Gardens Of Riverside, The

Allegation investigated: Staff did not seek medical attention to resident resulting in hospitalization.

First Allegation: Staff did not seek medical attention to resident resulting in R#1’s hospitalization. Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on a complaint alleging Staff did not seek medical attention to resident resulting in R#1’s hospitalization. LPA Singh met with Wellness Director Victoria Ong, facility representative. The investigation conducted by Department staff consisted of interviews and reviews of pertinent records. Department Staff substantiated the allegation of neglect and lack of care and supervision regarding Resident #1, concluding that staff failed to seek timely medical attention, which ultimately led to the residents’ hospitalization. During an interview, the family of Resident #1 reported observing significant signs of physical and cognitive decline during a visit on September 29, 2025, two days before the resident was transferred to the hospital. Substantiatedthe state’s words, verbatim · CDSS document, May 19, 2026 · control 56-AS-20251008213046

Allegation investigated: Staff did not meet resident’s hygiene needs.

On 04/30/2026, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to initiate and deliver findings on a complaint alleging Staff did not meet resident’s hygiene needs. LPA Singh met with Facility Administrator Griselda Gracie Garcia, facility representative and was informed of the visit, the investigation conducted by LPA Singh consisted of interviews and records review. Allegation:Staff did not meet resident’s hygiene needs. LPA Singh conducted a quick tour of the facility, interviewed residents and staff, obtained pertinent documents. According to the Innovage Social Worker, Resident #1 is currently undergoing treatment for a persistent foot fungus at one of the rehabilitation center, with plans for a transfer to a new facility once his medical care is complete, this condition is not a new development, as it has afflicted the resident since his initial admission to the Garden of Riverside and was managed by Innovage nurses throughout his stay tthe state’s words, verbatim · CDSS document, Apr 30, 2026 · control 56-AS-20260212151830

Allegation investigated: Staff handled resident in a rough manner resulting in an injury.

Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility for the purpose of delivering findings into the above complaint allegation. LPA met with Facility Administrator Garcie Garcia. and explained the reason for the visit. Regarding the allegation:- Staff handled resident in a rough manner resulting in an injury. LPA Singh conducted a walk thorough of the facility and interviewed staff and residents. Five(5) out of Five(5) residents and Five(5) out of Five(5) staff stated that staff never handles residents in a rough manner and are always kind and professional with residents in care. LPA's observation, interviews with family and Staff, Due to a decline in cognitive status, Resident #1 lacks the mental capacity to identify the specific staff member allegedly involved in an incident of rough handling. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 30, 2026 · control 56-AS-20260224160252

Allegation investigated: Facility staff not allowing family to visit resident. Facility not providing adequate supervision for residents.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Griselda Gracie Garcia, and discussed the purpose of the visit. First Allegation:-Facility staff not allowing family to visit resident. During the investigation, LPA Singh was not able to find sufficient evidence to corroborate the allegation. Five(5) out of Five(5) staff and Five(5) out of Five(5) residents confirmed that family visitations are permitted during designated hours, provided that family members notify management or staff of their intent to visit. During the inspection, LPA Singh reviewed the facility's log records, which verified that Resident #1’s family members were consistently allowed to meet and visit with them at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 30, 2026 · control 56-AS-20260218161029

Allegation investigated: Staff refused to accept resident back from hospital.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to initiate and deliver findings on a complaint alleging Staff refused to accept resident back from hospital. LPA Singh met with Facility Administrator Griselda Gracie Garcia, facility representative and was informed of the visit, the investigation conducted by LPA Singh consisted of interviews and records review. Allegation:-Staff refused to accept resident back from hospital. LPA Singh interviewed and reviewed records staff and residents; four(4) out of four (4) staff present on the day at the incident reported that R#1 has exhibited behavioral episodes over the past few months. On January 22, 2026, R#1 was observed swinging a walker at other residents, attacking staff, and attempting to leave the facility. Staff reported that Community Care Licensing Department(CCLD) had been notified of Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 28, 2026 · control 56-AS-20260123094442

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: Lack of staff supervision resulting in resident eloping from facility.

On 12/01/2025, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility for the purpose of initiating an investigation into the above complaint allegation. LPA met with Facility Administrator Griselda Gracie Garcia and explained the reason for the visit. For the allegation, Lack of staff supervision resulting in resident eloping from facility. LPA spoke to Administrator who stated Resident#1 (R1) did not eloped from the facility on 11/22/2025, Administrator reported that Resident in question followed workers from the side gate and staff brought R1 back from the front facility door and informed the family. Administrator stated staff do provide adequate supervision for resident in care and do follow and supervise residents. LPA interviewed five (5) staff and five(5) out of five stated facility staff supervises residents in care and denies the allegation that lack of staff supervision resulted in resident eloping from facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 1, 2025 · control 56-AS-20251124154956

Allegation investigated: Staff hit a resident while in care. Staff threatened a resident while in care.

On 8/12/2025 at 11:50 AM, Licensing Program Analysts (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on a complaint alleging neglect/lack of supervision. LPA Singh met with Facility Executive Director Griselda Gracie Garcia, facility representative, and was granted entry into the facility. The investigation conducted by Department staff consisted of interviews and reviews of pertinent records. First Allegation: Staff hit a resident while in care. The allegation of Physical abuse against resident#1 (R1) is found to be Unsubstantiated. While the resident made verbal statements alleging that R1 was “hit” by a caregiver, there were no direct witnesses to the alleged physical abuse. Records show that R1 has cognitive impairment and dementia, making R1 unable to consistently recall or provide accurate information about the incident. In addition, caregivers reported that R1 has a history of confusion and making inconsistent statements. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 12, 2025 · control 56-AS-20250325093823

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.