Rowntree Gardens

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the allegation listed above. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Memory Care Director Stephanie Gallegos was present and assisted during the visit. The initial complaint investigation visit was conducted by LPA Ruth Martinez on August 23, 2021. During the visit, LPA conducted an interview with the facility administrator, reviewed resident records and obtained copies of pertinent documents. Additional resident records were requested from facility staff via email on August 9, 2024 and received on August 26, 2024. Additional witness interviews conducted via telephone. Regarding the allegation that Resident sustained multiple falls while in care, the following has been concluded: CONTINUED ON FORM LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, August 28, 2024 · control 22-AS-20210817153924

Licensing program analysts (LPAs) Ruth Martinez and William Vanegas visited the facility to deliver findings for the investigation into the above identified complaint allegation. LPA arrive at facility was greeted and granted entry by the receptionist. LPA spoke with Kerri Clark, Director of Operations and explained the purpose of the visit. Findings are based upon this investigation which included file review, hospice records review, interviews conducted with staff and residents. It has been alleged that the facility staff caused an injury to a resident. Interviews with 3 of 3 facility staff revealed that while resident R1 was being assisted with dressing for bed, R1 became aggressive and grabbed staff member S1’s wrist. S1 was able to call for help, and staff member S2 arrived and verbally Continued on LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, August 20, 2024 · control 22-AS-20240510130330

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit to begin the investigation into the complaint received against this facility on September 27, 2023. LPA Haley was greeted by staff and explained the reason for the visit to Administrator (AD) Claudia Lusca. During the visit LPA Haley interviewed three staff including the Administrator and went to the Memory Care unit to make some observatios. Regarding the allegation: Facility failed to properly assess resident. Details gathered in 3 of 3 interviews contradict the complaint allegation. It was discovered Resident 1 (R1) was assessed by Staff 1 at Kaiser Anaheim August 31, 2023. S1 noted exit seeking behavior and dementia on Rowntree Gardens New Community Member Appraisal form for R1. Due to conversations with R1's family about R1 behaviors, it was determined R1 would be placed on a two-week trial period to see if the resident would acclimate to the facility and eventually become a long term member. Continued on LIC9099CRead the full finding— CDSS inspection report, October 3, 2023 · control 22-AS-20230927122834

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit to deliver the findings on the complaint allegation above. The initial unannounced complaint visit was completed November 10, 2022. The complaint investigation consisted of interviews and document review. During the investigation, LPA Haley interviewed six individuals, attempted one interview, and an effort was made to conduct a follow up interview was unsuccessful. During the investigation it was discovered 4 of 6 witnesses could not confirm the allegation to be true. There was not much knowledge of a theft in the community and there’s no history of items being stolen from residents in the community. Appendix F in the Admission Agreement is the facilities Theft and Loss Policy which describe the actions that will be taken if an item is reported missing. Document review and interview confirm the Theft and Loss Policy was followed by staff. Continued on LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, August 28, 2023 · control 22-AS-20221101150739

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to investigate the above complaint allegation on September 15, 2022. LPA interviewed the Administrator Claudia Lusca, several staff members, Resident 1 (R1), and her Responsible Party (RP). The investigation into the allegation that facility failed to address resident's multiple falls revealed the following: During the initial unannounced visit LPA Haley toured the facility and spoke with facility staff members. LPA Haley received a copy of the Fall Managment policy and during the tour observed several procedures put in place to address and pervent resident's falling. AD Lusca explained some of the procedures in the fall management policy, and explained how the Fallen Stars program works. Furthermore, interviews with staff members revealed what role each staff member plays in the execution of the fall policy. LPA interviewed S1 who explained what happens after a resident falls and and all the steps taken after the fRead the full finding— CDSS inspection report, October 14, 2022 · control 22-AS-20220914145127