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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045002775
Report Date: 03/25/2025
Date Signed: 03/26/2025 01:43:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/23/2025 and conducted by Evaluator Donna Gurriere
COMPLAINT CONTROL NUMBER: 59-AS-20250123105158
FACILITY NAME:ROSELEAF GARDENSFACILITY NUMBER:
045002775
ADMINISTRATOR:BINGHAM, DIANIAFACILITY TYPE:
740
ADDRESS:2770 SIERRA LADERATELEPHONE:
(530) 895-0800
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:56CENSUS: 31DATE:
03/25/2025
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:DIANIA BINGHAMTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility staff mismanaging resident supplies.
Facility staff do not provide a safe and environment for residents.
Facility is in disrepair.
INVESTIGATION FINDINGS:
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The contents of this report was provided and signed by the administrator on 03/18/25.

On 03/18/25 Donna Gurriere, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 10/22/24. LPA Gurriere met with Diania Bingham, Administrator and explained the purpose of the visit.

Facility staff mismanaging resident supplies.

During the interview process, the administrator and seven staff persons were interviewed. Documents were obtained to include resident observations, resident roster, Physician’s Report, Individual Service Plan, Resident’s Quarterly Report and staff names and cell numbers.

continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
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 59-AS-20250123105158
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ROSELEAF GARDENS
FACILITY NUMBER: 045002775
VISIT DATE: 03/25/2025
NARRATIVE
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During the investigation process, most staff reported that they heard that there was a problem with the resident’s pads and briefs going missing; however, did not know why. It was reported that the issue was cleared up when the resident’s pads and briefs were locked and monitored through the facility’s medication room.

Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated.

Facility staff do not provide a safe and environment for residents.
During the interview process, the administrator and seven staff persons were interviewed. Documents were obtained to include resident observations, resident roster, Physician’s Report, Individual Service Plan, Resident’s Quarterly Report and staff names and cell numbers.

During the investigation process, nearly all staff reported that a female resident is aggressive to staff persons and at times to other residents. Staff agreed that the resident cannot always help herself due to her diagnosis. Staff stated that they are available to intervene when necessary.

Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated.

Facility is in disrepair.
During the interview process, the administrator and seven staff persons were interviewed. Documents were obtained to include resident observations, resident roster, Physician’s Report, Individual Service Plan, Resident’s Quarterly Report and staff names and cell numbers.

During the investigation process, it was reported that the resident’s (Resident 1) bedroom dresser was in disrepair. Staff were interviewed and nearly all stated that they were not aware of the resident’s dresser being in disrepair.

Although the above allegation mentioned may have happened, or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the above findings are Unsubstantiated.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2