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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426422
Report Date: 01/14/2025
Date Signed: 01/14/2025 12:35:07 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
01/06/2025 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 56-AS-20250106091955
FACILITY NAME:ROSE GARDEN RESIDENTIAL CAREFACILITY NUMBER:
366426422
ADMINISTRATOR:GARCIA, CELIAFACILITY TYPE:
740
ADDRESS:1350 WABASH AVE.TELEPHONE:
(909) 794-1040
CITY:MENTONESTATE: CAZIP CODE:
92359
CAPACITY:63CENSUS: 52DATE:
01/14/2025
UNANNOUNCEDTIME BEGAN:
10:23 AM
MET WITH:Schmone Bard-Administrator TIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff do not intervene between residents who are behaving aggressively.
Administrator is not on the premises a sufficient number of hours to permit adequate attention to the facility.
Staff do not properly maintain the facility.
Licensee does not ensure facility is adequately staffed to meet residents needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to the facility to initiate a complaint investigation and deliver the findings. LPA Allen met with Administrator Schmone Bard who was informed of the purpose of the visit and the allegations.

The investigation consisted of interviews with staff and residents , as well as a tour of the facility, both inside and out.
During the visit, LPA Allen interviewed staff members and residents who acknowledged occasional instances of aggression between clients, but staff members intervene promptly and redirect the clients. Staff also confirmed that an acting Administrator had visited the facility previously, and a new Administrator has been in place since January 8, 2025.

LPA Allen noted that the facility was clean, free of debris and odors. Additionally, LPA observed that there was enough food, including a 7-day supply of non-perishable items and a 5-day supply of perishable items for the residents in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
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 2
Control Number 56-AS-20250106091955
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: 01/14/2025
NARRATIVE
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The staff interviews revealed that there are occasional challenges due to staff callouts, but other staff members are called in to cover shifts as needed. LPA Allen observed a staff schedule dated January 14, 2025, which indicated that there is sufficient staff available to care for the residents.

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 Shamone Bard- Administrator at the conclusion of the visit with appeal rights.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2