Rose Garden Villa

Allegation investigated: Staff are not providing appropriate transportation for residents

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA interviewed staff as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegation that staff are not providing appropriate transportation for residents, the investigation revealed the following: On 04/03/2026 Resident 1 (R1) was transported to Foothill Regional Hospital in Tustin after appearing weak. Resident had gone to two medical appointments earlier in the day and returned tired and weak. Administrator states checking the resident's oxygen saturation levels which were fluctuating between 87-95. Administrator took R1's blood pressure which was reading 92/69. Administrator and staff confirm the resident was talking and conscious before being transported to the hospital in the facility van. Both confirm resident's color was good and did not appear to be in stress. Resident was admitted for a urinary tract infection CONTINUED ON LIC 9099C DATED 04/16/2026 Unsubstantiated and sepsis and was subsequently transferred to a skilled nursing for recovery. Facility self reported the incident to the department on 04/10/2026. Administrator indicates being aware of the need for 911 calls in emergency situations and LPA provided PIN 25-06-ASC for reference regarding 911 calls. Based on interviews conducted and record review, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Apr 16, 2026 · control 22-AS-20260406164008

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Rose Garden Villa. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 4 non-ambulatory residents, 1 ambulatory and 1 bedridden. Facility has an approved hospice waiver for 2 residents and the facility currently has 6 residents with no residents on hospice. Administrator Claudia Olteanu has an administrator certificate expiring on 06/13/2026. LPA Lyman along with Facility Manager Mylene Manze toured the facility at 10:20 AM. LPA toured the physical plant, checked food service, first aid kit and reviewed records. Facility appears to be clean, safe, and sanitary. The facility consists of six resident bedrooms, three common restrooms, 2 staff rooms, living room, dining room and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident rooms are single occupancy. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 110.3 and 114.1 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the elements including thermometer, tweezers and scissors as well as a manual. LPA observed toxins are secured during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and carbon monoxide detectors tested operational during today's visit. Fire extinguisher is fully charged. Kitchen appliances are operational during today's visit and stove top knobs have protective mechanisms. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gate is unlocked and operational. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan and infection control and plans are thorough and complete. CONTINUED ON LIC 809C DATED 02/18/2026 Facility provides activities in the form of exercise, games and community outings. LPA reviewed six resident files and three staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation of medical clearance/ TB, CPR and criminal record clearance as well as annual training. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications appear to be administered per physician order. Based on the observations made during today's visit, NO deficiencies are being cited. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Feb 18, 2026

Type of visit: Collateral

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced collateral visit in conjunction with complaint investigation #22-AS-20220307150115 at another licensed facility. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPA interviewed Client 1 (C1). An exit interview was conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 22, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Rose Garden Villa. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 4 non-ambulatory residents, 1 ambulatory and 1 bedridden. Facility has an approved hospice waiver for 2 residents and the facility currently has 6 residents. Administrator Claudia Olteanu has an administrator certificate expiring on 06/13/2026. LPA Lyman along with Facility Manager Mylene Manze toured the facility at 8:02 AM. LPA toured the physical plant, checked food service, first aid kit and reviewed records. Facility appears to be clean, safe, and sanitary. The facility consists of six resident bedrooms, three common restrooms, staff room, living room, dining room and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident rooms are single occupancy. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.4 and 114.9 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the elements including thermometer, tweezers and scissors as well as a manual. LPA observed toxins are secured during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and carbon monoxide detectors tested operational during today's visit. Fire extinguisher is fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample shaded seating for residents. Exit gate is unlocked and operational. LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan and infection control and plans are thorough and complete. CONTINUED ON LIC 809C DATED 02/19/2025. Facility provides activities in the form of exercise, games and community outings. LPA reviewed six resident files and four staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation of medical clearance/ TB, CPR and criminal record clearance as well as required training. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order. Based on the observations made during today's visit, NO deficiencies are being cited. Exit interview conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Feb 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Mylene Manze. LPA discussed the purpose of the inspection. Administrator (AD) Claudia Olteanu was contacted by phone and arrived at 9:00 a.m. During the inspection, LPA conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with six resident bedrooms, three bathrooms, and one staff bedroom. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The back yard and front courtyard have a shaded sitting area. LPA observed residents resting in their respective bedrooms and watching television in the living room. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 105.4-106.5 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Appliances were all inspected. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication cabinet was observed to be locked. LPA reviewed six resident files and three staff files. LPA interviewed residents and staff present. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Nov 15, 2023