Garden Crest

Licensing Program Analysts (LPA) Luis De Leon conducted an initial unannounced complaint investigation visit for the allegation listed above. LPA met with the Administrator Waynn Romero and explained the reason for the visit. The investigation consisted of the following: On today’s visit, LPA De Leon toured the physical plant with Facility Administrator and obtained the current resident and staff roster. Relevant copies of resident (R1's) file documents were reviewed and obtained, along with admission agreement, physician’s report, needs and service plan, MARs log and facility training for transferring techniques. Regarding allegation: Staff handled resident in a rough manner. It is alleged that residents are handled in a rough manner when staff assist residents with transferring from bed to chair. Investigation consisted of interviews with staff, residents, and review of R1 facility file, including admission agreement, physician’s report, needs and service plan, and MARs logs. (ReportRead the full finding— CDSS inspection report, June 2, 2026 · control 28-AS-20260528091814

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced complaint visit on 02/19/2026 to deliver findings related to the above allegation. LPA met with Administrator Waynn Romero and explained the purpose of the visit. The investigation included a review of the client roster, staff roster, resident face sheets, physician’s reports, medication orders and progress notes. In addition, LPA reviewed documentation related to home health services involved in R1’s care. LPA also conducted interviews with four (4) staff members (S1–S4), two (2) witnesses (W1–W2), and five (5) residents (R1–R5). (continued 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, February 19, 2026 · control 28-AS-20260129121605

Licensing Program Analysts (LPA) Luis De Leon conducted an initial unannounced 10-day complaint investigation visit for the allegations listed above. LPA met with the Activities Director Waynn-Nietzle Romero and explained the reason for the visit. Ms. Romero contacted Administrator Mary Ann De Jesus Villegas to inform of today’s visit. The administrator joined the visit at 9:30 AM. The investigation consisted of the following: On today’s visit, LPA De Leon interviewed the Administrator and obtained staff, resident rosters and discharge roster. Both resident roster and discharge roster reveal that the individual #1 (I1) does not currently reside and/or was never a resident at the facility. The interview with administrator De Jesus Villegas confirmed that the individual has not resided at the facility. This agency has investigated the complaint alleging staff did not safeguard resident’s personal belongings, and that facility failed to address resident’s medical needs. We have found thatRead the full finding— CDSS inspection report, August 21, 2025 · control 28-AS-20250815143343

Licensing Program Analyst (LPA) Galarza conducted an initial 10-day complaint investigation visit in regards to the allegation listed above. LPA discussed the purpose of the visit with DSP Estrella Joaquin. Administrator was explained the purpose of the visit telephonically. The investigation consisted of: A tour of the interior and exterior physical plant was conducted, with focus on laundry area and R1's room. Staff (S1- S5) and residents (R1-R6) were interviewed. The following documents were reviewed and obtained: Face Sheet, Physician's Report (10/4/2017), Emergency Department Summary (6/26/23), Admission Agreement, incident report (6/26/23), Appraisal, staff roster, and resident roster. Note: A case management visit was created in reference to record review. ***See narrative summary on next page.*** UnsubstantiatedRead the full finding— CDSS inspection report, August 11, 2023 · control 28-AS-20230804120943