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Inspection visit

Follow-up on corrections

ROYAL GARDENS ELDER CARELicense 3470036231 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 12/10/25, Licensing Program Analyst (LPA) Kimberly Viarella arrived at this facility to conduct a case management visit related to information learned during complaint investigation (#27-AS-20250623155209). LPA identified herself, stated the purpose of the visit, and asked to meet with the Designated Facility Administrator. LPA met with Designee, Susie Dizon and a brief interview followed. During the investigation, this LPA learned that while at the hospital, medical staff there found a bar of soap inside a resident's (R1's) vagina. There was no preponderance of evidence found during the investigation to indicate that staff were responsible. There was information collected during the investigation to indicate that R1 themselves may inserted the soap. R1 should have been under constant supervision while bathing / toileting as they required assistance and should not have had access to the bar of soap without supervision. This deficiency has been documented on the LIC 809D page. According to the California Code of Regulations, Title 22, no other deficiencies were observed or cited during today's visit. A copy of this report was provided and an exit interview conducted.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87466Type A

    Observation of the ResidentThe licensee... that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided...The Licensee did not meet the above requirement as evidenced by: R1 had a bar of soap inside their vagina which was not discovered until R1 was at the hospital. This posed an immediate risk to the health, safety and personal rights of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 10, 2025 inspection of ROYAL GARDENS ELDER CARE?

This was a other inspection of ROYAL GARDENS ELDER CARE on December 10, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to ROYAL GARDENS ELDER CARE on December 10, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Observation of the ResidentThe licensee... that residents are regularly observed for changes in physical, mental, emotio..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.