374602369-9-17-2025-08-AS-SJAB-DPVPVM-20251231103923

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 09/17/2025
Date Signed: 09/17/2025 03:50:45 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
09/09/2025 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20250909225542

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: 77	DATE:	09/17/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Administrator Rocio Granda		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not provided a safe environment for a resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Administrator Rocio Granda.

On 09/09/2025 it was alleged that Staff did not provide a safe environment for Resident 1 (R1). The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, and records review. It was reported that staff allowed Resident 2 (R2) to create a hostile environment for other residents by threatening R1. Staff members familiar with both residents informed that R1 and R2 have had verbal altercations in the past, all of which were initiated by R1. Staff informed that while R2 did have behaviors of yelling, cursing, and saying inappropriate words, R2 kept to themselves and ate their meals in their room. Staff informed that R2 only became upset if someone got into their personal space, and that R1 and R2 have never had a physical altercation.
(Continued on LIC9099 p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

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-20250909225542

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: 09/17/2025

NARRATIVE

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(Continued from LIC 9099 p.1)

A staff witness to the incident of concern denied that R2 threatened R1 during the interaction. Staff additionally stated that since admission, R1 had a longstanding pattern of misinterpreting interactions and conversations with other people, and then making accusations against that person. Staff members denied that R2 caused a hostile environment for other residents.

During an unannounced facility visit LPA separately and privately interviewed R1 and R2. Both residents acknowledged that they did not get along and had agreed to stay away from each other and not interact. Both residents denied that they had ever had a physical altercation. R2 stated that all prior verbal altercations with R1 were instigated by R1. R1 informed that the verbal altercation caused R1 to feel threatened by natural and inanimate objects. R1 stated that they felt safe living at the facility.

An attempt was made to contact an outside advocacy agency familiar with the facility; requests for interview were not returned.

Records review revealed that the facility conducted an internal investigation regarding the verbal altercation between R1 and R2. The documentation showed that R2 denied threatening R1, informing that R1 initiated the altercation. The document further showed that the residents were advised to keep apart from each other and notify a staff member immediately if a future incident were to occur. No records were found to show that the residents had a physical altercation or that any injuries had occurred during the incident.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Kitchen Supervisor Andres Barragan, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025

LIC9099 (FAS) - (06/04)

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