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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426422
Report Date: 01/30/2024
Date Signed: 01/30/2024 02:45:52 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/12/2023 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20231212130733
FACILITY NAME:ROSE GARDEN RESIDENTIAL CAREFACILITY NUMBER:
366426422
ADMINISTRATOR:DANICA TURNERFACILITY TYPE:
740
ADDRESS:1350 WABASH AVE.TELEPHONE:
(909) 794-1040
CITY:MENTONESTATE: CAZIP CODE:
92359
CAPACITY:63CENSUS: 53DATE:
01/30/2024
UNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:David Monroy, Vice President of OperationsTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff physical abuse residents
Staff did not treat residents with dignity and respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding the above allegations. LPA Prieto met with Vice President of Operations Davis Monroy and explained the elements of the complaint.

Regarding the allegation of Staff physical abuse residents; LPA interviewed eight residents (R1, R2, R3, R4, R5, R6, R7, R8). None of the resident interviewed express any abuse from staff. In addition, all residents interviewed have not witness any abuse from staff to other residents. LPA interviewed staff #1 (S1, S3, S4, S5), none of the staff interviewed stated that they have been involved in abuse of residents or witnessed other staff abuse residents in care. Facility administrator states that the have
***continued on LIC 9099 ***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024
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 56-AS-20231212130733
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: ROSE GARDEN RESIDENTIAL CARE
FACILITY NUMBER: 366426422
VISIT DATE: 01/30/2024
NARRATIVE
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policies in place for reporting and such incidents. LPA Prieto obtained the latest incident reports for our records. None of the incident reports obtained indicated abuse of residents.

Regarding the allegation that Staff did not treat residents with dignity and respect; LPA interviewed eight residents (R1, R2, R3, R4, R5, R6, R7, R8). All residents interviewed stated that the staff treat them with dignity and are comfortable with the care being provided.

Based on the information obtained there is not enough evidence that staff physical abuse residents and staff did not treat residents with dignity and respect. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Vice President of Operations David Monroy and a copy was left with the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2