ROSE GARDEN SENIOR HOUSING

Official classification

Type B

Official code

87705(d)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (d) The licensee shall ensure that the facility has an auditory device... to monitor exits on exterior doors and perimeter fence gates... This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as auditory alarms installed on doors leading to an active construction site on the property were not engaged which poses a potential safety risk to clients in care.

Official plan of correction

Designee agreed to submit a statement of understanding confirming that the auditory alarms will stay on and active while construction is on going and while the facility retains any residents with major neurocognitive disorder/dementia. Designee agreed to submit the statement to CCLD no later than POC due date.

Deadline recorded: Jul 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(4)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (4) ...unless equipped with sturdy hand railings and unless well-lighted. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above as an entryway hand railing was not installed securely which poses a potential safety risk to clients in care.

Official plan of correction

Designee agreed to have repairs to the railing performed to ensure that the railing is installed securely. Designee agreed to submit proof of the repairs to CCLD no later than POC due date.

Deadline recorded: Jul 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(5)(B)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a) ...(5) ... (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care... This requirement is not met as evidenced by: Based on observation and record review the licensee did not comply with the section cited above as a resident who was not receiving hospice care had full bed rails installed which poses a potential personal rights risk to clients in care.

Official plan of correction

Designee agreed to remove the full bed rails from the identified resident's bed and to send proof of the removed full bed rails to CCLD no later than POC due date.

Deadline recorded: Jul 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(c)(2)(A)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (c) Licensees shall maintain.... (2) Documentation of staff training shall include: (A) Trainer’s full name; This requirement is not met as evidenced by: Based on record review the licensee did not comply with the section cited above as staff trainings reviewed were missing the name of the trainer which poses a potential health, safety, or personal rights risk to clients in care.

Official plan of correction

Designee agreed to add the staff trainers name to all completed staff trainings and to send proof of the updated documents to CCLD no later than POC due date.

Deadline recorded: Jul 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above as there is an individual residing in the facility garage and the fire clearance states " Garage to be used as a garage only " which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Licensee agreed to remove the identified individual from the garage. Licensee agreed to submit a signed statement confirming that no individual will reside in the facility's garage until the garage has been approved as an ADU and a certificate of occupancy is obtained for the building.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as a cabinet was observed to be unlocked and contained two (2) unsecured bottles of bleach which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/06/2025 Plan of Correction Administrator secured the cabinet at the time of the visit. POC cleared.

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above as I1 was observed to be residing in the facility garage. The Administrator stated that I1 had resided there since july. LPA observed I1 to have finger print clearance but I1 was not associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/07/2025 Plan of Correction Administrator agreed to associate I1 to the facility and send proof to LPA no later than POC due date.

Official classification

Type A

Official code

87465(h)(1)(C)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (1) Medications shall be centrally stored under the following circumstances: (C) Because of potential dangers related to the medication itself, or due to physical arrangements in the facility and the condition or the habits of other persons in the facility, the medications are determined by either a physician, the administrator, or Department to be a safety hazard to others. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as R1's two inhlaers were observed to be stored on their dresser accessable to clients in care which poses an immediate health or safety risk to persons in care.

Official plan of correction

POC Due Date: 10/06/2025 Plan of Correction Administrator secured the medications at the time of the visit. POC cleared.

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review...prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on file review and interview the licensee did not comply with the section cited above as one employee did not have a transfer of their criminal record clearance which poses an immediate health, safety, or personal rights risk to clients in care.

Official plan of correction

Licensee will submit proof of association of S1 to the facility no later than POC due date.

Deadline recorded: May 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.319(a)

Regulation authority

HSC

What the official deficiency says

§1569.319 (a) A licensee...shall provide at least one internet access device...that can support ... videoconferencing technology, including microphone and camera functions, and is dedicated for resident use. This requirement is not met as evidenced by: Based on observation and interview the licensee did not comply with the section cited above as the facility did not have a resident dedicated internet access device which poses a potential health or personal rights risk to clients in care.

Official plan of correction

Licensee will submit proof of an appropriate internet access device to stay at the facility and be for resident use. Licensee will submit proof no later than POC due date.

Deadline recorded: May 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(5)(D)

Regulation authority

CCR

What the official deficiency says

87465Incidental Medical and Dental care (a) ...compliance with the following: (5) ... shall be limited to the following: (D Assistance with self-administration does not include...hiding or camouflaging medications in other substances... This requirement is not met as evidenced by: Based on interview the licensee did not comply with the section cited above as the facility has been crushing R1's medications into their food which poses a potential personal rights risk to clients in care.

Official plan of correction

Licensee will submit a statement of understanding confirming that they will not disguise or crush medications of residents. Licensee will submit this statement to CCLD no later than POC due date.

Deadline recorded: May 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(2)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) ... provide for assistance in obtaining such care... (2) ...This includes transportation... the licensee shall do so directly or make arrangements for this service. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as R1 has not been to two in-person medical appointments during their care at the facility which poses a potential health risk to clients in care.

Official plan of correction

Licensee will submit a statement of understanding confirming that they will assist residents with their transportation needs to medical appointments. Licensee will submit their plan on how they will obtain transportation for R1 no later than POC due date.

Deadline recorded: May 5, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) ...provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above as R1 has not been receiving 11 medications that were perscribed by their physician which poses a potential health risk to clients in care.

Official plan of correction

Licensee will submit proof that the 11 identified medications have arrived at the facility and are being given as prescribed no later than POC due date.

Deadline recorded: May 5, 2025. A deadline is not proof that correction was completed.