H & M's the Rose Garden

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Licensee Heherson Garcia arrived later, followed by Maggie Garcia. Facility currently has six (6) residents in care one of which is currently on hospice. Administrator certificate # for Heherson Garcia 7020012740 exp 12/2/27 and certificate # 7008481740 exp 5/5/27 At approximately 1:30pm LPA and licensee toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed a 2 day supply of perishable and at least a 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled with opened dates present. LPA observed kitchen cabinet under sink to be locked. All other cleaning products and laundry soaps are located in the garage and inaccessible to residents in care. Sharp knives cabinet has magnetic locking function. Facility has video cameras in the common areas, at the front door, and on the sides of the facility. Video Camera Policy Admission Agreement Addendum present. LPA observed Addendum to be signed by all residents or their responsible party. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 113.4 degrees F in the front bathroom and 110.9 in the back bathroom and 114.2 degrees F in the kitchen, all of which are within the allowable range of 105 to 120 degrees F. Continued on 809C... Continued from 809... Fire extinguishers were last inspected 1/6/26. Fire alarm hardwired and serviced annually, last serviced January 2026. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted on 3/9/26. Facility has a backup generator for use during a power outage. At approximately 2:00pm LPA conducted a review of five [5] staff records. All documentation present. Training hours and subjects of training in compliance. LPA discussed Health and Safety Code (HSC) 1569.69 with licensee and discussed all staff that administer medications, including PRNs, must have the training outlined in HSC1569.69. At approximately 2:30pm LPA conducted a review of six [6] out of six [6] resident records. All documentation present, except for TB clearance for resident (R1). However, LPA was able to verify with day program director that TB clearance for R1 was on file with them. LPA discussed importance of having all required documentation present at time of move-in for all residents, especially that showing clearance of communicable disease. At approximately 3:30pm LPA and licensees conducted a medication review. LPA went over requirement for PRN MAR and need for all PRNs to be listed on the Centrally Stored Medication Log (CSML). LPA and licensee discussed Infection Control Plan. LPA and licensee discussed Emergency Disaster Plan. Licensee confirmed no updates needed but were reviewed. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility No deficiencies cited. Exit interview conducted with licensees and a copy of this report given.the state’s words, verbatim · CDSS document, Mar 10, 2026

The state marks this report as 8 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrators Maggie and Heherson Garcia arrived later. Maggie Garcia Administrator Certificate 7008481740 expires 5/5/2025. At approximately 9:30am LPA and Admin toured the building and grounds. Facility currently has six [6] residents in care, none of which are on hospice. LPA observed a noticeable order of incontinence upon entering facility (deficiency cited, see 809D). LPA observed items in bathroom such as storage rack and paper towel holder in bathroom to be dirty and dusty. The facility was found to be at a comfortable temperature. LPA observed camera to be present in the kitchen and in the common area living room. LPA asked to see notification and consent form signed by the residents' or residents' responsible parties for the cameras. Admin provided LPA a form with signatures, but none of the signatures matched the signatures of the residents or residents' responsible parties and the dates of the signatures is before many of the residents moved into the facility. LPA advised Admin to disclose and obtain the consent of residents and/or residents' responsible parties when utilizing video surveillance within the facility. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Facility had fresh fruit but no fresh vegetables. Admin claims that today she was going to replenish the facility's supply of fresh vegetables, so Admin immediately went to store and purchased some fresh lettuce and vegetables. LPA observed opened bag of sugar and coffee in pantry without any seal or label. LPA advised to keep open items properly sealed after opening. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. LPA observed a pair of scissors in unlocked kitchen drawer. LPA advised to keep objects that could present as a hazard to residents in locked drawer. Continued on 809... Continued from 809... All bedrooms were equipped with lighting, night stand, and chest of drawers. R1 and R2 do not have a comfortable mattress with good springs (deficiency cited, see 809D). R3 did not have a pillow. Admin claims R3 does not want a pillow. LPA advised to keep one out and available in case R3 does want a pillow. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 110.4 and degrees F which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 1/13/25. Sprinklers and Smoke/Carbon Monoxide detectors located throughout the facility are hard wired and serviced by vendor. Last date of service January 2025. Facility’s last quarterly disaster drills were conducted March 2025. Facility has a backup generator for use during a power outage. LPA and Admin observed two boards on side of wrap around deck to bow when pressure is applied. On the same two boards there are nails that stick up, as they are not flush with the board, presenting a hazard to residents. Admin immediately hammered down nails and will replace boards or make them secure within one week. At approximately 11:45am LPA conducted a review of six [6] resident records. No deficiencies cited. LPA reviewed with Admins discrepancies found on residents' physician assessments. Admins will follow up and get corrections/clarifications to diagnoses and ambulatory status listed on residents' respective physician assessments. LPA observed R4's right eye to be very red and appears to be inflamed. Admin advised LPA that R4 just had a doctor visit on 2/28/25. However, eye issue was not addressed at visit per LPA review of discharge papers. Admin will have R4's eye looked at by their doctor as soon as possible. At approximately 1:00pm LPA conducted review of five [5] staff records. LPA reviewed training documentation forms created by the facility. Training records present do not list hours completed. LPA advised Admins that their documentation of training must include the hour duration of the training completed and the course topics covered. Currently, there is no hour duration listed except for shadowing hours or RCFE Initial training hours. However, staff initial training hours certificate does not list topics covered. LPA Continued on 809C(2)... Continued from 809C... reviewed training materials and observed three [3] items present for training: Paper materials and CDs dated 2008 from Community Care Options, videos from Community Care Options dated 2011, and a California Dementia Care Compliance book from Allen Flores dated 2025. LPA advised that training materials should be current, within the decade, and cover all the required subject topics per regulation, not just dementia but also hospice care, postural supports, and restricted conditions among other topics. LPA went over Health and Safety Code with Admins outlining the topics required and hours required. Additionally, LPA and Admins discussed either obtaining current materials and submitting them to CCL for approval or using an approved vendor. Admins decided to use the approved vendor of Community Care Options going forward. At approximately 2:45pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. LPA found discrepancies with medication for R2 and R5. Pertaining to R5:Prescription Eliquis 5mg filled 3/19/25 count was off. Quantity of 60 bottle started on 3/19/25 and R2 is supposed to receive 2 tablets per day, but one pill left in the bottle. Prescription Levetiracetam 500mg count was off. Quantity of 120 bottle started 3/6/25 and R2 is supposed to receive 1 tab per day but 37 pills remain. Pertaining to R2: R2 had hydrocortisone prescribed on 3/6/25 but LPA did not observe the cream in R2's medication bin. Medication not listed as PRN on doctor's orders however, per Admin, medication was never filled and never added to Centrally Stored Medication Log (deficiency cited. see 809D). LPA discussed and offered Technical Support Program for medication management help from CCL. Admins declined offer and will reconcile medication records and medications on their own for now. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrators and a copy of this report was given.the state’s words, verbatim · CDSS document, Apr 16, 2025

The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Caregiver. Administrator Maggie Garcia, arrived later. Facility contact information was reviewed. At approximately 9:15am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Water temperature in sink accessible to residents in care measured at 110.8 degrees F which is within the allowable range of 105 to 120 degrees F. Resident bathroom had required bath mat and grab bar. Required bath mat present in shower, but black spots and film present on top and underneath of mat in shower. Per Title 22 regulation 87303(e)(5) Non-skid mats or strips shall be used in all bathtubs and showers (deficiency cited, see 809D). Fire extinguishers were last inspected 4/14/2023. Per Tile 22 regulation 87202(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department...(deficiency cited, see 809D). Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational, last serviced on 11/2023 by Santa Rosa Fire Equipment Service Inc. Facility has a backup generator for use during a power outage. At approximately 10:30am LPA conducted a review of 5 staff records. Five [5]out of five [5] staff members did not have required number of training hours completed. Continued on 809C... Continued from 809... Per Health and Safety Code HSC1569.625(b)(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually...and may include online training (deficiency cited, see 809D). Three [3] out of five [5] staff did not have TB screen. Per Title 22 regulation 87411(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure...(deficiency cited, see 809D). At approximately 11:00am LPA conducted a review of 6 resident records. Resident (R3) has diagnosis of dementia but their LIC602 Physician's Report was last done 2/28/2022. Per Title 22 regulation 87705(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment...(deficiency cited, see 809D). Residents R1 and R5 did not have doctors orders for 1/2 bed rails present. Per Title 22 regulation 87608(a)(5)(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed (deficiency cited, see 809D). At approximately 12:30pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. Maggie Garcia Administrator Certificate 6027894740 expires 5/5/2025. All fees are current as of this time. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. Continued on 809C(2)... Continued from 809C(2)... Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Licensee. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Apr 26, 2024

The state marks this report as 8 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.