366426422-2-19-2026-56-AS-KCLS-DRKULC-20260223144032

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366426422
Report Date: 02/19/2026
Date Signed: 02/19/2026 01:13:31 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO 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
06/13/2024 and conducted by Evaluator Sarina Ramirez

COMPLAINT CONTROL NUMBER: 56-AS-20240613094612

FACILITY NAME:	ROSE GARDEN RESIDENTIAL CARE		FACILITY NUMBER:	366426422
ADMINISTRATOR:	DANICA TURNER		FACILITY TYPE:	740
ADDRESS:	1350 WABASH AVE.		TELEPHONE:	(909) 794-1040
CITY:	MENTONE	STATE: CA	ZIP CODE:	92359
CAPACITY:	63	CENSUS: 53	DATE:	02/19/2026
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Executive Director Melissa Buckridge		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Residents sustained injuries due to staff neglect.
Staff does not provide adequate supervision to residents in care.
Staff leaves residents on the floor for an extended period of time.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrtaor Melissa Buckridge, and discussed the purpose of the visit.

Regarding allegation #1, LPA interviewed eight (8) residents. Seven (7) residents reported they have neither sustained injuries nor witnessed other residents sustain injuries due to staff neglect. One (1) resident stated they have not experienced any falls and therefore have not sustained injuries.

LPA also interviewed six (6) staff members, all of whom stated that residents have not sustained injuries due to staff neglect. Additionally, one (1) staff noted that the residents’ skin are very sensitive, and even minor nicks can result in skin tears.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

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-20240613094612

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: ROSE GARDEN RESIDENTIAL CARE	FACILITY NUMBER: 366426422
	VISIT DATE: 02/19/2026

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

Regarding Allegation #2, LPA interviewed eight (8) residents. Five (5) residents reported that there is adequate staff supervision for residents in care, while three (3) residents stated that staff supervision is insufficient.

LPA interviewed six (6) staff members, all of whom confirmed that there are adequate staffing and supervision for residents in care.

Regarding Allegation #3, LPA interviewed eight (8) residents. Seven (7) residents stated they have not been left on the floor nor observed other residents being left on the floor for an extended period. One (1) resident reported witnessing a resident left on the floor for an extended period.

LPA interviewed six (6) staff members, all of whom stated that residents are not left on the floor for extended periods. Staff explained that they respond immediately after a fall; however, some residents require evaluation prior to being assisted to ensure their safety.

Based on LPA’s observations, interviews, and relevant documentation, the allegations are determined to be Unsubstantiated. An Unsubstantiated finding means that although the allegations may be valid or could have occurred, there is insufficient evidence to support that the alleged violations did or did not happen.

An exit interview was conducted with Administrator Melissa Buckridge, and a copy of this report was provided at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2