366405789-9-4-2025-18-AS-KCLS-DLCW5D-20250909165858

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366405789
Report Date: 09/04/2025
Date Signed: 09/04/2025 12:48:59 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/13/2021 and conducted by Evaluator Javier Prieto

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20211213093806

FACILITY NAME:	GOLDEN GUEST HOME		FACILITY NUMBER:	366405789
ADMINISTRATOR:	GALASINAO, ADELAIDA		FACILITY TYPE:	740
ADDRESS:	25070 DAISY AVENUE		TELEPHONE:	(909) 796-0882
CITY:	LOMA LINDA	STATE: CA	ZIP CODE:	92354
CAPACITY:	6	CENSUS: 6	DATE:	09/04/2025
		UNANNOUNCED	TIME BEGAN:	11:58 AM
MET WITH:	Adelaida Galasinao, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident is not being provided medical attention in a timely manner.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Administrator Galasinao and explained the elements of the complaint.

Allegation #1 - LPA Prieto toured the facility and interviewed resident #1 (R1), R2, R3, R4, and R5. All stated that they are getting their medical attention needs met in a timely manner. All state they are getting the medications dispensed timely by staff at the home.

Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Administrator Galainao and a copy was left with the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025

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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