Golden Living Health Management, Inc.

Licensing Program Analyst (LPA) Natasha Persaud conducted a complaint investigation regarding the above-mentioned allegations. LPA met with Administrator, Rocio Granda, However, she had to tend to an urgent matter. Therefore, Medication Technician, Andrea Rodriguez completed he visit with LPA. During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and residents. It was alleged lack of supervision resulted in a resident altercation. It was reported Resident #1 (R1) was asleep in their room when Resident #2 (R2) came into R1’s room and hit R1, while they were asleep. R1’s interview revealed that R1 used to live in a shared room with R2 when the altercation occurred back in November 2023. Today, R1 expressed they were not concerned about the previous altercation because the facility acted appropriately, and the police were contacted. R1 did not press charges or sustain any injuries. LPA confirmed R1 has resided in a private room foRead the full finding— CDSS inspection report, March 19, 2024 · control 08-AS-20240312090659

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced complaint investigation visit. LPA Silveira introduced themselves, met with Administrator Rocio Granda and disclosed the purpose of the visit. The purpose of the visit was to deliver complaint findings for the above-mentioned allegations. The Department’s investigation consisted of interviews with staff, residents and outside sources, as well as a facility records review. It was alleged that the facility attempted to evict Resident #1 (R1) illegally. It was also alleged that staff did not respond timely to assist R1. In an interview conducted with an outside source on 10/21/2020, it was alleged that facility management illegally evicted R1. An interview conducted by the Department with the current Administrator revealed that R1 was never evicted and actually continued to reside in the facility up until 2023. [CONTINUED 9099-C] UnsubstantiatedRead the full finding— CDSS inspection report, February 29, 2024 · control 08-AS-20201016163901

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to conduct follow-up and deliver findings regarding the above-mentioned allegations. LPA identified herself to, was greeted by, and explained the purpose of the visit to Administrator Rocio Granda. During today's visit, LPA observed residents in care, reviewed and obtained copies of facility records, and interviewed staff. The Department’s investigation consisted of interviews with residents, staff, and outside sources, record review, and a tour of the facility. It was alleged that the facility did not refill prescriptions in a timely manner, the Licensee did not arrange transportation services to meet resident needs, and facility staff was not able to communicate with residents and/or emergency personnel. Continued on LIC9099-C page... UnsubstantiatedRead the full finding— CDSS inspection report, February 28, 2024 · control 08-AS-20201007102549

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to commence a complaint investigation and delivered findings. LPA identified herself and discussed the allegation mentioned above with Administrator, Rocio Granda. On February 20, 2024, Community Care Licensing (CCL) received a complaint alleging that facility staff did not administer medications to R1 as prescribed, [an LIC 811 Confidential Names List was provided to staff to identify the resident]. It was specifically alleged that staff did not administer the Nortriptyline, 50 ml according to the physician's orders. Per the physician's orders, R1 was to be administered one capsule for anxiety and depression daily before bedtime. A review of the physician's notes indicated that on February 18, 2024, when R1 was admitted to the hospital, (due to an unrelated condition), R1 had not been administered the medication. A review of the physician's notes indicated that the facility had run out of the NortriRead the full finding— CDSS inspection report, February 26, 2024 · control 08-AS-20240220113601

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to conduct interviews, collect records, and deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Mina Ramirez, Caregiving Supervisor. On 10/6/2020 it was alleged that facility staff failed to reposition a resident, and did not maintain a resident's room temperature within regulation. The Department’s investigation consisted of a virtual and unannounced facility visit, interviews with facility staff, outside sources, records review, and LPA direct observations. Regarding the allegation, "Facility staff failed to reposition resident", it was alleged that Resident 1 (R1) suffered pressure wounds due to staff not turning them in regular intervals. Staff interview revealed that R1's condition rose to a level of care that the Licensee could no longer provide; the issue was elevated to management for R1 to receive a higher level of care. StaffRead the full finding— CDSS inspection report, February 23, 2024 · control 08-AS-20201006111840

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit regarding the above-mentioned allegations. LPA met with Medication Technician Supervisor, Yahaira Garduno. It was alleged residents were being financially abused while in care. Resident #1 (R1) and Resident #2 (R2) were the alleged victims. It was reported R1’s fanny pack, wallet, Identification card and $400 was stolen. R1 wears a key around their neck, which is for a lock to their drawer in their bedroom. R1 reported someone took the key off their neck and stole their items in the locked drawer. LPA observed R1’s fanny pack sitting on their table in their room. R1 opened their fanny pack, and their wallet was located inside the fanny pack. In addition, R1’s locked drawer also contained another wallet that R1 claimed was also stolen. R1 was unable to state having possession of the fanny pack and wallets, that were allegedly stolen. R1 was unable to locate the $400 or provide proof they had possession of thRead the full finding— CDSS inspection report, February 21, 2024 · control 08-AS-20240214155043

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out a complaint. LPA identified herself, was granted entry, and stated the purpose of the visit to Rocio Granda, Administrator. During the investigation, LPA toured the facility, conducted interviews and completed a records review. It was alleged that staff are not providing adequate service to resident in care. Interviews revealed staff provide several services to the residents. Services include cleaning the rooms, assisting residents when they need assistance and showering along with other duties as deemed necessary as requested by the residents. Interviews with staff denied not providing services to residents. Interviews revealed that the staff assist residents when the residents need help they let the staff know. Staff do rounds and check on the residents so they can meet their needs. UnsubstantiatedRead the full finding— CDSS inspection report, February 8, 2024 · control 08-AS-20220728101558

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced complaint visit to deliver investigative findings. LPA identified herself and was invited into the facility. LPA met with Administrator, Rocio Granda and Yahaira Garduno Med Tech Supervisor and shared findings. The Department investigated the above-listed complaint allegations. The investigation consisted of an inspection of the facility, interviews with staff and outside sources, and a review of resident and facility records relevant to this investigation. On August 13, 2020 Community Care Licensing (CCL) received a complaint alleging that facility staff mishandles resident's medication. Resident 1 (R1) records were reviewed and there were no discrepancies or mishandling of medication. Resident 2 (R2) records were reviewed and there were no discrepancies or mishandling of medication. Resident 3 (R3) records were reviewed and there were no discrepancies or mishandling of medication. Outside Source 1 (OS1) was intervieRead the full finding— CDSS inspection report, October 30, 2023 · control 08-AS-20200813143233

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above-mentioned allegations. LPA met with Business Office Assistant, Ruth Granda. During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and outside sources. It was reported medications were not given as prescribed for two residents, Resident #1 (R1) and Resident #2 (R2). Interviews with facility staff confirmed the facility managed R1 and R2’s medications. It was reported R1’s medications were not being taken and found stored in R1’s drawer by R1. Staff interviews revealed not being aware of any medications in R1’s possession. R1’s Medication Administration Record (MAR) dated 06/01/21-07/04/21 reflected staff signatures for all dates, which indicated the medications were dispensed. Staff interviews revealed R1 was alert and able to ask for medications and request refills, there were no medicationRead the full finding— CDSS inspection report, September 20, 2023 · control 08-AS-20211103150253

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Administrator, Rocio Granda. During today's visit, LPA briefly toured the facility and interviewed staff. It was alleged the facility telephone is not operable at night time, after business hours. A voicemail comes on that states the voicemail has not been set up. Therefore, a message cannot be left and no staff or resident can be reached. Per the Administrator, they use Verizon for phone/internet services. Verizon was contacted and the facility is working on having the telephone calls operating for 24 hours. Administrator stated Verizon had the phones working during business hours only. Now the phones will operate 24 hours and monitored by a staff member, who will check the voicemail's hourly. As of today, the phone issue is still being worked on with Verizon. The facility admitted there has beenRead the full finding— CDSS inspection report, August 16, 2023 · control 08-AS-20230807171754

Licensing Program Analyst (LPA) Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA identified herself and was invited into the facility. LPA met with Administrator, Rocio Granda and shared findings. The Department investigated the above-listed complaint allegations. The investigation consisted of an inspection of the facility, interviews with staff and outside sources, and a review of resident and facility records relevant to this investigation. On March 22, 2023, Community Care Licensing (CCL) received a complaint alleging that facility staff did not provide adequate food service. It was specifically alleged that there was a shortage of food and sometimes no food. In addition, it was alleged that residents could only have two cups of milk or coffee. (continue on LIC9099C) UnsubstantiatedRead the full finding— CDSS inspection report, July 26, 2023 · control 08-AS-20230322151605

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit regarding the above mentioned allegations. LPA met with Administrator, Rocio Granda. During the investigation, the facility was toured, records requested, and interviews conducted with staff, residents, and outside sources. It was alleged Resident #1 (R1) developed multiple pressure injuries while in care due to neglect on or around 04/2021. R1’s Physician's Report dated 07/14/2020 indicated a special diet of Controlled Carbohydrate diet for diabetes; Bladder impairment; History of skin breakdown of rashes; Ambulatory and Independent with transfers. R1’s Physician’s Report dated 11/09/21 indicated a history of skin breakdown to bilateral posterior thighs, venous stasis ulcers. It also reflected R1 was non-ambulatory, in fair health status and able to feed and toilet themselves as well as handle their own cash resources. R1 did not have pressure injuries, they had venous stasis wounds. Continued on an LIC 90Read the full finding— CDSS inspection report, July 21, 2023 · control 08-AS-20210407085800

Licensing Program Analyst (LPA), Natasha Persaud concluded the complaint investigation regarding the above mentioned allegation. LPA met with Business Manager, Monica Cordoba. During the investigation, the facility was briefly toured, records requested, and interviews conducted with staff and outside sources. It was alleged, the facility was not following Covid-19 guidelines. It was reported the facility did not notify a visitor that came into contact with a resident that contracted Covid-19. Outside source interviews revealed on 06/27/22, a family member visited Resident #1 (R1) at the facility. On 06/29/22, R1 was not feeling well and presented with a fever. Therefore, the facility contacted 911 and had R1 transported to the hospital. R1 was diagnosed at the hospital with Covid-19 on 06/29/22. The administrator’s interview revealed R1 did not present with symptoms prior to 06/29/22. The administrator confirmed notifying R1’s responsible party that R1 was Covid-19 positive as outlinedRead the full finding— CDSS inspection report, April 5, 2023 · control 08-AS-20220701092311

Licensing Program Analyst (LPA), Natasha Persaud concluded the complaint investigation regarding the above mentioned allegation. LPA met with Business Manager, Monica Cordoba. During the investigation, the facility was toured, records reviewed, and interviews conducted with staff, resident, and outside sources. It was reported Resident #1’s (R1) needs are not being met regarding their medical care. R1 has been making statements they were going to die. R1 resided in the memory care unit and was able to handle some of their activities of daily living, with reminders. R1’s spouse/responsible party confirmed R1 had no plans to end their life, had no means to end their life, and would not hurt themselves in any way. R1’s spouse/responsible party also indicated R1 does not express suicidal ideations. R1’s Physician’s Report dated 06/02/21 indicated R1 was ambulatory and able to self-care for bathing, dressing/grooming, and feeding and has confusion due to a Major Neurocognitive Disorder. ItRead the full finding— CDSS inspection report, March 22, 2023 · control 08-AS-20211021152316

Licensing Program Analyst (LPA), Natasha Persaud concluded the complaint investigation regarding the above mentioned allegations. LPA met with Business Manager, Monica Cordoba. During the investigation, the facility was toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged staff did not seek treatment for Resident #1 (R1) in a timely manner. It was reported R1 had a rash from 9/22/22, possibly scabies and the facility did not ensure R1 received timely treatment for the rash, which extended through December 2022. R1’s Physician’s Report dated 06/02/21 indicated R1 was ambulatory and able to self- care with bathing, dressing/grooming, and feeding. R1’s Resident Appraisal dated 06/24/21 indicated R1 was ambulatory and required assistance with bathing supervision; assistance with dressing; and medication management. Outside source interviews revealed R1 had the rash as of 09/22/22 and they contacted the administrator on 09/28/22 to reRead the full finding— CDSS inspection report, March 22, 2023 · control 08-AS-20221216100123

Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an unannounced complaint investigation visit at the facility. LPA gained access to the facility, met with Administrator, Rocio Granda and explained the purpose of the visit which was to deliver findings for the above allegation. The Department’s investigation consisted of record reviews, interviews with staff, residents, and outside sources. On October 14, 2020, it was alleged that the facility changed resident’s room accommodations without amending the admissions agreement. More specifically, it was alleged that on September 9, 2020 Resident 1 (R1) was on a leave of absence from the facility and upon return to the facility, R1’s personal belongings were moved to a different room without their knowledge. SubstantiatedRead the full finding— CDSS inspection report, February 14, 2023 · control 08-AS-20201014143359

On January 17, 2023, at about 1:00 PM, Licensing Program Analyst (LPA) Daniel Pena conducted a complaint investigation visit regarding the above-mentioned allegation. LPA was greeted at the entrance by Rocio Granda, Administrator and granted entry after identifying himself and disclosing the reason for the visit. During today's visit, LPA conducted staff and client interviews and concluded the investigation. LPA met with Administrator Granda to discuss the findings of the complaint investigation. It was alleged, facility staff does not properly assist a client in care, specifically regarding prescription medication. The Department’s investigation consisted of virtual and onsite visits, record reviews and interviews with clients, staff and outside parties. Client interviews did not provide information corroborating the allegation that staff withheld or failed to administer prescription medication. Staff interviews revealed a consistent denial of withholding medications from clients. A rRead the full finding— CDSS inspection report, January 17, 2023 · control 08-AS-20210226095356

Licensing Program Analyst (LPA), Natasha Persaud concluded the complaint investigation regarding the above mentioned allegation. LPA met with Administrator, Rocio Granda. During the course of the investigation, the facility was toured, records reviewed, and interviews conducted with staff, residents, and outside sources. It was alleged the facility is retaining Resident #1 (R1), who requires a higher level of care. R1’s Physician’s Report dated 12/13/21 indicated R1 has Diabetes and requires insulin injections along with blood sugar checks. The physician’s report reflected R1 is unable to administer their own medications, conduct blood sugar checks and has uncontrolled diabetes due to noncompliance. R1’s Resident Appraisal dated 10/17/22 indicated R1 required medication management but is able to handle their other activities of daily living. Outside source interviews revealed R1’s diabetes is not controlled because R1 is unable to manage their own diabetes medications. Outside source iRead the full finding— CDSS inspection report, December 20, 2022 · control 08-AS-20221117105339

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to conclude a complaint investigation. LPA identified herself and discussed the allegations mentioned above with During the investigation, the facility was briefly toured, records requested, and interviews with staff, residents and outside sources. It was alleged the facility staff are not giving Resident #1 (R1) their medication as prescribed. It was reported R1 did not receive their prescribed antibiotic or psychiatric medication. R1’s Physician Report dated 12/13/21 indicated R1 was ambulatory with a diagnosis of diabetes and mental illness. The report reflected R1 was independent with bathing, dressing/grooming, feeding and toileting themselves. It also stated R1 required a diabetic diet, unable to store or manage their own medications. R1’s Resident Appraisal dated 10/17/22 indicated R1 required a diabetic diet and medication management but was able to handle their other activities of daily living. A reRead the full finding— CDSS inspection report, November 29, 2022 · control 08-AS-20220919175153

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Administrator, Rocio Granda During the investigation, the facility was briefly toured, records requested, and interviewed staff and outside sources. It was alleged Resident #1 (R1) was not able to attend a dental appointment due to staff negligence. It was reported R1 had a dental appointment scheduled on 11/10/22 and the facility was made aware R1's medications needed to held/stopped five (5) days prior to the appointment. Outside source interviews revealed the facility was contacted on 11/03/22 reminding them to hold off on the medications starting tomorrow, 11/04/22, confirmation from the Medication Technician Supervisor was received that the medication will be stopped/held. Outside source interviews revealed contacting the facility's Medication Technician Supervisor on 11/09/22 to ensure all isRead the full finding— CDSS inspection report, November 15, 2022 · control 08-AS-20221109160427

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 Administrator, Rocio Granda. During today's visit, LPA briefly toured the facility, and interviewed staff and residents. It was alleged facility showers did not maintain hot water temperature. The hot water temperature for the shower in Room 41 was not maintained. LPA tested the hot water, which measured at 120 degrees F.. The hot water is not maintaining a consistent temperature and continued to rise up to 128 degrees F.. The cold water is not working properly to maintain a warm temperature, along with the hot water. The hot water was so hot that LPA had to pull their hand back from not getting burned. The shower does not maintain the regulated hot water temperature of 105-120 degrees F.. It was also alleged bathing facilities are not maintained in operating condition. The shower knobs in Room 41Read the full finding— CDSS inspection report, September 9, 2022 · control 08-AS-20220901160320

Licensing Program Analyst (LPA) Esther Miller conducted an unannounced complaint investigation visit to the facility in order to deliver findings on the above allegation. LPA was granted entry to the facility by Monica Cordoba, Manager Assistance, after identifying herself and explaining the reason for the visit. On October 27, 2021, it was alleged that the facility’s staff did not protect a resident from name-calling resulting in the resident being humiliated and that facility staff restricted a resident’s right to associate with another resident. The Department’s investigation consisted of review of facility records and interviews of facility staff and outside sources. [Continued on LIC9099-C] UnsubstantiatedRead the full finding— CDSS inspection report, May 20, 2022 · control 08-AS-20211027112238

Licensing Program Analyst (LPA) Esther Miller conducted an unannounced complaint visit to deliver findings on the above-mentioned allegations. LPA was granted entry into the facility and met with Monica Cordoba, Manager Assistance, and discussed the purpose of the visit. LPA also spoke with Rocio Granda, Administrator, over the phone. The Department’s investigation consisted of record reviews, including medical and outside source records and interviews with staff and outside sources. On June 16, 2020, it was alleged that staff did not obtain medical treatment for Resident #1 (R1) to have the resident evaluated for injury after multiple falls occurred. It was further alleged that medication was not administered to R1 according to physician’s orders. It was also alleged that R1 incurred unexplained bruising while in care and that the fall incidents were not reported to R1’s responsible party. [Continued on LIC9099-C, page 1 of 4] SubstantiatedRead the full finding— CDSS inspection report, May 20, 2022 · control 08-AS-20200616110557

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above mentioned allegations. LPA met with Administrator, Rocio Granda. During the investigation, LPA briefly toured the facility, obtained records, and interviewed staff and residents. It was alleged the facility was in disrepair due to a resident’s doorknob being broken and not locking. It was reported a resident’s doorknob was unable to lock for a period of three months and there were concerns there could be thefts. There are two residents residing in the room with the reported broken lock. Resident interviews confirmed the lock was never broken and the key entry always worked. Staff interviews revealed the doorknob was not reported as broken, but the resident was having difficulty opening the lock. Investigation revealed the doorknob was not broken, one of the two residents in that room was having difficulties unlocking the door due to a medical condiRead the full finding— CDSS inspection report, May 18, 2022 · control 08-AS-20220308080259

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above mentioned allegations. LPA met with Administrator, Rocio Granda. During the investigation, LPA briefly toured the facility, obtained records, and interviewed staff and residents. It was alleged the facility did not ensure Resident #1’s (R1) medication was filled in a timely manner. R1’s Physician’s Report indicated R1 is able to store and manage their own medications. Staff interviews revealed R1 has requested the facility manage their medications for R1. Facility records revealed R1 did not receive two (2) medications timely in February 2022 and one (1) medication in March 2022. Further staff interviews revealed the facility calls in the refills for R1’s medications and R1 picks them up. Facility’s Medication Administration Record for February 2022 reflected R1 was not given a medication on 02/06/22 and 02/07/22, R1 missed two (2) doses of that meRead the full finding— CDSS inspection report, May 18, 2022 · control 08-AS-20220318165203