Rose Garden Manor III

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 10:20 a.m., the LPA arrived at the facility and called Licensee, Amalia Soratorio and explained the reason for the visit. At 10:30 a.m., staff allowed LPA entrance. At 10:40 a.m., the Licensee, Amalia Soratorio arrived at the facility. At 11:00 a.m., Administrator,Emmanuel Soratorio arrived at the facility. RECORD REVIEW: Between 10:38 a.m. and 11:52 a.m., the LPA conducted a file review for all five (5) residents. Resident records were reviewed for but not limited to: Individual Program Plan (IPP), medical records, admissions agreement, quarterly reports and consent forms. All files were in order. Due to time constraints the LPA will return at a later date to complete the annual. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin conducted an unannounced Required - 1 Year Inspection. The facility is vendored by Tri-Counties Regional Center as a level 4-E home. LPA met with Licensee Amalia Soratorio and explained the reason for the visit. The residents were at day program during today’s visit. At 9:50 a.m. the LPA conducted a tour of the physical plant with the Licensee to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of two (2) living rooms, five (5) resident bedrooms, and two (2) restrooms. The LPA observed two (2) fire extinguishers which were fully charged and last serviced 10/04/2024. At 10:10 a.m. all smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings throughout the home. Kitchen: During the facility tour at 10:15 a.m. the kitchen appeared clean and the appliances and fixtures functional. LPA observed a sufficient amount of perishable and non-perishable food at the facility. Snacks and beverages are always available for the residents. Bedrooms: The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Restrooms: The client restrooms were observed to be clean, sanitary and fixtures were in operating condition. At 10:00 a.m., the hot water in the common hallway bathroom was tested and is within regulation temperatures. Report will continue on LIC809-C. Common areas: These included the living rooms and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. There is a fireplace in the second living room, which is covered with a screen. The facility maintained a comfortable temperature of 67 degrees. There were no obstructions and/or tripping hazards throughout the facility. Garage: The LPA observed the garage, where the washer and dryer are held, and the emergency water is stored. Cleaning supplies and disinfectants are kept in locked cabinets in the garage. Surrounding Grounds (Outdoors): The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water on the premises. Infection Control: The home has an adequate supply of Personal Protection Equipment (PPE) and can obtain additional supplies. The home’s policies and procedures pertaining to infection control were adequate. Record Review: The LPA reviewed resident and staff records starting at 09:30 a.m. and started again at 10:30 a.m. The LPA reviewed all five resident files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, consent forms, and current needs and services plan. All files were complete. The LPA reviewed five (5) staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, current first aid/CPR cards. All files were complete. The LPA observed documentation of Disaster prevention and quarterly fire emergency drills. Guidance for some updates to the disaster plan was provided. The LPA obtained a Client Roster, Staff Roster, and copy of Insurance liability. Medications: At 11:20 a.m. a medication review was initiated. Medications are centrally stored and locked in a hallway closet; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. Exit interview conducted and copy of the report provided to Licensee.the state’s words, verbatim · CDSS document, Dec 19, 2024

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff are not adequately trained Staff falsified resident records Staff are not fingerprint cleared Residents are being financially abused by the licensee

At 11:35 a.m. Licensing Program Analyst (LPA), Esther Cortez along with Tri-Counties Regional Center Quality Assurance Specialist (QAS) Ryan Landseadel conducted an unannounced initial 10-day complaint visit for the above allegations. Upn arrival the LPA and QAS met with administrator Amalia Soratorio. There were no clients present. Administrator Emmanuel Soratorio arrived during the visit and all clients arrived during the visit at 1:30 p.m. During today's inspection, between 11:35 a.m. and 3:00 p.m., the LPA interviewed the Administrators, two (2) staff, one (1) client, conducted a file review, and obtained copies of records and other pertinent documents relevant to the investigation. On the allegation that Staff are not adequately trained, it is the reporting party’s concern that staff are working without being trained. Report will continue on LI809-C. Unsubstantiated To investigate the allegation, the LPA conducted staff record review, and interviewed staff and the administrators. The record review revealed that all staff received the required training and continue to receive on going training. Interview with administrator Emmanuel revealed that the staff receives orientation training, continuation on-site training, CPI training, medication training and Direct Support Professional Training. Staff interviews revealed that they received training in Direct Support Professional training and on-site training. Based on interviews and record review the allegation above is deemed unsubstantiated at this time. On the allegation that Staff are not fingerprint cleared, it is the concern of the reporting party that staff without background clearance are working at the facility. To investigate the allegation, the LPA requested all staff’s records for the staff reflected on the LIC500 (Personnel Roster). The LPA reviewed records and the reviewed records revealed that all staff members were background cleared and are associated with this facility. Staff interviews confirmed there are no other adults who work at the facility other than those on the staff schedule. Based on interviews and record review the above allegation above is deemed unsubstantiated at this time. On the allegation that Staff falsified resident records and Residents are being financially abused by the licensee; it is the concern of the reporting party that the Licensee had Staff help in making false documents including receipts for personal purchases being shown as client purchases. To investigate the allegation, the LPA conducted a record review of the clients record of client’s/resident’s safeguard cash resource (LIC 405) for the three clients that the facility safeguards their cash resources for, and conducted interviews. The LPA observed all LIC 405 forms properly documented with each transaction dated, signed by the client, correct amounts and balances, and descriptions documented. The LPA observed supporting receipts that matched the LIC 405 transactions. Administrator Emmanuel conducted an audit of the clients cash in front of the LPA, all amounts and balances matched. Staff interviews revealed that staff buys items the clients ask for during outings and send the receipt to Administrator Amalia. All staff interviewed denied spending clients money or falsifying any records. Client interview revealed that staff helps them buy items they want, and that they are happy at the facility. Based on information gathered, the Department does not have sufficient evidence to determine Staff falsified resident records and Residents are being financially abused by the licensee. Therefore, the above allegation is deemed unsubstantiated at this time. No citations were issued. Exit interview conducted. A copy of the report was provided to administrator Emmanuel Soratorio.the state’s words, verbatim · CDSS document, Aug 1, 2024 · control 29-AS-20240726165711

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Required - 1 Year Inspection. The facility is vendored by Tri-Counties Regional Center as a level 4-E home. When the LPA arrived there was nobody at the home, the LPA contacted Licensee Amalia Soratorio who arrived at 10:11 a.m. and explained to them the reason for the visit. The residents were at day program during todays visit and all arrived at 1:23 p.m. At 10:34 a.m. the LPA conducted a tour of the physical plant with the Licensee to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of two (2) living rooms, five (5) resident bedrooms, one (1) staff room, and two (2) restrooms. The LPA observed two (2) fire extinguishers which were fully charged and last serviced 10/05/2023. At 10:41 a.m. all smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings through out the home. Kitchen: During the facility tour at 10:34 a.m. the kitchen appeared clean and the appliances and fixtures functional. LPA observed a sufficient amount of perishable and non-perishable food at the facility. Food is prepared based on the menu. Snacks and beverages are always available for the residents. Bedrooms: The resident bedrooms were properly furnished with at least one chair, nightstand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Restrooms: The client restrooms were observed to be clean, sanitary and fixtures were in operating condition. At 10:44 a.m., the hot water in the common hallway bathroom measured at 112.6 degrees Fahrenheit. Report will continue on LIC809-C. Common areas: These included the living rooms and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. There is a fireplace in the second living room, which is covered with a screen. The facility maintained a comfortable temperature of 67 degrees. There were no obstructions and/or tripping hazards throughout the facility. Garage: The LPA observed the garage, where the washer and dryer are held, and the emergency water is stored. Cleaning supplies and disinfectants are kept in locked cabinets in the garage. The garage is not locked. Surrounding Grounds (Outdoors): The LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water on the premises. Infection Control: The home has an adequate supply of Personal Protection Equipment (PPE) and can obtain additional supplies. The home’s policies and procedures pertaining to infection control were adequate. Record Review: The LPA reviewed resident and staff records at 11:24 a.m. The LPA reviewed all five resident files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, consent forms, and current needs and services plan. All files were complete. Five (5) out of ten (10) staff files were reviewed. The LPA reviewed five staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, current first aid/CPR cards. All files were complete. The LPA observed documentation of Infection Control, Disaster prevention and last fire drill (conducted on 11/30/2023). The LPA obtained a Client Roster, Staff Roster, and copy of Insurance liability. Medications: At 02:11 p.m. a medication review was initiated. Medications are centrally stored and locked in a hallway closet; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. The LPA inspected the first aid kit, which was complete with a first aid manual. Interviews: At 02:42 p.m. the LPA conducted two (2) staff and two(2) resident Interviews. No immediate concerns were voiced. Exit interview conducted and copy of the report provided to Licensee Amalia.the state’s words, verbatim · CDSS document, Dec 7, 2023