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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 05:00:30 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
07/23/2025 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20250723170249
FACILITY NAME:ROSELEAF GARDENSFACILITY NUMBER:
045002775
ADMINISTRATOR:OWENS, JESSICAFACILITY TYPE:
740
ADDRESS:2770 SIERRA LADERATELEPHONE:
(530) 895-0800
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:56CENSUS: 28DATE:
03/23/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Amanda Harb, Resident Care CoordiantorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident sustained wound injuries due to staff's neglect
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On March 23, 2026, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose of delivering complaint findings. LPA Adkison was greeted by Amanda Harb, Resident Care Cooridnator (RCC), and explained the purpose of the visit. During the visit, there were 28 residents and 4 staff providing care.

Department of Social Services-Community Care Licensing Division-Investigations Branch, Investigator Blatnick obtained and reviewed records, interviewed staff members and witnesses. In addition, Investigator Blatnick reviewed medical records and facility records.

Allegation: Resident sustained wound injuries due to staff's neglect

It was alleged that R1 sustained bilateral foot wounds caused by a fungal infection due to staff's neglect.

Investigator Blatnick reviewed faciity records and hospital records as well and conducted interviews with facility and Home Health staff. R1 was unable to provide a statement related to the allegation. Based on statements obtained and the records reviewed, Investigator determined it was unclear if staff neglect resulted in the wounds.

Although the allegation may have happened, the preponderance of evidence has not been met, and the allegation is therefore UNSUBSTANTIATED. Exit interveiw conducted and a copy of this report was provided to Administrator, Grace Hawkins, via email.
Unsubstantiated
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)
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