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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426422
Report Date: 12/23/2024
Date Signed: 12/23/2024 08:26:10 AM

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
10/03/2024 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 56-AS-20241003123839
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: 50DATE:
12/23/2024
ANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Michelle Reyes-Business Office ManagerTIME COMPLETED:
08:30 AM
ALLEGATION(S):
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Staff did not alert the residents of the change in the license.
Staff is yelling at the residents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen met with Business Office Manager Michelle Reyes at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office on 12/23/2024 at 8:00 AM to deliver the findings of the above allegations. LPA Allen explained the purpose of the requested office visit.

The investigation involved interviews with staff members, residents, responsible parties, and a review of records.

Staff interviews revealed that there were informal discussions about the facility being sold to another company prior to the official notification of the change in ownership. However, staff were later formally notified at the facility, and about two weeks after that, a written notice was mailed to both staff and residents' responsible parties. LPA also reviewed a copy of the letter notifying individuals of the change in facility ownership.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
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-20241003123839
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: 12/23/2024
NARRATIVE
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LPA attempted to interview residents in care, but they were not able to confirm or deny the allegation of staff yelling at them. Additionally, the responsible parties of the residents were asked if they or their family members had ever experienced or heard of staff members yelling at them, and they all stated no.

Based on the evidence gathered during the investigation, the above allegation is found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Michelle Reyes at the conclusion of the visit with appeal rights.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2