Gardens At Laguna Springs Memory Care, The

On 5/6/2025, Licensing Program Analyst Arvin Villanueva arrived at this facility unannounced to conduct a follow-up complaint visit and deliver findings regarding the allegation noted above. LPA was met with Administrator Guadalupe Ramirez and stated the purpose of the visit. The investigation into this allegation consisted of interviews and record reviews. Interview with a witness (W1 ), revealed that upon Resident 1 (R1) hospitalization, R1 was found to have multiple pressure injuries. W1 stated that a physician informed W1 the injuries were the result of R1’s briefs not being changed and that the wounds would not heal. W1 also confirmed that R1 did not have any pressure wounds prior to their admission to the facility. {1 of 2} SubstantiatedRead the full finding— CDSS inspection report, May 6, 2025 · control 27-AS-20241210134242

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a complaint investigation and to deliver findings. LPA Valerio met with Administrator Guadalupe Ramirez, and explained the purpose of the visit. The investigation consisted of observations of the facility, records review of facility files, and interviews with the Reporting Party, residents, and staff. According to the RP, the RP visits regularly and states the facility has an ant issue. R1 has a cat and the ants are attracted to the cat food. The RP was visiting R1 one day and decided to go check on the room, which is when RP found ants all over the bed. RP reported that the facility attempted to address the issue; however, the RP is concerned that ants were on the bed and staff did not noticed. Continues on LIC 9099 - C... UnsubstantiatedRead the full finding— CDSS inspection report, September 16, 2024 · control 27-AS-20240819163942

On 10/25/23, Licensing Program Analyst (LPA) Tung Truong conducted an unannounced facility visit to complete and deliver findings for a complaint investigation received on 7/10/23. LPA met with Director of Resident Services Barbara Rose and discussed the conclusion for complaint and the findings. Throughout the course of the investigation, LPA toured the facility, conducted staff and resident interviews and reviewed records. Based on observations, records review, and staff and resident interviews, there is not a preponderance of evidence to substantiate the allegations mentioned above. Regarding the allegation that staff do not ensure pull cords are accessible to residents in care, it was learned that resident (R1) pulls her cord off the wall daily. Staff stated that they check and fix the cord on a daily basis. LPA observed that the pull cord in R1’s room is accessible and in good repair. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, October 30, 2023 · control 27-AS-20230710111426

On 10/20/23, Licensing Program Analyst (LPA) Tung Truong conducted unannounced facility visit to complete and delivery findings for a complaint investigation received on 7/3/23. LPA met with Administrator Guadalupe Ramirez and discussed the conclusion for complaint and the findings. Throughout the course of the investigation, LPA conducted interviews and reviewed records. Based on record reviews, and staff and resident interviews, there is not a preponderance of evidence to substantiate the allegations mentioned above. Based on statement obtained, it was revealed that facility staff do ensure residents were taking their medication as prescribed. Regarding the allegation that staff do not serve food of the quality necessary to met residents' needs, based on LPA observations and staff and resident interviews, it was determined that food was provided of quality to meet the residents’ need. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, October 20, 2023 · control 27-AS-20230703082703

On 9/7/23, Licensing Program Analyst (LPA) Tung Truong conducted an unannounced visit to this facility to deliver the complaint findings. LPA met with facility representative Steve Sarine and explained the purpose of the visit. Throughout the course of the investigation, the Department conducted interviews and reviewed records. Regarding the allegation that staff physically assaulted resident in care resulting in injuries, it was determined that there is insufficient evidence to support the allegation. Based on interviews and records review, resident R1 has had several witnessed falls on 9/16/22 and 9/17/22 and was observed to have sustained bruising on face, chest and swelling in both arms. On 9/18/22, Garden’s staff (S2) witnessed R1 falling face down. Moreover, when the outside agency caregiver (S1) was interviewed, they denied causing any injuries to R1. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 7, 2023 · control 27-AS-20220919221525

On 9/7/23, Licensing Program Analyst (LPA) Tung Truong conducted an unannounced visit to this facility to deliver the complaint findings. LPA met with facility representative Steve Sarine and explained the purpose of the visit. Throughout the course of the investigation, the Department conducted interviews and reviewed medical records. Regarding the allegation that resident (R1) was injured while in care due to staff’s neglect/lack of care, it was learned that R1 sustained a witnessed fall in the bathroom on 10/20/2022. Medical attention was sought for R1 on the same day. According to medication records, there is no evidence to show that R1’s blood glucose levels contributed to the fall. Per R1’s physician, R had several chronic health conditions that could have played a factor in his multiple falls. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, September 7, 2023 · control 27-AS-20221122143318

On 6/28/23, Licensing Program Analyst (LPA) Tung Truong conducted an unannounced visit to this facility to deliver the complaint findings. LPA identified himself and discussed the purpose of the visit and the elements of the allegation(s) with Administrator Guadalupe Ramirez. Throughout the course of the investigation, the Department conducted interviews and reviewed medical records. Regarding the allegation that resident sustained a severe head injury due to staff neglect, it was learned that on 3/3/2023 resident (R1) fell out of her wheelchair and hit her head and sustained a large cut to her forehead. Based on staff interviews, staff stated R1 was in a reclined position prior to falling out of her wheelchair. Moreover, R1’s facility documents do not indicate that she is a fall risk or that she required certain care in her wheelchair. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, June 28, 2023 · control 27-AS-20230309133440

On 5/10/23, Licensing Program Analyst (LPA) Tung Truong conducted an unannounced visit to this facility to conclude the investigation of the above allegation and to deliver the findings. LPA met with Regional Director of Operations Steve Sarine and explained the purpose of today’s visit. Throughout the course of the investigation, LPA conducted interviews and reviewed records. Based on interviews and records review, LPA Truong has determined that the allegations are unfounded. No supporting information to the allegations was discovered. Complaint is deemed to be unfounded at this time. As a result of this investigation, LPA finds the allegations above to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or was without a reasonable basis. An exit interview was conducted, and a copy of this report was left at the facility. UnfoundedRead the full finding— CDSS inspection report, May 10, 2023 · control 27-AS-20230223142712

Licensing Program Analyst (LPA) Tung Truong arrived at the facility unannounced to deliver complaint findings on 2/7/23. LPA met with Administrator Guadalupe Ramirez and explained the purpose of the visit. Throughout the course of the investigation, LPA conducted interviews and reviewed documents including, but not limited to resident R1’s file; Incident Reports, Medical Records, Physician Reports, Medication Administration Records (MARS), and Centrally Stored Medication Logs. Regarding the allegation of staff are not dispensing medication as prescribed, it was learned that this allegation was Substantiated on previous complaint, control number 27-AS-20220516090722 and has been resolved. Continued on 9099-C SubstantiatedRead the full finding— CDSS inspection report, February 7, 2023 · control 27-AS-20220923100433