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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374602369
Report Date: 02/03/2026
Date Signed: 02/03/2026 11:29:36 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
02/13/2025 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20250213104754
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: 73DATE:
02/03/2026
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Administrator, Rocio GrandaTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Resident was touched inappropriately by staff while in care
Staff did not safeguard resident's personal items
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Natsha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above mentioned allegations. LPA met with Administrator, Rocio Granda.

It was alleged that Resident #1 (R1) was touched inappropriately by staff while in care. It was reported Staff #1 (S1) touched R1 in an inappropriate sexual manner by fondling their breast and private area. R1 resided in the facility’s secured memory care unit, where S1 was an assigned caregiver. R1’s Physician’s Report dated 10/17/24, indicated R1 was independent with bathing, dressing/grooming, feeding, toileting, and medication management. However, R1’s Resident Appraisal dated 11/23/24 noted assistance was required with Activities of Daily Living (ADLs) except for toileting and needed redirection but could follow directions and communicate their needs. R1’s Individual Service Plan (ISP) with Assisted Living Waiver Program dated 07/25/24 indicated R1 had severe cognitive impairment which almost always impaired R1’s judgement. It also stated R1 required supervision and prompting with dressing, toileting, hygiene and bathing due to high risk of self-neglect. Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
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-20250213104754
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: 02/03/2026
NARRATIVE
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Interviews were conducted with multiple staff members and all corroborated R1’s medical assessment. Staff agreed R1 could manage washing their own body parts including their hair. Although R1 may need some assistance by staff with prompting and redirecting, R1 was able to follow through and clean themselves. Further staff interviews revealed that they assisted R1 by giving them soap and shampoo and stood-by to ensure safety. Some of the staff also reported that they assisted with washing R1 only in areas they could not reach such as R1’s back or legs. Furthermore, R1 affirmed they had the capacity to clean/wash their own body parts. R1 was last showered by S1 on 01/27/25. However, it was alleged the incident occurred on 02/05/25. R1 reported the incident occurred one time, as S1 has only showered R1 one time. However, the facility’s shower scheduled reflected S1 was noted on the schedule three times from December 2024 through January 2025.

Additional staff interviews revealed that R1 was inclined to make a complaint when the staff does not bring R1 down to smoke a cigarette immediately upon their request. Staff denied witnessing S1 behave or interact inappropriately towards residents nor have they witnessed S1 touch them in a sexual manner. Furthermore, staff indicated that none of the residents disclosed experiencing sexual abuse from S1. Residents in the secured memory care unit were interviewed. However, due to the residents Major Neurocognitive Disorder condition, they could not provide relevant details.

S1 was interviewed and refuted touching R1 inappropriately. S1 reported that when they assisted R1 with showers, they were only on stand-by assist to supervise for safety reasons and to hand over R1’s clothes, shampoo and soap. Further staff interviews confirmed that staff R1 received assistance from staff by scrubbing R1’s body, especially in places R1 could not reach and shampooing R1’s hair. Lastly, the San Diego Police Department conducted interviews but was unable to establish evidence of a crime.

It was also alleged that staff did not safeguard resident's personal items. It was reported that R1’s personal items, a diamond & sapphire broach, wallet, money and passport were stolen. A review of facility records, Resident Personal Property and Valuable form reflected “No valuable items.” However, it was not signed by R1. The form was only signed by the administrator and dated 10/21/24. Outside Source (OS) interviews confirmed R1 has possession of their passport. The OS explained being involved with R1’s care for years and explained R1 was homeless prior to living in residential facilities. OS never witnessed R1 with those valuable items mentioned. In addition, R1 was not capable of handling their finances or valuable possessions due to their Major Neurocognitive Disorder.

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 Administrator, Rocio Granda whose signature below confirms receipt of these rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2026
LIC9099 (FAS) - (06/04)
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