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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045002775
Report Date: 03/23/2026
Date Signed: 03/23/2026 04:39:32 PM

Substantiated


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
03/13/2026 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20260313134725
FACILITY NAME:ROSELEAF GARDENSFACILITY NUMBER:
045002775
ADMINISTRATOR:MALAGON, BAILEYFACILITY TYPE:
740
ADDRESS:2770 SIERRA LADERATELEPHONE:
(530) 895-0800
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:56CENSUS: 28DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Grace Hawkins, Administrator. TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility phone number has been disconnected causing communication issues.
INVESTIGATION FINDINGS:
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On March 23, 2026, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose of opening a complaint investigation receieved on March 13, 2026. LPA Adkison was greeted by Grace Hawkins, Adminsitrator, and explained the purpose of the visit. During the vist, there were 28 residents and 4 staff providing direct care.

Allegation: Facility phone number has been disconnected causing communication issues.

It was alleged that the phone number listed for the facility's website had been disconnected, causing family members and the general public to be unable to communicate with residents living at the facility.

LPA reviewed the facility's website, which listed the phone number 530-924-5531. LPA called this number and received the message " Sorry, this number is no longer in service." This same phone number was listed for the facility on Google.com. LPA reviewed Yelp.com, which listed the phone number 530-895-0800. LPA called this number and received the message "The number you have called is temporarily unavailable." It is noted that 530-895-0800 is the same phone number Community Care Licensing (CCL) has on record for the facility.

Continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
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 3
Control Number 59-AS-20260313134725
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/20/2026
Section Cited
CCR
87468.1(a)(14)
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87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(14) To have reasonable access to telephones, to both make and receive confidential calls.
This is evidenced by:
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The licensee agrees to arrange to have a functioning telephone number that can be answered at all times. The licensee shall update their website and Google profile to reflect a current, working, telephone number. Licensee shall infom family/POA of each resident of the new phone number, if deemed necessary.
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Based on observation and record review, the licensee failed to ensure that the facility had reliable and correctly functioning telephone service which prevented families from being able to contact residents. This poses a potential health, safety, and/or personal rights risk to residents in care.
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POC shall be completed and licensee/administrator shall inform LPA of changes made by end of business April 20, 2026.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20260313134725
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: 03/23/2026
NARRATIVE
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LPA interviewed staff (S1) who stated they were aware the phone number on the facilities website was incorrect, however, the facility did have a working phone number that S1 had provided to families at an earlier date. LPA interviewed Administrator who stated they were aware of the phone numbers on line being incorrect. The facility is in the process of changing ownership. Administrator stated there is already work being done to update all phone numbers and websites. Administrator further stated the facility has had Comcast out recently to work on the existing phone line, however, they had not completed the job at this time.

Based on observation and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Exit Interview conducted. A copy of this report and Appeal Rights were provided to Administrator, Grace Hawkins, via email.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3