Emerald Rose Garden 3

Type of visit: Required - 1 Year

On August 25, 2026 Licensing Program Analyst (LPA) Toni Nwala conducted an unannounced annual required visit. Upon entry, LPA was greeted by Patricia Wallah, caregiver, and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff members and five (5) residents present. Julie Navarez, Administrator arrived later during the inspection. Facility Overview: The facility is a one-story home with five (5) bedrooms and five (5) bathrooms, including an attached garage. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 110.1°F. Fire extinguisher located in the Kitchen area has current inspection tag date of 01/28/2026. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate of 01/28/2028 Record Review and Resident/Staff Files: LPA reviewed files for three (3) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Three (3) resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for two (2) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on July 13 2026 which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided to Julie Navarezthe state’s words, verbatim · CDSS document, Aug 25, 2026

Type of visit: Prelicensing

On 7/30/24 Licensing Program Analyst (LPA) Valerie Flores made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA Flores met with Applicant Julie Navarez, who accompanied LPA Flores for the tour of the facility. The Applicant has submitted an application for 6 residents to which she was approved for six (6) non-ambulatory residents, of which one (1) may be bedridden in the master bedroom. Applicant is also approved for six (6) hospice care waivers. On 7/5/24 the Riverside County Fire Department approved a fire clearance for Master bedroom (room 1) to which may accept any bedridden or non-ambulatory residents, bedrooms two (2), three (3), and four (4) may accept any ambulatory/non-ambulatory residents. There is a casita located in the front west wing of the home that is dedicated for staff use only. Per applicant, they do not have any live-in staff at this moment but may apply for it at a later date. The home is a single-story structure consisting of five (5) bedrooms, five (5) bathrooms, kitchen, formal dining room, family room, garage, and a backyard. The bedrooms were observed to have met the required bedding and furniture (i.e., bed, lighting, night stand, dresser, and area for sitting). The bathrooms had non-skid mats, and grab bars. There are plenty of extra linen (sheets, blankets, towels) that were observed to be in good repair stored in the laundry room .One (1) fully charged fire extinguisher was located in the kitchen. A locked cabinet was observed by the master bedroom that stored staff and resident files. A locked cabinet was observed in the kitchen for centrally stored medication. The hot water temperature was measured at 109.7 degrees Fahrenheit meeting within the required limits. The facility has an emergency disaster plan and approved infection control training plan on file. The facility has a sufficient supply of dishes, cooking and eating utensils, that were observed to be in good repair. The facility maintained the required two (2) day supply of perishable and a seven (7) day supply of nonperishable food items. The facility has an emergency food and water supply. There is a fully stocked first aid kit. Indoor and outdoor passageways were free of obstruction. Outdoor patio with a shaded seating area was available for residents. The backyard is gated and there are no bodies of water observed on the premises. Per Applicant Navarez, there are no firearms or ammunition on the premises. The hallway leading to resident room three (3) and (4), LPA Flores observed the required postings of the facility sketch, personal rights, employee rights, PUB475 CCLD Complaint poster and the Long term Care Ombudsman poster. During today's visit, LPA Flores did not observe any issues or concerns. Applicant is scheduled to attend COMP III at the Riverside Regional Office on 8/20/24. Final approval of licensure will be determined by CAB.the state’s words, verbatim · CDSS document, Jul 30, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Name - Maria Veronica Casem CEO/ Julie Navarez Administrator Interview Method: Telephone interview On July 16, 2024, 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 the 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, Jul 16, 2024