Deficiencies (last 5 years)

Deficiencies (over 5 years) 9.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

130% worse than California average
California average: 4 deficiencies/year

Deficiencies per year

24 18 12 6 0
2022
2023
2024
2025
2026

Census

Latest occupancy rate 0% occupied

Based on a February 2026 inspection.

Occupancy over time

0 3 6 9 12 Jun 2022 Oct 2023 Aug 2024 Jan 2025 Jul 2025 Feb 2026

Inspection Report

Capacity: 6 Deficiencies: 1 Date: Feb 3, 2026

Visit Reason
An unannounced Case Management visit was conducted to perform a facility closure tour and assess the facility's status.

Findings
The facility was observed to be non-operational with no residents present. The Administrator submitted the original license and was informed about the closure process. A Type B deficiency was cited for failure to notify the resident's responsible person as required by Health and Safety Code section 1569.683(b).

Deficiencies (1)
Failure to notify or mail a copy of the notice to quit to the resident's responsible person as required by Health and Safety Code section 1569.683(b).
Report Facts
Capacity: 6 Census: 0 Plan of Correction Due Date: Feb 10, 2026

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorMet with Licensing Program Analyst during the visit and involved in closure process
Steve ChangLicensing Program AnalystConducted the unannounced Case Management visit
Romeo ManzanoLicensing Program ManagerNamed in the report as Licensing Program Manager
Chihhsien ChangLicensing Program AnalystNamed in the report as Licensing Program Analyst

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 1 Date: Jul 7, 2025

Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements at Rose Garden Elderly Care LLC.

Findings
The inspection found one deficiency related to inaccurate centrally stored medication forms for 2 residents, posing a potential health and safety risk. The facility otherwise met requirements for environment, safety equipment, and emergency preparedness.

Deficiencies (1)
2 out of 2 residents' centrally stored medication forms were inaccurate, posing a potential health, safety, or personal rights risk.
Report Facts
Beds with bed rails: 4 Staff observed: 2 Resident files reviewed: 2 Staff files reviewed: 2 Fire extinguisher service date: May 20, 2025 Emergency and fire drill date: Jun 1, 2025 Plan of Correction due date: Jul 14, 2025

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorMet during inspection and involved in deficiency plan of correction
Steve ChangLicensing Program AnalystConducted the inspection visit
Romeo ManzanoLicensing Program ManagerNamed in report and deficiency notification
Chihhsien ChangLicensing Program AnalystCreated and signed the report

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 1 Date: Jul 7, 2025

Visit Reason
An unannounced annual inspection visit was conducted by Licensing Program Analyst Steve Chang to evaluate compliance with licensing requirements at Rose Garden Elderly Care LLC.

Findings
The inspection found one deficiency related to inaccurate centrally stored medication forms for 2 residents, posing a potential health, safety, or personal rights risk. The facility otherwise met requirements for environment, safety equipment, and emergency preparedness.

Deficiencies (1)
2 out of 2 residents' centrally stored medication forms were observed inaccurate with their medications, posing a potential health, safety or personal rights risk.
Report Facts
Deficiencies cited: 1 Beds with bed rails observed: 4 Staff observed: 2 Food supplies: 2 Food supplies: 7 Fire extinguisher service date: May 20, 2025 Emergency/fire drill date: Jun 1, 2025

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorMet with Licensing Program Analyst during inspection and involved in plan of correction
Steve ChangLicensing Program AnalystConducted the unannounced annual inspection visit
Romeo ManzanoLicensing Program ManagerNamed in report header and deficiency section
Chihhsien ChangLicensing Program AnalystNamed in report header and deficiency section

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 0 Date: May 30, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2025-01-17 that staff hit residents and spoke to residents in an inappropriate manner.

Complaint Details
The complaint alleged staff hit residents and spoke to residents in an inappropriate manner. Interviews with residents, staff, and the administrator, as well as review of records, found no substantiation. The facility does not have male staff, contradicting one allegation. The report concluded the allegations were unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found the allegations unsubstantiated after interviews with staff, residents, and family members, review of physician reports, and observations. No evidence supported that staff hit or yelled at residents, and no citations were issued.

Report Facts
Facility capacity: 6 Census: 4

Employees mentioned
NameTitleContext
Steve ChangLicensing Program AnalystConducted the unannounced complaint investigation visit
Noemi VelasquezStaff member met during the investigation and exit interview
Tingxiu LiAdministratorInterviewed during investigation denying allegations

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 0 Date: May 30, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 01/17/2025 that staff hit residents and spoke to residents in an inappropriate manner.

Complaint Details
The complaint alleged that staff hit residents and spoke to residents in an inappropriate manner. Interviews revealed no evidence of staff hitting residents; some residents reported a male staff yelling, but the facility has no male staff. The administrator and staff denied any abuse or yelling. The investigation concluded the allegations were unsubstantiated.
Findings
After interviews with residents, staff, and the administrator, and review of physician reports and facility records, the Department found the allegations unsubstantiated due to lack of preponderance of evidence. No citations were issued during the investigation.

Report Facts
Facility capacity: 6 Census: 4

Employees mentioned
NameTitleContext
Steve ChangLicensing Program AnalystConducted the investigation visit and delivered findings
Chihhsien ChangLicensing EvaluatorConducted complaint investigation
Noemi VelasquezStaff met with during investigation and exit interview
Tingxiu LiAdministratorInterviewed during investigation, denied allegations

Inspection Report

Complaint Investigation
Census: 3 Capacity: 6 Deficiencies: 0 Date: Jan 31, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff left a resident soiled for an extended period of time.

Complaint Details
The complaint alleged that staff left resident R1 soiled for an extended period. Multiple witnesses provided conflicting observations. Interviews with staff and residents indicated regular checks and timely care. The resident in question no longer resides at the facility. The investigation concluded the allegations were unsubstantiated.
Findings
Based on interviews, observations, and records review, there was insufficient evidence to substantiate the allegation that a resident was left soiled for an extended period. The allegations were determined to be unsubstantiated.

Report Facts
Facility capacity: 6 Census: 3

Employees mentioned
NameTitleContext
Noemi VelasquezStaffMet during inspection and involved in allegation
Tingxiu LiAdministratorInterviewed regarding staff procedures and findings
Manuel MonterLicensing Program AnalystConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 3 Capacity: 6 Deficiencies: 0 Date: Jan 31, 2025

Visit Reason
An unannounced complaint investigation was conducted following a complaint alleging that staff left a resident soiled for an extended period of time.

Complaint Details
The complaint alleged that staff left a resident soiled for an extended period of time. Multiple interviews and observations were conducted. Some witnesses reported seeing the resident soiled on specific dates, but staff and other witnesses denied the allegation. The resident in question no longer lives at the facility. The allegation was unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation included interviews with staff, residents, and witnesses, as well as a facility tour. Although some witnesses reported seeing the resident in a soiled state, the Department found insufficient evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.

Report Facts
Facility capacity: 6 Census: 3

Employees mentioned
NameTitleContext
Manuel MonterLicensing Program AnalystConducted the complaint investigation and interviews
Tingxiu LiAdministratorFacility administrator interviewed during investigation
Noemi VelasquezStaffStaff member met with during investigation and mentioned in findings

Inspection Report

Complaint Investigation
Census: 1 Capacity: 6 Deficiencies: 2 Date: Jan 17, 2025

Visit Reason
An unannounced complaint investigation was conducted due to violations discovered during the investigation process, focusing on case management deficiencies related to hospice care services notification and resident care planning.

Complaint Details
The visit was complaint-related, initiated by a complaint investigation. The deficiencies cited relate to failure to notify the Department about hospice care initiation and incomplete resident care planning. Substantiation status is not explicitly stated.
Findings
The facility failed to notify the Department in writing within five working days of the initiation of hospice care services for a resident and did not have a completed Appraisal/Needs and Services plan for the resident, posing potential health, safety, or personal rights risks.

Deficiencies (2)
Failure to notify the Department of the initiation of hospice care services within five working days of admitting a resident already receiving hospice care services.
Resident's Needs and Services plan was not filled out, as the hospice nurse did not complete it.
Report Facts
Capacity: 6 Census: 1 Plan of Correction Due Date: Jan 24, 2025

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorNamed in relation to findings about hospice care notification and resident care plan deficiencies
Manuel MonterLicensing Program AnalystConducted complaint investigation and case management deficiencies visit
Marcela YanezLicensing Program AnalystConducted complaint investigation and case management deficiencies visit
Romeo ManzanoLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 1 Capacity: 6 Deficiencies: 2 Date: Jan 17, 2025

Visit Reason
An unannounced complaint investigation was conducted due to allegations of deficiencies related to case management and hospice care reporting at the facility.

Complaint Details
The visit was triggered by a complaint investigation. The deficiencies related to failure to notify the Department about hospice care initiation and incomplete resident care plans. The report does not explicitly state substantiation status.
Findings
The investigation found that the facility administrator failed to notify the Department in writing within five working days of the initiation of hospice care services for a resident, and the resident's Appraisal/Needs and Services plan was incomplete and unsigned. These deficiencies posed potential health, safety, or personal rights risks to residents.

Deficiencies (2)
Failure to notify the Department in writing within five working days of the initiation of hospice care services for a resident.
Resident's Appraisal/Needs and Services plan was not filled out or signed, as the hospice nurse did not complete it.
Report Facts
Capacity: 6 Census: 1 Plan of Correction Due Date: Jan 24, 2025 Deficiencies cited: 2

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorNamed in relation to findings about hospice care notification and care plan deficiencies.
Manuel MonterLicensing Program AnalystConducted the complaint investigation.
Marcela YanezLicensing Program AnalystConducted the complaint investigation and signed the report.

Inspection Report

Complaint Investigation
Census: 3 Capacity: 6 Deficiencies: 1 Date: Dec 10, 2024

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations received regarding staff behavior towards residents, specifically allegations that staff yelled at and hit residents.

Complaint Details
The complaint investigation was substantiated for the allegation that staff yelled at a resident, posing a potential health and safety risk. The allegation that staff hit a resident was unsubstantiated due to insufficient evidence.
Findings
The allegation that staff yelled at a resident regarding non-payment of fees was substantiated and found to pose an immediate health and safety risk. The allegation that staff hit a resident was unsubstantiated due to lack of evidence.

Deficiencies (1)
Personal Rights of Residents in All Facilities - Residents shall be accorded dignity in their personal relationships with staff, residents, and others. This regulation was not met as S1 yelled at R1 regarding non-payment of fees, posing an immediate health and safety risk.
Report Facts
Capacity: 6 Census: 3 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Jaime VadoLicensing Program AnalystConducted the complaint investigation visit and delivered findings
Noemi VelasquezStaffMet with during investigation and named in findings
Tingxiu LiAdministratorFacility administrator listed in report

Inspection Report

Complaint Investigation
Census: 3 Capacity: 6 Deficiencies: 1 Date: Dec 10, 2024

Visit Reason
An unannounced complaint investigation visit was conducted to deliver findings regarding allegations received about staff behavior towards residents.

Complaint Details
The complaint investigation was substantiated for the allegation that staff yelled at a resident but unsubstantiated for the allegation that staff hit a resident.
Findings
The allegation that staff yelled at a resident regarding non-payment of fees was substantiated and poses a potential health and safety risk. Another allegation that staff hit a resident was unsubstantiated due to lack of evidence.

Deficiencies (1)
87468.1 Personal Rights of Residents in All Facilities - Residents shall be accorded dignity in their personal relationships with staff. This regulation has not been met as evidenced by staff yelling at a resident regarding non-payment of fees, posing an immediate health and safety risk.
Report Facts
Capacity: 6 Census: 3 Deficiencies cited: 1 Plan of Correction Due Date: 1

Employees mentioned
NameTitleContext
Jaime VadoLicensing Program AnalystConducted the complaint investigation and delivered findings
Noemi VelasquezStaffMet with during investigation and named in findings
Cara SmithLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 3 Capacity: 6 Deficiencies: 1 Date: Aug 16, 2024

Visit Reason
An unannounced case management - deficiencies visit was conducted to amend the annual required inspection that was conducted on July 31, 2024.

Findings
No deficiency was cited during the visit based on California Code of Regulations Title 22; however, a repeat violation was amended from the prior inspection. Chemicals accessible to residents were observed in multiple areas, posing an immediate health and safety risk.

Deficiencies (1)
Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients were accessible to residents in the kitchen, bathroom, Sun Room and backyard.
Report Facts
Capacity: 6 Census: 3 Plan of Correction Due Date: Aug 17, 2024

Employees mentioned
NameTitleContext
Maria PartozaLicensing Program AnalystConducted the inspection and cited deficiencies
TingXiu LiLicensee/AdministratorMet with Licensing Program Analyst during inspection
Romeo ManzanoLicensing Program ManagerSupervisor of the inspection

Inspection Report

Census: 3 Capacity: 6 Deficiencies: 1 Date: Aug 16, 2024

Visit Reason
An unannounced case management - deficiencies visit was conducted to amend the annual required inspection that was conducted on July 31, 2024.

Findings
No deficiency was cited during the visit based on California Code of Regulations Title 22; however, a repeat violation was amended. Chemicals were observed accessible to residents in multiple areas, posing an immediate health and safety risk, and a plan of correction was requested.

Deficiencies (1)
Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger were accessible to residents in the kitchen, bathroom, sun room and backyard, violating CCR 87309(a).
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: Aug 17, 2024

Employees mentioned
NameTitleContext
TingXiu LiLicensee/AdministratorMet with Licensing Program Analyst during inspection and named in findings
Maria PartozaLicensing Program AnalystConducted the inspection and authored the report
Romeo ManzanoSupervisorSupervisor overseeing the inspection

Inspection Report

Monitoring
Census: 3 Capacity: 6 Deficiencies: 1 Date: Aug 8, 2024

Visit Reason
Unannounced case management visit to follow up on resident admitted after previous facility closure due to Temporary Suspension Order (TSO).

Findings
The facility was found to have over 6 bottles of alcohol accessible to residents with dementia, posing an immediate health and safety risk. Staff removed the alcohol and placed it in a locked room, and the administrator agreed to ensure alcohol remains inaccessible to residents with dementia.

Deficiencies (1)
Over 6 bottles of alcohol were accessible to residents with dementia, violating care requirements for persons with dementia.
Report Facts
Number of alcohol bottles accessible: 6 Deficiency count: 1

Employees mentioned
NameTitleContext
Noemi VelasquezStaffMet with Licensing Program Analysts during inspection and involved in findings
Tingxiu LiAdministrator/LicenseeSpoke with Licensing Program Analysts regarding findings and agreed to corrective actions
Simranjit RaiLicensing Program AnalystConducted inspection and authored report
Romeo ManzanoLicensing Program ManagerSupervisor of inspection

Inspection Report

Monitoring
Census: 3 Capacity: 6 Deficiencies: 1 Date: Aug 8, 2024

Visit Reason
The visit was an unannounced case management health check to follow up on a resident admitted after the previous facility was closed due to a Temporary Suspension Order (TSO).

Findings
During the visit, a bar cart with over 6 bottles of alcohol was found accessible to residents with dementia, posing an immediate health and safety risk. The alcohol was removed and secured, and the administrator agreed to ensure alcohol remains inaccessible to residents with dementia.

Deficiencies (1)
Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances must be stored inaccessible to residents with dementia; alcohol was accessible on a bar cart.
Report Facts
Number of alcohol bottles accessible: 6

Employees mentioned
NameTitleContext
Noemi VelasquezStaffMet with Licensing Program Analysts during inspection
Tingxiu LiLicensee/AdministratorSpoke with Licensing Program Analysts and agreed to ensure alcohol is inaccessible to residents
Simranjit RaiLicensing EvaluatorConducted inspection and signed report
Steve ChangLicensing Program AnalystArrived unannounced to conduct case management visit
Romeo ManzanoSupervisorSupervisor overseeing inspection

Inspection Report

Annual Inspection
Census: 2 Capacity: 6 Deficiencies: 9 Date: Jul 31, 2024

Visit Reason
An unannounced required 1 year inspection visit was conducted to evaluate compliance with regulations for the Residential Care Facility for the Elderly.

Findings
Multiple deficiencies were cited related to medication labeling and records, storage of hazardous items accessible to residents, lack of PRN medication log, incomplete disaster drill documentation, and outdated medical assessments for residents. A civil penalty of $250 was assessed for a repeat violation.

Deficiencies (9)
Chemicals accessible to residents in care in the kitchen, bathroom, Sun Room and backyard.
Medication container with pills was not labeled.
Steak knives in the kitchen lower drawer were not locked and accessible to residents.
Resident centrally stored medication logs did not list all medication bottles.
Facility did not maintain a PRN medication log as required.
Sun room lacks a sliding screen door; backyard screen door not attached.
Facility disaster drill log documentation was not maintained.
Residents with dementia did not have updated annual medical assessments.
Administrator did not conform to applicable laws and regulations, including lack of knowledge about PRN log and medication records.
Report Facts
Civil penalty amount: 250 Facility capacity: 6 Resident census: 2 Medications not listed in centrally stored medication log for Resident R1: 11 Medications not listed in centrally stored medication log for Resident R2: 9 Date of last fire extinguisher inspection: Jun 27, 2024

Employees mentioned
NameTitleContext
Tingxiu LiAdministrator/LicenseeNamed in relation to findings and report review
Maria PartozaLicensing Program AnalystConducted inspection and authored report
Manuel MonterLicensing Program AnalystConducted inspection
Romeo ManzanoLicensing Program ManagerSupervisor of licensing evaluation

Inspection Report

Annual Inspection
Census: 2 Capacity: 6 Deficiencies: 9 Date: Jul 31, 2024

Visit Reason
An unannounced required 1 year inspection visit was conducted to evaluate compliance with regulations for the Residential Care Facility for the Elderly.

Findings
Multiple deficiencies were cited including accessible chemicals and knives posing safety risks, unlabeled medications, incomplete medication logs, lack of PRN medication logs, missing disaster drill documentation, and outdated medical assessments for residents with dementia. A civil penalty of $250 was assessed for a repeat violation.

Deficiencies (9)
Chemicals accessible to residents in the kitchen, bathroom, sun room, and backyard.
Medication container with pills was not labeled.
Steak knives in the kitchen lower drawer were not locked and accessible to residents.
Resident centrally stored medication logs were incomplete; medications not listed in logs.
Sun room lacks sliding screen door; backyard screen door not attached.
No PRN medication log maintained as required.
No documentation of disaster drill training available.
Residents with dementia did not have updated annual medical assessments.
Administrator did not conform to applicable laws and regulations, including medication and safety requirements.
Report Facts
Civil penalty amount: 250 Facility capacity: 6 Resident census: 2 Medications not listed in logs for Resident R1: 11 Medications not listed in logs for Resident R2: 9 Date of last fire extinguisher inspection: Jun 27, 2024

Employees mentioned
NameTitleContext
Tingxiu LiAdministrator/DirectorNamed in relation to findings and plan of correction
Maria PartozaLicensing Program AnalystConducted inspection and authored report
Manuel MonterLicensing Program AnalystConducted inspection
Romeo ManzanoSupervisorSupervisor overseeing inspection

Inspection Report

Census: 5 Capacity: 6 Deficiencies: 0 Date: Jan 17, 2024

Visit Reason
The visit was an unannounced case management visit conducted by the Licensing Program Analyst to evaluate the facility and meet with the administrator.

Findings
No deficiencies were cited during the visit. The Licensing Program Analyst met with the administrator, who provided information about his recent start date and the care plans for residents.

Report Facts
Capacity: 6 Census: 5

Employees mentioned
NameTitleContext
Armando GubaAdministratorMet with Licensing Program Analyst during the case management visit and provided information about facility operations
Manuel MonterLicensing Program AnalystConducted the unannounced case management visit
Romeo ManzanoLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Census: 5 Capacity: 6 Deficiencies: 0 Date: Jan 17, 2024

Visit Reason
The visit was an unannounced case management visit conducted by the Licensing Program Analyst to evaluate the facility and meet with the administrator.

Findings
No deficiencies were cited during the visit. The Licensing Program Analyst interviewed the administrator and a staff member, confirming the administrator's recent start date and knowledge of resident care plans.

Employees mentioned
NameTitleContext
Armando GubaAdministratorMet with Licensing Program Analyst during the case management visit and discussed facility operations.
Manuel MonterLicensing Program AnalystConducted the unannounced case management visit.

Inspection Report

Complaint Investigation
Census: 3 Capacity: 6 Deficiencies: 0 Date: Oct 4, 2023

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 06/19/2023 alleging staff were not meeting residents' dietary needs, not providing adequate food service, and leaving a resident in a soiled diaper for an extended period.

Complaint Details
The complaint alleged staff were not meeting residents' dietary needs, not providing adequate food service, and leaving a resident in a soiled diaper overnight. Interviews with residents, staff, and the administrator, as well as observations, did not provide sufficient evidence to substantiate these allegations. The complaint was determined to be unsubstantiated.
Findings
The investigation found sufficient food supply and accommodations for residents' dietary needs, with staff providing additional servings upon request. Residents and staff interviews indicated that toiletry needs were met regularly. However, one resident reported insufficient food variety and occasional delays in assistance. Overall, there was insufficient evidence to substantiate the allegations, and the complaint was unsubstantiated.

Report Facts
Facility capacity: 6 Resident census: 3 Complaint receipt date: Jun 19, 2023 Complaint control number: 26

Employees mentioned
NameTitleContext
Manuel MonterLicensing Program AnalystConducted the complaint investigation and interviews
Tingxiu LiAdministratorFacility administrator interviewed regarding allegations

Inspection Report

Complaint Investigation
Census: 3 Capacity: 6 Deficiencies: 0 Date: Oct 4, 2023

Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff were not meeting residents' dietary needs, not providing adequate food service, and left a resident in a soiled diaper for an extended period of time.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included inadequate dietary provision and leaving a resident in a soiled diaper overnight. Interviews and observations did not support these claims.
Findings
The investigation found that the facility provided sufficient food supplies and accommodated residents' dietary needs, including diabetic diets. Interviews with residents and staff indicated that food service was generally adequate, though one resident expressed dissatisfaction with breakfast quality. Regarding toiletry care, staff checked residents every 2-3 hours and complied with requests for changes. There was no evidence residents were left soiled for extended periods. Overall, the allegations were unsubstantiated due to lack of preponderance of evidence.

Report Facts
Capacity: 6 Census: 3

Employees mentioned
NameTitleContext
Manuel MonterLicensing Program AnalystConducted the complaint investigation
Tingxiu LiAdministratorFacility administrator interviewed during investigation
Romeo ManzanoLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 8 Date: Aug 25, 2023

Visit Reason
The inspection was an unannounced annual facility inspection conducted to evaluate compliance with regulatory requirements for the Rose Garden Elderly Care LLC.

Findings
The inspection identified multiple deficiencies including unclean conditions such as full trash bins causing foul odors, improperly secured disinfectants and medications, excessively high hot water temperature, lack of CPR and first aid certification among staff, missing resident appraisal/needs and services plans, and incomplete medication storage records.

Deficiencies (8)
Full trash bins causing foul odor, dirty refrigerator/freezer in garage, and dirty piles of wipes in backyard.
Hot water temperature maintained at 150 degrees Fahrenheit, exceeding safe limits.
Disinfectants, medications, and sharp objects not properly locked and secured.
Staff and administrator lack active CPR and first aid certification.
No appraisal/needs and services plan developed for 5 out of 5 residents.
No evacuation drill provided to staff as required quarterly.
Staff not trained on use of postural supports for residents using bed rails.
Centrally stored medications not kept in a safe and locked place accessible only to responsible employees.
Report Facts
Capacity: 6 Census: 5 Hot water temperature: 150 Residents without appraisal/needs plan: 5 Residents using half bed rails: 3 Residents using full length bed rails: 2 Staff without CPR and first aid certification: 3

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorFacility administrator met during inspection and named in findings related to facility conditions and compliance
Christine DoloresLicensing Program AnalystConducted the inspection and authored the report
Sarah YipLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 7 Date: Aug 25, 2023

Visit Reason
The inspection was an unannounced annual facility inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.

Findings
The inspection found multiple deficiencies including unclean conditions such as full trash bins causing foul odors, improperly secured disinfectants and medications, hot water temperature exceeding regulatory limits, lack of CPR and first aid certification for staff, missing resident appraisal/needs and services plans, and incomplete medication records.

Deficiencies (7)
Full trash bins causing foul odor, dirty refrigerator/freezer in garage, and dirty wipes in backyard.
Hot water temperature maintained at 150 degrees Fahrenheit, exceeding allowed limits.
Disinfectants and cleaning solutions in kitchen and closet not stored where inaccessible to clients.
Staff not provided CPR and first aid certification.
Failure to develop appraisal/needs and services plan for 5 out of 5 residents.
Staff not provided evacuation drill training.
Centrally stored medications not kept in a safe and locked place accessible only to responsible employees.
Report Facts
Capacity: 6 Census: 5 Hot water temperature: 150 Residents without appraisal/needs plan: 5 Residents using half bed rails: 3 Residents using full length bed rails: 2 Staff without CPR and First Aid certification: 3

Employees mentioned
NameTitleContext
Tingxiu LiLicensee / AdministratorMet with Licensing Program Analyst during inspection and named in findings
Christine DoloresLicensing Program AnalystConducted the inspection and authored the report
Sarah YipSupervisorSupervisor overseeing the inspection

Inspection Report

Original Licensing
Capacity: 6 Deficiencies: 0 Date: Jul 6, 2022

Visit Reason
The inspection was a pre-licensing visit conducted to evaluate the facility for licensure.

Findings
The facility was toured and inspected, found to be in good repair with functioning smoke detectors and fire extinguisher. No residents or staff were present. Some conditions for licensure remain, including creation of an emergency key set, obtaining liability insurance, and adjusting water temperature to between 105°F and 120°F.

Report Facts
Water temperature: 96.1 Fire extinguisher purchase date: May 15, 2022

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorMet with Licensing Program Analyst during pre-licensing inspection
Ryker HeberleLicensing Program AnalystConducted the pre-licensing inspection
Sarah YipLicensing Program ManagerNamed in report header

Inspection Report

Original Licensing
Capacity: 6 Deficiencies: 0 Date: Jul 6, 2022

Visit Reason
Licensing Program Analyst Ryker Heberle conducted an announced pre-licensing inspection of the facility to evaluate its readiness for licensure.

Findings
The facility was found to be in good repair with functioning smoke detectors, fire extinguisher, clean and furnished resident bedrooms, and safe bathrooms. The facility currently has no residents or staff aside from the licensee. Licensure is recommended pending creation of an emergency key set, obtaining liability insurance, and adjustment of water temperature to between 105°F and 120°F.

Report Facts
Water temperature measured: 96.1 Fire extinguisher purchase date: May 15, 2022 Food supply duration: 2 Food supply duration: 7

Employees mentioned
NameTitleContext
Tingxiu LiAdministratorMet with Licensing Program Analyst during pre-licensing inspection
Ryker HeberleLicensing Program AnalystConducted the pre-licensing inspection

Inspection Report

Original Licensing
Capacity: 6 Deficiencies: 0 Date: Jun 29, 2022

Visit Reason
The visit was conducted as a pre-licensing evaluation via telephone call to assess the applicant's and administrator's understanding of Title 22 regulations and facility operation requirements.

Findings
The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of facility operation, staff qualifications, training, grievance procedures, food service, medication management, and reporting processes. No deficiencies were noted.

Employees mentioned
NameTitleContext
Ting Xiu LiAdministrator/OwnerParticipated in COMP II telephone call confirming understanding of licensing requirements
Shannon BetkerAnalystCAB analyst who conducted the COMP II telephone call
Darla NeeleyCAB ManagerParticipant in COMP II telephone call
Jude De La ConcepcionSupervisorSupervisor named in the report

Inspection Report

Original Licensing
Capacity: 6 Deficiencies: 0 Date: Jun 29, 2022

Visit Reason
The visit was a pre-licensing inspection conducted via telephone call to evaluate the applicant's understanding of licensing requirements and facility operation.

Findings
The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, training, grievances, food service, medication management, and reporting processes.

Employees mentioned
NameTitleContext
Ting Xiu LiAdministrator/OwnerParticipated in COMP II and confirmed understanding of licensing requirements.
Shannon BetkerAnalystCAB analyst who conducted the telephone call and confirmed applicant's understanding.
Darla NeeleyCAB managerParticipant in COMP II telephone call.
Jude De La ConcepcionLicensing Program ManagerNamed in report header and signature section.

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