Garfield Terrace Llc

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff does not ensure residents' diapering needs are being met. Staff does not ensure to keep up with residents' housekeeping needs.

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced 10-day complaint investigation visit in response to the above-mentioned allegations. LPA, met with Rosalie Sandoval, Executive Director, and the reason for the visit was explained. Today’s visit was facilitated by Naylet Velazquez, Designated Sub., due to Executive Director having to step away from the facility for a prior engagement. The investigation consisted of the following: During today’s visit, LPA obtained copies of staff and resident rosters, toured the facility, inspected (11) resident rooms, and inspected the incontinence supply room and cleaning supply closet. LPA conducted interviews with Staff 1 – Staff 5 (S1-S5) and Resident 1 – Resident 10 (R1-R10) and conducted a record review of staff 24-hour logbook for 11/7/25 through 11/13/25 entries of which copies were also obtained. The investigation revealed the following: ***Continues on LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 13, 2025 · control 28-AS-20251106110826

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are retaining residents that require a higher level of care

Licensing Program Analyst (LPA) Vaid conducted an unannounced subsequent complaint visit regarding the above allegation. LPA met Naylet Velasquez (Med-Aide/ Direct Staff/ Designated SUB) and explained the reason for the visit, Administrator Rosalie Sandoval arrived shortly after. Conducted physical plant tour with N Velasquez and did not observe any health and safety issues or concerns. Observed staff assisting residents. The facility is licensed to serve 60 non-ambulatory residents ages 60 and over. There is a hospice waiver approved for 5 residents. The facility currently has 3 hospice residents. LPA Vaid requested, received, obtained and reviewed residents medical assessment/ care and service plan, physicians report for residential care facilities, copy of facility admission agreement, Hospice and palliative care plan. Staff and client rosters, staff in service training; skills and knowledge to provide necessary resident care and supervision dated 03/10/2023 and staff duties for newthe state’s words, verbatim · CDSS document, Oct 1, 2024 · control 28-AS-20240925140307

Allegation investigated: Staff does not ensure sliding glass door closes/locks properly.

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation for the allegation listed above. LPA arrived unannounced and met with Administrator, Rosalie Sandoval. The purpose of the visit was explained. LPA obtained copies of the staff and resident rosters, toured the facility, and conducted interviews. For allegation - Staff does not ensure sliding glass door closes/locks properly. LPA interviewed Administrator and staff who acknowledge the sliding door is heavy and can be difficult for some residents to open and close. However, the door can be closed and locked properly. Administrator stated that they have sprayed lubricant on the bottom of the sliding door to make it easier to slide. They remind residents to close it and staff will also check to ensure the door is closed. LPA interviewed 4 residents. 3 out of the 4 residents indicated the door is heavy and choose not to use it. They use the other door in the dining room to go in and out instead. One uses the slithe state’s words, verbatim · CDSS document, Sep 6, 2024 · control 28-AS-20240906094743

Allegation investigated: Staff do not properly maintain the facility

Licensing Program Analyst (LPA) S Vaid conducted an unannounced initial 10 day complaint visit regarding the above allegation. LPA met Naylet Velasquez (Med Aide, Direct Staff, Designated Substitute) and explained the reason for the visit. Administrator Rosalie Sandoval arrived shortly after. During today's visit, LPA reviewed and obtained client and staff roster, LPA toured the physical plant with Designated Sub Naylet Velasquez and did not observe any deficiencies or health and safety concerns. LPA Vaid interviewed Staff 1-3 (S1-S3). LPA interviewed clients 1-4 (C1-C4). Regarding the allegation: Staff do not properly maintain the facility. It is alleged that the facility is not maintaining the facility and allows foul smell of urine, feces, and mildew to remain within the common restrooms and community showers. Three (3) out of (3) staff deny this allegation. Four (4) out of (4) clients interviewed have no knowledge of the allegation, clients interviewed say that the facility is alwathe state’s words, verbatim · CDSS document, Sep 3, 2024 · control 28-AS-20240829151957

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff threatened resident

On 05/14/2024 at 09:27 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted a subsequent complaint visit to investigate the above allegation. Upon arrival LPA met the Administrator Rosalie Sandoval and explained the reason for the visit. During the initial visit LPA conducted a tour of the facility with the Administrator. LPA also interviewed the Administrator and a total of two (2) staff, who shall be referred to as Staff#1-2 (S1-S2). LPA Baptiste interviewed a total of four (4) residents, who shall be referred to as Resident #2- 5 (R2-R5). LPA interviewed Resident#1 (R1) via phone. LPA Baptiste obtained staff and resident roster and conducted file review for S1 and R1's file. Report Continued on 9099c Unsubstantiatedthe state’s words, verbatim · CDSS document, May 14, 2024 · control 28-AS-20240502104510

Allegation investigated: Facility does not have a qualified administrator. Facility staff failed to give resident P&I funds. Facility administrator does not allow resident to file complaint to public agencies. Facility staff are not properly trained.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Naylet Velazquez and explained the reason for the visit. The investigation consisted of the following: LPA requested a copy of staff and resident roster. LPA toured common areas, reviewed 5 staff files, and interviewed 4 staff and 5 residents. LPA requested copies of administrator’s certificate renewal documents, administrator’s personnel record, staff’s personnel records, initial training and 2022- 2023 – 20 hours of training for each staff, trust bank statement - May 2024 for P&I funds, petty cash request form for May 2024, and 5 residents record of resident’s safeguarded cash resources. The investigation revealed the following: Regarding allegation: Facility does not have a qualified administrator. It is alleged there is not an administrator who is qualified at the facility. (CONTINUED ON LIC 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, May 7, 2024 · control 28-AS-20240503143132

Allegation investigated: Facility staff takes resident's personal belongings. Facility staff interfering with resident's right to have visitors. Facility staff speak inappropriately to residents. Facility staff allow resident to drink from a cup with a roach in it. Facility staff left resident on the floor for several hours.

Licensing Program Analyst(LPA) Nicol Wesley conducted an unannounced 10 day complaint visit at the facility and met with Executive Director Rosalie Sandoval to discuss the purpose for todays visit. During the visit, LPA Wesley requested a copy of the staff and resident roster, observed exterminator invoices, toured random resident rooms, dining room, kitchen, interviewed the residents, interviewed the executive directtor and the staff #1. Resident #1 and Resident #2 was not present in the facilty. Regarding allegation: Facility staff takes resident's personal belongings. LPA interviewed 6 residents who indicated that the staff does not take their personal belongings. In regards to resident #1 staff indicated that resident #1 doesn't have a TV, he is blind and the radio that he had in his room belonged to staff #1. Continued on LIC 9099C. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 2, 2024 · control 28-AS-20240426095643

Allegation investigated: Facility manager does not allow staff to assist a resident in care. Facility manager confiscated resident's personal belongings.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Naylet Velazquez and explained the reason for the visit. The investigation consisted of the following: LPA requested copies of staff/resident roster. LPA conducted interviews with 4 residents and 4 staff. LPA requested a copy of resident #1’s (R1) personal property and values form, physician’s report, admission agreement and last staff in-service on resident care and supervision. LPA conducted a tour of R1’s room. The investigation revealed the following: Regarding allegation: Facility manager does not allow staff to assist a resident in care. It is alleged the manager does not allow the staff to assist a resident who cannot see. Interviews with residents revealed staff assist and provide care to residents as needed. Overall all staff are good with residents. Administrator ensures that residents are provided assistance in all their needs. (CONthe state’s words, verbatim · CDSS document, Mar 26, 2024 · control 28-AS-20240318102723

Allegation investigated: Facility is not kept at a comfortable temperature for residents in care Staff did not ensure facility doors close/lock properly

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by Administrator Rosalie Sandoval and explained the reason for the visit. The purpose of the visit is to investigate the above allegations. Tour of the facility was conducted which included facility rooms, dining area, communal lounge and all exit doors for the facility. LPA inspected Rooms 3, 7, 13, 21, 28, 32, 33 and 35. LPA inspected exit doors in West Wing, Dining Room with 2 exit doors, North Wing and South Wing. Interviews were conducted with Administrator, Staff S1 and Staff S 2 from 9:40 AM to 10:15 AM. Interviews were conducted with Resident R 1- R 7 from 10:20 AM to 10:50 AM. In regards to the allegation Facility is not kept at a comfortable temperature for residents in care, based on information gathered and interviews conducted 7 of 7 resident's stated that the temperature in their room was comfortable and they felt good. Tour of rooms the temperature measured in Room 13the state’s words, verbatim · CDSS document, Aug 22, 2023 · control 28-AS-20230818125747