<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880541
Report Date: 12/10/2025
Date Signed: 12/10/2025 04:09:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/24/2024 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20240724163221
FACILITY NAME:ROLLING GREEN SENIOR CAREFACILITY NUMBER:
331880541
ADMINISTRATOR:OKORO, GERTRUDEFACILITY TYPE:
740
ADDRESS:42007 THOROUGHBRED LNTELEPHONE:
(951) 397-3369
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:6CENSUS: 4DATE:
12/10/2025
UNANNOUNCEDTIME BEGAN:
11:21 AM
MET WITH:Okoro GertrudeTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff failed to provided medical attention for a resident in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On December 10, 2025, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegations and to deliver findings. The Department was met by Staff Florence Ezeh, and subsequently, spoke with Administrator via telephone and the purpose of the visit was explained.
Investigation consisted of the following:
On August 1, 2024, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegations mentioned above. During the visit, it was determined that the complaint required further investigation.
On December 10, 2025, the Department requested and obtain the following documents:Staff Schedule (dated 9/25/25), Client Roster (dated 9/25/25), R1's Physician's report (dated; 4/30/25) Pre-placement appraisal, (dated 5/2/21), Physician's order (dated 12/19/23) Wound care--WoundTech notes (dated 8/16/24)

Page 1 of 3
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
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 3
Control Number 18-AS-20240724163221
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ROLLING GREEN SENIOR CARE
FACILITY NUMBER: 331880541
VISIT DATE: 12/10/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The investigation revealed the following:

Allegation: Facility staff failed to provide medical attention for a resident in care.

The detail of complaint alleges that the board and care staff are neglecting R1 due to a foot wound.

On December 10, 2025, at 1:27pm, the Department interviewed Gertrude Okoro (A1) who denied the allegation stating “R1 always receive medical attention when needed. A1 further stated that "yes, there are times when R1 would refuse wound care service, but our staff always comes back to him and encourage him to have services done. R1 would come around and except the service”

On December 10, 2025, between 3:00pm and 4:00pm, the Department interviewed 2 staff (S1-S2) regarding the allegation. Of those interviewed, 2 out of 2 denied the allegation stating that R1 has never been neglected and that R1 refuses services sometimes, but they continue to try to persuade R1 to allow them to help him.

On December 10, 2025, between 2:30pm and 3:30pm the Department interviewed 3 Residents(R2-R4); R1 refused to be interviewed. Of those interviewed, 3 out of 3 stated that staff treat them well and when they get a wound staff take care of it.

Page 2 of 3

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20240724163221
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ROLLING GREEN SENIOR CARE
FACILITY NUMBER: 331880541
VISIT DATE: 12/10/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On December 10, 2025, the Department reviewed and evaluated the following documents: R1’s physician’s report dated (4/30/25), Home health (Wound care of California) dated 8/16/24. The documents reveal that R1 has wound care services in place. The department also reviewed shift notes which indicate when R1 refuse services.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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 allegation is UNSUBSTANTIATED.

There were no deficiencies cited during today’s visit.

Exit interview conducted with Administrator and copy of report provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3