Gardens Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Maria (Mita) Partoza a conducted an unannounced required 1 year inspection visit and was greeted by Rex Deocales- House Manager (HM). Rosario Arellano, LIcensee/Administrator (LIC/ADM) was not present due to prior commitment. LPA stated the purpose of the visit. The facility is licensed to serve adults 60 and over. 1 may be bedridden and hospice waiver for 6. 3 Out of 5 are under hospice care. 6 Out of 6 are non-ambulatory, 6 out of 6 have neurocognitive disorder. 3 Out of 6 are under hospice care. LPA observed 5 residents and 3 staff were present at the facility at time of the visit. At 1:45 p.m. LPA toured the facility inside and outside with HM including but not limited to the kitchen, bathroom, dining room, living room, 6 residents rooms, garage, backyard and exterior walkways. Walkways and hallways are free from obstruction. The exterior side walkways are free from obstruction and gates have audible alarms to alert staff. The temperature inside the home was at 71 degrees Fahrenheit. The kitchen and bathroom water temperature measured at 110.1 to 111.5 degrees Fahrenheit. The kitchen was observed to be sanitary and organized, knives and sharps were locked and not accessible to residents. The bathroom/s are equipped with grab bars, non-skid mats. Resident's room (R1 to R6) have sufficient storage. Residents room are sanitized and organized. Rooms 3,4 & 5 have exit door/sliding doors with audible alarms to alert staff. Under the sink cabinet is used to store cleaning supplies and locked and not accessible to residents. LPA observed 2 days of perishable food and 7 days of non-perishable food and are labeled with date purchased or date of expiration. The refrigerator temperature is at 32 degree F and freezer is at 0 degree F. The first aid kit is complete and is accessible to staff. The washer and dryer located in the garage are in good working condition. Laundry soap and cleaning supplies are locked and not accessible to residents in care. The facility is equipped with a fire, smoke and carbon monoxide alert system that is in good working. Night lights were observed on the hallways. Floors are maintained an free from tripping hazard. The facility is equipped with surveillance camera in the dining, kitchen, living area, entry way, and the front exterior. ADM stated the cameras do not record, does not have audio and no data are being collected. A consent form was signed by responsible parties. LPA reviewed the facility disaster preparedness training, and found that training was last administered on 06/13/2025. LPA requested copies of the LIC 500, liability insurance and LIC 308. Fire extinguisher was last inspected on 07/07/2025. LPA reviewed 3 resident records such as but not limited to the centrally stored medication and destruction record (CSMDR), admission agreement, needs and services plan, health screening and observed records are complete and updated. LPA reviewed 3 staff records including but not limited to required training, first aid/CPR training, health screening and background clearance. All staff have criminal record clearance/fingerprints and records are complete and updated. No deficiencies were cited during today's visit, based on California Code of Regulations (CCR) Title 22 An exit interview was conducted with House Manager (HM) Rex Deocales and a copy of the report was provided. page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Sep 25, 2025

Allegation investigated: - Staff did not observe resident sustained an infection - Staff did not communicate with resident’s responsible party in a change of condition - Staff did not provide resident with adequate dental hygiene - Staff did not ensure resident was hydrated - Staff did not assist resident with incontinence needs during the night - Staff did not dispense vitamins to resident in care

On 12/27/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to deliver findings regarding the allegation received. LPA met with staff Rex Deocales and explained the purpose of today's visit. During today's visit LPA Vado spoke to co-licensee Chrstine Aurellano and discssed the findings and the allegations. During the investigation interviews were conducted, documents are reviewed, and facility observations were made. Per 5/5 staff, they were not aware of any pain or signs of an infection to report. It is common practice to contact repsponsible party if there was anything observed that is out of the ordinary. There are lso case notes provided to the Department to show observations made as the resident is incontinent and was montiored closely due to this. Conitinued on next page... Unsubstantiated Page 2 - LIC9099 Per these interviews, staff did provide dental hygiene regularly and provided documentation to show a recent dental visit at the time of the complaint. Staff also confirm that they met incontinence needs during the night and took steps to change and help prevent any rashes or infection. Staff provide medications and vitamins as prescribed but cannot force a resident if they refuse. This is marked in the records if refused. The facility did not maintain a regular hydration log at the time, but staff interviews stated that they did encourage regular hydration to the resident and water cups were provided to resident. There was a cup present in the room that is a designated size and the daily goal is to have residents consume a certain number of ounces to ensure hydration. Cups were observed in other resident rooms as well. 3/3 residents interviewed showed that the facility provided the services needed as indicated in the allegations received, and did not have any complaints or issues regarding each allegation pertaining to their care. Based on interviews conducted, and documentation reviewed that was received, these allegations are unsubstantiated. It cannot be determined that all these allegations took place described. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed with staff person Rex Deocales and a copy of this report is provided on this day.the state’s words, verbatim · CDSS document, Dec 27, 2024 · control 26-AS-20230424100617

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Maria (Mita) Partoza a conducted an unannounced required 1 year inspection visit and met with administrator Daniel John Francisco and stated the purpose of the visit. The facility is licensed to serve adults 60 and over. 1 may be bedridden and hospice waiver for 6. 3 Out of 5 are under hospice care. 5 Out of 5 are non-ambulatory, 4 out of 5 have neurocognitive disorder. LPA observed 5 residents and 4 staff were present at the facility at time of the visit. At 2:15 p.m. LPA toured the facility inside and outside with staff 1 (S1) including but not limited to the kitchen, bathroom, dining room, living room, 5 residents rooms, garage, backyard and exterior walkways. The temperature inside the home was at 72 degrees Fahrenheit. The kitchen was observed to be sanitary and organized, knives and sharps were locked and not accessible to residents. LPA observed 2 days of perishable food and 7 days of non-perishable food. Under the sink cabinet is used to store cleaning supplies and locked and not accessible to residents. The kitchen water temperature measured at 111.7 degrees Fahrenheit. The facility is maintained, sanitary and organized. The bathroom/s are equipped with grab bars, non-skid mats. The water temperature in the bathroom measured at 112.8 degree Fahrenheit. Resident's room (R1 to R5) have sufficient storage. LPA observed that medications are kept locked and inaccessible to residents. The first aid kit is complete and is accessible to staff. page 1 of 2 see LIC 809C The backyard, walkways, ramps and patio are free from debris and obstruction. The facility screen windows were observed to be in good repair. The washer and dryer located in the garage are in good working condition. Laundry soap and cleaning supplies are locked and not accessible to residents in care. The facility is equipped with a fire, smoke and carbon monoxide alert system that is in good working condition, night lights on the hallway are in good working condition. The hallway are free from obstruction. The facility is equipped with surveillance camera in the dining, kitchen, living area, entry way, and the front exterior. ADM stated the cameras do not record, does not have audio and no data is collected. A consent form was signed by responsible parties. LPA reviewed 3 resident records such as but not limited to the centrally stored medication and destruction record (CSMDR), admission agreement, needs and services plan, health screening and observed records to complete and updated. LPA reviewed 3 staff records including but not limited to required training, first aid/CPR training, health screening and background clearance. All staff have criminal record clearance/fingerprints and records are complete and updated. No deficiencies were cited during today's visit. An exit interview was provided to administrator Daniel John Francisco and a copy of the report was provided. page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Oct 27, 2024