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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 08/20/2024
Date Signed: 08/21/2024 08:26:17 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/19/2024 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20240719173536
FACILITY NAME:GOLDEN LIVING HEALTH MANAGEMENT, INC.FACILITY NUMBER:
374602369
ADMINISTRATOR:ROCIO GRANDAFACILITY TYPE:
740
ADDRESS:3223 DUKE STREETTELEPHONE:
(619) 222-1109
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY:113CENSUS: 87DATE:
08/20/2024
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Medication Technician, Andrea RodriguezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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-Staff handles residents in a rough manner.
-Staff does not treat residents with dignity and respect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegations mentioned above with Medication Technician, Andrea Rodriguez.

During the investigation, LPA briefly toured the facility, reviewed records, and interviewed staff and residents. It was alleged staff handles residents in a rough manner. It was reported Staff #1 (S1) handled Resident #1 (R1) in a rough manner. R1 reported approximately 2.5 years ago, S1 was pushing and pulling R1’s wheelchair in a rough manner. R1 confirmed their body was not handled in a rough manner. However, they did not like the way S1 was moving them about in the wheelchair inside R1’s bedroom. R1 confirmed it was a one-time occasion and no injuries were sustained. Further resident interviews confirmed neither S1 nor other staff members have handled them in a rough manner. S1 denied the allegation. Staff interviews revealed they have not heard of or witnessed staff handling residents in a rough manner. Continued on an LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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-20240719173536
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: GOLDEN LIVING HEALTH MANAGEMENT, INC.
FACILITY NUMBER: 374602369
VISIT DATE: 08/20/2024
NARRATIVE
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It was also alleged, staff does not treat residents with dignity and respect. It was reported S1 was rude to R1. R1 indicated S1 was not rude but loud when talking. R1 confirmed S1 did not use profanity and or say anything in particular. Resident #2 (R2)’s interview indicated S1 was condescending towards them. However, it was a long a time ago and it was addressed by facility staff. Once it was addressed, it no longer happened, and everything has been good with S1. Additional resident interviews confirmed S1 was treating them with dignity. S1 denied the allegation. Staff interviews revealed residents are treated with dignity. There have been some issues regarding language barriers between staff and residents. However, residents are not being mistreated, it’s possibly mis-communication.

During the course of 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 allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Medication Technician, Andrea Rodriguez whose signature below confirms receipt of these rights.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2