374602369-1-8-2025-08-AS-LTEZ-DQZSTR-20260205130957

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 01/08/2025
Date Signed: 01/08/2025 05:37:56 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
10/21/2024 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20241021145523

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:	01/08/2025
		UNANNOUNCED	TIME BEGAN:	11:16 AM
MET WITH:	Office Assistant, Yahaira Garduno		TIME COMPLETED:	01:16 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not ensure resident was treated with dignity in their relationships with others

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA), Natasha Persaud conducted a visit to conclude the complaint investigation regarding the above mentioned allegation. LPA met with Administrator, Rocio Granda and Office Assistant, Yahaira Garduno

During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged staff did not ensure resident was treated with dignity in their relationships with others. It was reported Resident #1 (R1) wasn’t treated with dignity by Resident #2 (R2) when R2 made inappropriate comments towards R1. The inappropriate comments made were ugly, paranoid freak, mentally ill, and crazy. It was also reported those inappropriate comments led to R1 isolating in their room, not wanting to eat, change their briefs/colostomy bag, and/or take care of their personal appearance. R1’s interview confirmed the inappropriate comments did not result in neglectful actions. R2 denied making those inappropriate comments towards R1. R1 and R2 confirmed they were friends, but it was an on and off relationship due to conflict. One conflict that occurred between R1 and R2 included R1 accusing R2 of stealing their shirt. Continued on an LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

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-20241021145523

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: 01/08/2025

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

R1 found their identical shirt and apologized to R2. Another conflict was R2 requested R1 dye R2’s hair and R2 was not pleased with the outcome, and it created conflict between the two residents. Evidence obtained through interviews revealed R1 continued to engage in the friendship, as if there were no issues with the relationship and the way they were being treated. R1’s interview revealed when there’s conflict with another resident, they feel less than and has difficulty coping. However, R1 continues to return to the conflicted relationships.

Resident interviews confirmed R1 starts conflict with others and complains to staff before R1 is held accountable for their role in the conflict. Staff confirmed this is a known behavior for R1 to report incidents when they believe they are the one at fault. Staff interviews revealed R1 has conflict with many residents in the facility. Staff also explained if they walk past R1 and do not say hello then R1 becomes offended, and conflict begins. Staff confirmed they have not witnessed R2 make inappropriate comments towards R1. R2 confirmed making one statement in private towards R1 and admitted they did not mean the comment. After the comment was made R1 and R2 were friends again. Residents also stated one day R1 is nice and then the next day, R1 is not nice. The residents have a choice of who they engage with. R1 has conflict with residents but continues those friendships that lead to more conflict. Staff are not able to tell residents who they can communicate with and become the mediator when conflict arises, which is often. Resident interviews also confirmed staff stick up for R1. Therefore, staff try to ensure R1 is treated with dignity in their relationships with others. Other residents involved in conflict with R1 did not report their rights were violated.

During 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 is deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Office Assistant, Yahaira Garduno whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Resident #1 and #2]

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2