374602369-12-17-2025-08-AS-SJAB-DPVPSG-20251231103418

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 12/17/2025
Date Signed: 12/17/2025 10:30:50 AM

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
09/22/2025 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20250922133100

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: 73	DATE:	12/17/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Administrator Rocio Granda		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Lack of supervision resulting in resident altercation injury.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Administrator Rocio Granda.

On 09/22/25 it was alleged that lack of supervision resulted in a resident altercation injury when Resident 2 (R2) was accused of bruising Resident 1's (R1) hand. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Staff interviews were consistent regarding the facility conducting an internal investigation when the incident was brought to their attention. Staff informed that both R1 and R2 lived in the Assisted Living section of the facility and spent much of their time together. While R1 and R2 required assistance with Activities of Daily Living (ADLs), they were able to ambulate on their own without staff assistance. Staff interviews additionally informed that the residents received regular checks from staff approximately every two (2) hours along with the other assisted living residents. (Continued on LIC9099 p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025

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-20250922133100

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: 12/17/2025

NARRATIVE

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(Continued from LIC9099 p.1)

While the internal investigation confirmed that a bruise did exist for R1, the origin and timing of when the bruise occurred came in to question. The internal investigation did not confirm that R2 caused the bruise, as information provided by R1 was inconsistent and they could not recall details surrounding the incident. Staff consistently stated that R2 was not a problematic resident and had never been accused of physically harming another resident before this incident. While the internal incident was inconclusive regarding what caused R1's bruise, both residents were counseled to be respectful of each other's personal space.

Resident interviews did not corroborate the allegation. Three (3) attempts were made to interview R2 among two (2) facility visits, without success. R1 confirmed that they were friends with R2; R1 could not recall the details of the situation that resulted in the bruise. R1 stated that staff were helpful at the facility when they needed assistance, and did not express concern regarding supervision at the facility.

An outside source from an advocacy organization who was familiar with the facility and the incident was interviewed. The outside source confirmed that they checked on both residents involved in this incident and did not have concerns regarding staff supervision at the facility. The outside source informed that many residents at this facility dealt with psychiatric issues, and verbal conflict regularly occurred. This outside source informed that they attended all Resident Council meetings and no supervision issues have been brought up.

Facility records showed that staff completed an internal incident report regarding the situation, and that the administrator conducted an internal investigation. The documents showed that staff took action when made aware of the possible physical abuse, and elevated the situation. Records additionally showed that staff were aware of residents' baseline conditions, as staff noticed the bruise on R1's hand, inquired about it, and elevated it for follow-up. This evidences that the staff were monitoring residents during the timeframe of 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 Administrator Rocio Granda, 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: 12/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2025

LIC9099 (FAS) - (06/04)

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