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Inspection visit

complaint

ROSE GARDEN RESIDENTIAL CARELicense 3664264221 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

(Continuation from LIC9099A) It was alleged that the family wished to terminate their agreement with the facility as the out-of-pocket price was higher than what they could afford at the time. S1 declined the allegation of facility staff unlawfully evicting R1. LPA attempted to speak with R1 and their responsible person, but attempts were unsuccessful. LPA attempted to speak with the insurance provider but were informed that there were no records of who the prior case manager was. Therefore, the allegation of illegal eviction is deemed unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report was provided to the Executive Director. (Continuation from LIC9099C) Staff were informed that R1 sustained multiple injuries from a fall on the curb and were transported to the hospital. Interviews with S3 report that an unknown staff from the previous shift had left a note behind warning the next shift that R1 was at risk of elopement. Records review reported that R1 was admitted into the facility on 5/26/2021. A physicians report dated 5/21/2021, reports that R1 was unable to leave the facility unassisted and is known to be a fall risk. As a result of R1’s elopement, R1 sustained multiple injuries from a fall that occurred outside of the facility. Therefore, the allegation of resident sustained fractures while in care are deemed substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations Title 22 is being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of the LIC9099, LIC9099C, LIC 9099D, and appeal rights were reviewed and provided to the Executive Director.

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.

  • 1569.2(c)Type B

    (c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. This requirement was not met with evidence by: (1) one out of (1) one resident eloped from the facility without staff knowledge resulting to Resident #1 (R1) sustaining multiple injuries.

FAQ · About this visit

Common questions about this visit

What happened during the April 15, 2026 inspection of ROSE GARDEN RESIDENTIAL CARE?

This was a complaint inspection of ROSE GARDEN RESIDENTIAL CARE on April 15, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to ROSE GARDEN RESIDENTIAL CARE on April 15, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(c) “Care and supervision” means the facility assumes responsibility for, or provides or promises to provide in the futu..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.