Rosemont Gardens

Type of visit: Case Management - Other

On 9/15/2026 at 10:45 am, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a case management visit to deliver amended report originally dated 5/8/2026. LPA met with Roselyn Chand, Administrator and informed her the reason for visit. LPA was unable to obtain the original report dated 5/8/2026 from the Administrator. No deficiencies are being cited on this date. Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Sep 15, 2026

Type of visit: Case Management - Incident

On 7/9/2026 at 12:50 pm, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 07/05/2026. LPA met with Roselyn Chand, Administrator and explained the purpose of the visit. LPA received a self-reported incident report from the facility that indicated that on 07/05/2026, at 10:10 am, Resident (R1) eloped from the facility. Interview with staff (S1) revealed that S2 discovered that R1 was missing during lunch time. S1 stated that R1 jumped the side fence and left the facility. S1 stated that S2 informed S1 via telephone and other care staff on site. S1 stated that R1's family and 911 was called. S1 stated that they were driving around looking for R1. S1 stated that before 911 could finish their police report, R1 arrived to the facility independently at 12:20 pm. During record review, LPA observed R1's physician report dated 02/05/2026 indicates that R1 is unable to leave the facility unassisted. LPA observed R1's Functional Capability Assessment dated 04/01/2026 indicates that "need to monitor, can wander out." The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiency within a 12-month period may result in civil penalty. Exit interview conducted with Roselyn. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 9, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Jul 16, 2026

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision.. This requirement was not met as evidence by: Based on record review and interview, the licensee did not comply with the section cited above by R1 leaving the facility unassisted which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 9, 2026

Plan of correction: By POC date, The Administrator agrees to create a plan on increasing safety checks with residents with elopement or wandering, and conducting an in-service training with staff regarding supervision and elopement and send a copy of the training and plan to CCLD.

Allegation investigated: Facility staff member took picture of resident in the nude.

On 6/4/2026 at 12:45 pm, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings for the allegation above. LPA met with Administrator Roselyn Chand and explained the purpose of the visit. During the investigation, LPA interviewed W1 and 5 staff members. LPA obtained and reviewed the facilities LIC500 (Personnel Record), in-service training, and employee warning notice. Allegation: Facility staff member took picture of resident in the nude. Finding: Substantiated Continued on LIC9099-C. Substantiated Continued from LIC9099. W1 stated that on 12/29/2025, S4 took a picture with their personal phone of R1 in the nude. W1 stated that S4 stated that they took a photo of R1 in the nude to show W1 that R1 takes their clothes off on their own. Interview with S2 revealed that they were made aware that S4 took a photo of R1 while in the nude from W1 and S2 spoke with S4 about the incident. S2 stated that they observed the photo in S4's phone and told S4 to delete it. S2 stated that S4 deleted the photo and S4 received an employee written notice regarding the incident. S2 stated that they conducted an all employee in-service regarding the incident. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation was found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit Interview conducted with Roselyn, appeal rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 4, 2026 · control 15-AS-20260601102342

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Jun 5, 2026

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in that a staff member took a photo of R1 in the nude which posed an immediate personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 4, 2026

Plan of correction: By POC date, the Administrator agrees to complete an all staff in-service retraining on Personal Rights Of Residents in all Facilities and compliance with section 87468.1 and send proof of the in-service to CCLD.

Type of visit: Case Management - Deficiencies

On 6/4/2026 at 11:30 AM, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a Case Management visit. LPA met with Licensee Allen Leung and Backup Administrator Jeffrey. While LPA Y. Brown was conducting a complaint investigation (15-AS-20260601102342) on 6/4/2026 during file review and interview LPA discovered: 1. The facility did not submit any incident reports or notify licensing regarding staff taking a nude photo of resident. The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Roselyn and a copy of this report, LIC421FC appeal rights provided.the state’s words, verbatim · CDSS document, Jun 4, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a) · Plan of correction due date: Jun 11, 2026

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in that the facility did not report a staff member taking a photo of R1 in the nude which posed an immediate personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 4, 2026

Plan of correction: By POC due date, the Administrator agrees to complete an all staff in-service retraining on reporting requirements and compliance with section 87211 and send proof of the in-service to CCLD.

Allegation investigated: Facility staff did not seek medical attention for residents with scabies. Facility staff did not adequately supervise resident who is a fall risk, resulting in resident falling multiple times. Facility staff did not provide assistance to resident in a timely manner. Facility staff did not inform resident's responsible party of incidents.

On 5/8/2026 at 9:30 AM, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPA met with Roselyn Chand, Administrator and explained the purpose of the visit. During the investigation, LPA interviewed 5 staff members and 7 residents. LPA obtained and reviewed the facilities LIC500 (Personnel Record) and Resident Roster. LPA obtained and reviewed the following resident documents: Care Plans, Emergency Information and Contact, LIC602 (Physician's report), Appraisal Needs and Services Plan, body check assessments, Shower skin check log, Inventory checklist (Months of September-December), Skin Treatment Log, and Progress notes. Continue on LIC9099-C. Substantiated Allegation: Facility staff did not seek medical attention for residents with scabies. Finding: Substantiated It was alleged that facility staff did not seek medical attention for residents with scabies. Interview with staff revealed that R1 had an ongoing rash in October 2025 but they were not sure exactly for how long. During record review, LPA requested daily progress notes of R1 in October 2025 but none of the notes identified the rash that staff noticed. S1, S2 and W1 stated that W1 came to visit R1 on 10/20/2025 and 10/21/2025 and noticed a cut on R1’s forearm and noticed R1 itching their body. W1 took R1 to the doctor for the cut and as R1 was at the hospital, the doctor also noticed that R1 had a rash. W1, S1 and S2 stated that R1 returned to the facility on 10/21/2025 and the doctor diagnosed R1 with scabies. S1, S2, S3, S4 and S5 stated that they remember R1 having a rash but they did not know it was scabies until R1 came back from the hospital with W1. LPA observed that the facility did not seek medical attention for R1’s scabies although they had identified R1 having an ongoing rash and itching their body. Allegation: Facility staff did not adequately supervise resident who is a fall risk, resulting in resident falling multiple times. Finding: Substantiated It was alleged that facility staff did not adequately supervise resident who is a fall risk, resulting in resident falling multiple times. Interviews with staff revealed that they were aware that R1 was a fall risk. Interviews with staff revealed that R1 would fall and sustain multiple unwitnessed falls. Staff were not able to identify the exact times but stated that they have found R1 on the floor from falling. During record review, LPA could not identify a fall risk plan/procedure implemented for R1. Although facility staff were aware of R1's multiple falls, they failed to take adequate measures to ensure R1’s safety, resulting in multiple falls and/or being found on the floor in R1's room. Continue on LIC9099-C. ***This is an amended report from visit on 5/8/2026*** Continued from LIC9099. Allegation: Facility staff did not administer prescribed medication to a resident in care. Finding: Unsubstantiated It was alleged that facility staff did not administer prescribed medication to residents in care; however, based on the investigation, including interviews and record reviews, there was insufficient evidence to support the allegation. S4 stated that they administer prescribed medication to residents in care. Medication administration records and staff documentation were consistent with prescribed orders, and no discrepancies were observed during the review. Staff demonstrated appropriate medication handling and administration procedures in accordance with facility policy and regulatory requirements. Allegation: Facility staff did not safeguard residents belongings Finding: Unsubstantiated It was alleged that the facility staff did not safeguard resident belongings; however, based on the investigation, including interviews and record reviews, there was insufficient evidence to support the allegation. Interviews with staff and RP revealed that W1 is responsible for R1’s laundry. Interviews with staff revealed that the facility has misplaced R1’s dress in the past but it was found in R1’s room and returned to R1 the same day but no additional incidents have occurred. Interviews with residents revealed that they have never experienced any of their personal items missing. Based on interviews, observations conducted and record review, the above allegations are unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiency cited. Exit Interview conducted with Roselyn and copy of this report provided. Allegation: Facility staff did not provide assistance to resident in a timely manner. Finding: Substantiated It was alleged that facility staff did not provide assistance to resident in a timely manner. Interview with staff revealed that R1 had an ongoing rash and was consistently itching their body but the rash was not addressed with R1’s doctor. R1’s rash was diagnosed by the doctor as scabies after W1 took R1 to the hospital for a different matter. Although staff were aware of the rash, the facility did not address R1’s rash in a timely manner. Allegation: Facility staff did not inform resident's responsible party of incidents. Finding: Substantiated It was alleged that the facility staff did not inform resident’s responsible party of incidents. RP stated that they were not made aware of R1’s ongoing rash. RP stated that they discovered that R1 fell two times on 11/3/2025 and the staff did not notify R1’s responsible party of the incidents. Interview with staff revealed that they did not notify R1's responsible party about R1 falling. S1 and S2 stated that they did not notify R1’s responsible parties about the multiple incidents regarding R1. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit Interview conducted with Roselyn, appeal rights and a copy of this report provided.the state’s words, verbatim · CDSS document, May 8, 2026 · control 15-AS-20251222141547

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a) · Plan of correction due date: May 22, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not compy with the section above by not seeking immediate medical attention for R1 who had scabies which posed an immediate health and safety risks to person in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: By POC date, the administrator agrees to conduct an in-service training regarding regulation 87465 with all staff. Administrator agrees to send proof of the in-service to CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: May 22, 2026

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents...shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs... This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section above by staff acknowledging that R1 was a fall risk but facility staff failing to provide adequate supervision which posed a potential health and safety risks to person in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: By POC date, the Administrator agrees to review all residents that are a fall risk and implement a fall prevention plan for those residents. The Administrator agrees to also conduct an in-service regarding the plans with all staff and send proof of the in-service to CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: May 22, 2026

(a) Each licensee shall furnish to the licensing agency such reports..(1) A written report shall be submitted.. to the person responsible for the resident... This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in that the facility did not inform R1's responsible party of incidents regarding R1 at the facility which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: By POC due date, the Administrator agrees to conduct an in-service retraining on regulation 87211(a) and send proof of the in-service to CCLD.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: May 15, 2026

(a) Facility personnel shall at all times be sufficient in numbers, and competent... In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care... This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in that the facility did not provide assistance to R1 in a timely manner which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, May 8, 2026

Plan of correction: By POC due date, the Administrator agrees to conduct an in-service retraining on regulation 87411 and send proof of the in-service to CCLD.

Type of visit: Case Management - Deficiencies

On 2/12/2026 at 11:30 AM, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a Case Management visit. LPA met with Licensee Allen Leung and Backup Administrator Jeffrey. While LPA Y. Brown was conducting a complaint investigation (15-AS-20251222141547) on 2/12/2026 during file review and interview LPA discovered: 1. The facility did not submit any incident reports or notify licensing on incidents regarding residents. The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Jeffrey and a copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Feb 12, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a) · Plan of correction due date: Feb 19, 2026

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: This requirement is not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above in that the facility did not report R1 being transported to the hospital which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 12, 2026

Plan of correction: By POC due date, the Administrator agrees to complete an all staff in-service retraining on reporting requirements and compliance with section 87211 and send proof of the in-service to CCLD.

Type of visit: Prelicensing

On 12/18/2025 at 12:30 PM , Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a pre-licensing inspection. LPA met with Licensee Allen Leung and Backup Administrator Jeffrey Tong, and explained the purpose of the visit. The facility currently has thirty-seven (37) residents. The facility’s fire clearance was approved for forty five (45) total capacity, forty one (41) may be non ambulatory. LPA toured facility with Licensee Allen Leung and Backup Administrator Jeffrey Tong including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists two floors and twenty-two (22) rooms. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 73 degrees F and the hot water temperature of a random sample of residents rooms were measured at 113.5, 112.3, and 110.5 degrees Fahrenheit. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 5/19/2025. LPA reviewed five (5) staff and six (6) resident records. LPA reviewed a sample of medication. No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted with Allen and Jeffrey and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 18, 2025

Type of visit: Case Management - Other

On 12/18/2025 at 1:00 PM, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a Case Management COMP III visit. LPA met with Licensee Allen Leung and Backup Administrator, Jeffrey Tong and explained the purpose of the visit. LPA presented Component III Power Point during visit and discussed the regulations embodied in the Power Point. LPA observed that the participant gained knowledge about running and maintaining the facility following regulations. A license has not yet been granted to this facility. Licensure is subject to final review and approval by the Centralized Applications Unit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 18, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPA) J. Clancy-Czuleger and P Manalo, conducted an unannounced visit to the facility for the purpose of a Pre-Licensing evaluation. LPA was greeting by Irene De Leon, Facility Manager. Administrator, Jeffrey Tong Backup Administrator arrived later. An application was submitted to Community Care Licensing Department (CCLD) for a change of ownership of Residential Care for Elderly 60 years and above. The requested capacity is for (45) Residents, (4) ambulatory and (41) non-ambulatory. The facility sent updated floor plan to CCLD. There are four bathrooms total in the facility. Two are on the second floor of which one is in a private room, and the other is only accessible to ambulatory residents, and two are on the first floor and only one of which is accessible to non-ambulatory residents. The facility currently has 29 residents, 8 are ambulatory, and 21 are non-ambulatory. This means that there is only one accessible bathroom for 21 non-ambulatory residents. LPA observed that the kitchen cabinets were greasy and not clean. LPAs also observed that there was not a 7 day non-perishable food supply. Issues were noted during inspection. LPAs observed that facility is not ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 25, 2024

Type of visit: Prelicensing

Licensing Program Analysts (LPA) J. Clancy-Czuleger and P Manalo, conducted an unannounced visit to the facility for the purpose of a Pre-Licensing evaluation. LPA was greeting by Irene De Leon, Facility Manager. Administrator, Jeffrey Tong Backup Administrator arrived later. An application was submitted to Community Care Licensing Department (CCLD) for a change of ownership of Residential Care for Elderly 60 years and above. The requested capacity is for (45) Residents, (4) ambulatory and (41) non-ambulatory. Physical plant is not consistent with the facility sketch received by Central Application Bureau (CAB). The facility has two floors, and 22 rooms. The first floor has a lobby, receptionist carea, administrator’s office, activities room, resident rooms, kitchen and dining area. Signal System: Signal system in facility is individual resident pendent call buttons. Bedroom Residents: There shall be no more than two clients per bedrooms. bedrooms are designated resident bedrooms properly equipped with regulation guidelines of two beds, two chairs, and two night stands. Presently, 14 bedrooms are occupied by 2 clients and 6 bedroom by 1 client. Bedroom Staff: No bedrooms will be used for awake staff. Bathrooms: eight rooms have a shared half bath bathroom and 14 rooms have private half bathrooms. There are two visitor and staff bathrooms. The facility is equipped with two shower rooms, one shower room is currently being used as storage for the facility and not ready for residents use. Linens & Hygiene Supplies: Beds have the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linen is stored where the house keeping supplies are kept. Smoke Detectors: There are hard wired smoke detectors throughout the build and in resident rooms, sprinkler system through the whole facility which are interconnected. Continued on 809C... LPAs observed the following: Facility sketch is not contestant with the building The resident rooms do not have adequate lighting The resident bathroom floors appear to be dirty There is one shower usable for 29 residents water temperature is 123.6 degrees Chemicals were observed unlocked in storage/shower room there is not a compliance poster posted rooms that have oxygen stored do not have signs posted There is not an office space for administrator Upon receipt of the proof of corrections for the items above by November 20, 2024, LPA Clancy-Czuleger will come back out for reinspection. and Component III. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Oct 31, 2024

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 45 Census (if any clients in care): 29 Method: Telephone call with CAB COMP II Participants: Belinda Leung, Administrator/Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Oct 11, 2024