Rose Garden Home Care

Allegation investigated: Staff restrained resident in care, resulting in bruising to the resident. Staff did not follow reporting requirements.

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint findings. LPA met with Alex Bot during today’s visit. LPA investigated allegation, “Staff restrained resident in care, resulting in bruising to the resident”. LPA interviewed relevant party in which they stated they observed bruising all over R1’s forearm. Relevant party stated staff reported to him that they held R1 down while trying to change them due to R1 being aggressive. LPA interviewed administrator and staff in which they stated they never held R1 down during care. Administrator stated R1 did have bruising on their forearm but it was due to R1 hitting their arm against the bedrail, windows, and walls. LPA interviewed caregiver in which she stated that R1 had aggressive behaviors, especially during care. Caregiver stated if R1 was too aggressive and agitated, she would leave and give R1 a breaks and return shortly later to continue the care. LPA interviewed R1’s hospice nurse while R1 lived at the facility. Continuation on 9099-C. Unsubstantiated Hospice nurse stated she observed bruising on R1’s arm but the bruising occurred because R1 would hit their arms against the hospital bed bedrails. Hospice nurse stated she ordered equipment to help cushion the bedrails due to R1’s behaviors. Hospice nurse stated when R1 moved into the facility there was some bruising already on their arms. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED. LPA investigated allegation, “Staff did not follow reporting requirements”. Relevant party indicated staff did not report R1’s bruising or behaviors to responsible party and no incident report was filed with CCL . LPA interviewed administrator in which he stated he reported R1’s bruising and behaviors to the Responsible party and to the hospice agency. Administrator showed LPA the incident report he had filed out and faxed into CCL. Administrator did not have a receipt that the fax went through, and LPA was unable to locate incident report in CCL files. LPA interviewed hospice nurse in which she stated administrator reported to her that R1 had bruising and aggressive behaviors. Due to the information gathered, LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 2, 2026 · control 59-AS-20260817153958

Type of visit: POC

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a POC visit. LPA met with administrator during today's inspection. LPA reviewed all POC's sent into CCL and found all deficiencies have been cleared. POC letter of clearance has been provided to Administrator. In addition, LPA reviewed 5 resident medications comparing with physician orders and facility MAR. During today's inspection no deficiencies were cited. Exit interview conducted and copy of the report given.the state’s words, verbatim · CDSS document, May 5, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Alex Bot during today's inspection. Currently there are 3 resides present in the facility and 2 residents are receiving hospice services. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 5 resident rooms, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 2 of 3 resident files and 2 staff files. LPA reviewed medications of one residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. Deficiencies are cited during today's inspection. Deficiencies cited on the 809-D page. Exit interview conducted and appeal rights given.the state’s words, verbatim · CDSS document, Apr 17, 2026

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Cassandra Mikkelson conducted a Pre-licensing Inspection and met with Administrator Alex Bot. This is a Change of Ownership pre-licensing, there are currently five (5) residents residing at the facility. Administrator has an active administrator certificate (6056810740) that expires on 01/24/2027. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are four (4) bedrooms and two (2) bathrooms for resident use. Bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 115.1 degrees F. LPA observed facility has the ability to prepare and store food, to lock away cleaning products and other toxins, and lock medications to make inaccessible to residents. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit and fire extinguisher are maintained and ready for emergency use. Component III was completed. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.the state’s words, verbatim · CDSS document, Jun 4, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): COMP II Participants: ALEX BOT, ADMINISTRATOR.LICENSE DESIGNEE Interview Method: Telephone interview On 5/9/25], applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. 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, May 9, 2025