17/2025
Date Signed: 01/17/2025 02:24:29 PM

Document Has Been Signed on 01/17/2025 02:24 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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
ADMINISTRATOR/
DIRECTOR:		ROCIO GRANDAFACILITY TYPE:
740
ADDRESS:3223 DUKE STREETTELEPHONE:
(619) 222-1109
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY: 113TOTAL ENROLLED CHILDREN: 0CENSUS: 87DATE:
01/17/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Administrator, Rocio GrandaTIME VISIT/
INSPECTION COMPLETED:
01:25 PM
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Licensing Program Analyst (LPA), Natasha Persaud conducted a Plan of Correction visit. LPA met with Administrator, Rocio Granda.

Administrator contacted LPA via email stating the deficiency has been corrected and completed prior to the due date. On 01/08/25, the facility was issued a deficiency regarding a resident not having a written order on file for multivitamins. For the plan of correction, the administrator decided to conduct In-Service training on medications. The deficiency had a due date of 02/05/25. However, the administrator had the training conducted and completed on 01/14/25. The deficiency has been corrected and cleared.

No deficiencies were issued today. 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.
Robyn ClarkTELEPHONE: (619) 767-2312
Natasha PersaudTELEPHONE: (619) 301-3594
DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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