Rose Garden Manor IV

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit. At 11:00 a.m., the LPA arrived at the facility and called Licensee/Administrator, Amalia Soratorio and explained the reason for the visit. At 11:33 a.m., Licensee/Administrator arrived at the facility and allowed the LPA entry. Entrance interview conducted. Starting at 12:20 p.m., the LPA, along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The following was observed: KITCHEN: The LPA observed the kitchen and dining area. Knives and cleaning supplies were locked and are stored underneath the kitchen sink. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food and emergency food and water. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguishers to be fully charged and last serviced on 09/12/2025. At 03:25 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. There is a working telephone on premises. Laundry units are located near the kitchen area. The LPA observed a closet near the laundry area with additional bed sheets and towels. OUTDOOR SPACE: The LPA observed the back patio and enclosed patio which has a covered outdoor area for resident use. There are two (2) gates on each side of the house designated for emergency exits. All passageways were observed to be free from hazards. There are no bodies of water on the premises. The garage is detached. Report Continued on LIC 809-C BEDROOMS: The facility is a single-story residential home with four (4) bedrooms, two (2) of which are private resident rooms and two (2) are shared resident rooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: The two (2) facility restrooms are relatively clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. Hot water was tested in the shared resident restroom and measured 116.2 degrees Fahrenheit. The sinks had sufficient liquid soap and paper towels. RECORD REVIEW: Beginning at 12:50 p.m., the LPA conducted a file review for five (5) residents and five (5) staff and observed the following: Staff have current first aid and CPR. Resident records were reviewed for but not limited to: Individual Program Plan (IPP), medical records, P & I funds, admissions agreement, quarterly reports and consent forms. All files were in order. Administrator’s Certificate is valid until 11/01/2026. The last fire drill took place on 07/01/2026. The LPA observed documentation of the Infection Control Plan and Emergency and Disaster Plan. At 02:49 p.m., the LPA conducted a review of medication and medication documentation with staff for two (2) out of six (6) residents and observed that medications were properly documented and assisted as prescribed. During the visit, the LPA spoke with three (3) residents and three (3) staff. No concerns were noted. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jul 22, 2026

Allegation investigated: Staff is not allowing resident to have phone calls with family members. Resident was not permitted to visit privately with their visitor.

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced subsequent complaint visit to this facility. At 1:25 p.m., the LPA met with staff and explained the reason for the visit. At 1:57 p.m., the Licensee, Amalia Soratorio arrived at the facility. During the initial visit conducted on 12/23/2025, between 11:00 a.m. and 1:30 p.m., the LPA conducted a physical plant tour and conducted interviews with the Licensee, two (2) staff and five (5) clients. During today’s visit the LPA conducted a physical plant tour and an interview with Client #1 (C1). During both visits, the LPA obtained copies of pertinent documents. Continued on LIC 9099-C. Unsubstantiated Regarding the allegations: 1.) Staff is not allowing resident to have phone calls with family members. 2.) Resident was not permitted to visit privately with their visitor. It was alleged that Client #1 (C1) was not allowed to receive phone calls or visit privately with a family member. Interviews with C1 revealed indifferences and uncertainty of maintaining communication or having visitation with a certain family member. Throughout both interviews with C1, C1 did not state that the indifference or refusal to see said family member is due to the Licensee’s rules or influence. Interview with the Licensee revealed that facility staff do not restrict phone calls or visitation. The Licensee stated that the clients have the right to phone calls and visitation but it’s also their right to refuse visitation or phone calls. The LPA reminded the Licensee that facility staff cannot restrict visitation or phone calls unless there are legal documents such as a restraining order in place. The LPA reminded the Licensee to keep a copy of such legal documents in resident’s files. The information obtained during the investigation did not include evidence sufficient to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Apr 7, 2026 · control 29-AS-20251215082724

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:30 a.m., the LPA arrived at the facility and called Licensee, Amalia Soratorio and explained the reason for the visit. At 9:55 a.m., staff arrived at the facility and allowed the LPA entry. At 10:14 a.m., the Licensee, Amalia Soratorio arrived at the facility. RECORD REVIEW: Between 10:16 a.m. and 11:56 a.m., the LPA conducted a file review for all six (6) residents and staff regularly scheduled and observed the following: Staff have current first aid and training documentation. Resident records were reviewed for but not limited to: Individual Program Plan (IPP), medical records, P & I funds, admissions agreement, quarterly reports and consent forms. All files were in order. Administrator’s Certificate is valid until 11/01/2026. The last fire drill took place on 07/05/2025. The LPA observed documentation of the Infection Control Plan and Emergency and Disaster Plan. At 12:00 p.m., the LPA conducted a review of medication and medication documentation with staff for three (3) out of six (6) residents and observed that medications were properly documented and assisted as prescribed. Starting at 12:56 p.m., the LPA, along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards. Continued on LIC-809-C. KITCHEN: The LPA observed the kitchen and dining area. Knives and cleaning supplies locked and are stored underneath the kitchen sink. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 12:59 p.m., hot water measured at 107.5-degree Fahrenheit. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguishers to be fully charged and last serviced on 10/04/2024. At 1:09 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. There is a working telephone on premises. Laundry units are located near the kitchen area. The LPA observed a closet near the laundry area with additional bed sheets and towels. OUTDOOR SPACE: At 1:08 p.m., the LPA observed the back patio and enclosed patio which has a covered outdoor area for resident use. There are two (2) gates on each side of the house designated for emergency exits. There are no bodies of water on the premises. The garage is detached. Additional cleaning solutions are locked and located inside the garage. BEDROOMS: The facility is a single-story residential home with four (4) bedrooms and two (2) bathrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 1:04 p.m., hot water measured at 105.5-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. During the time of the visit, the LPA spoke with all three (3) residents and one (1) staff. No concerns were noted. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jul 17, 2025

Allegation investigated: Staff did not allow resident to have visitors while in care.

Licensing Program Analyst (LPA) Emily Peraldi along with Quality Assurance Specialist (QAS) Tri-Counties regional center Katy Robison conducted an unannounced initial complaint visit to this facility. At 9:30 a.m., the LPA met with staff and explained the reason for the visit. At 10:11 a.m., the Licensee arrived at the facility. At 9:56 a.m., the LPA along with staff conducted a physical plant tour. Starting at 9:59 a.m., the LPA conducted interviews with the Licensee and one (1) staff, and one (1) resident. At 10:45 a.m., the LPA obtained copies of pertinent documents. Continued on LIC 9099-C. Unsubstantiated Regarding the allegation: Staff did not allow resident to have visitors while in care. On 1/15/2025, the Department received a complaint alleging facility staff is restricting Resident #1 (R1) visitation from Individual #1 (I1). It was alleged that I1 attempted to visit R1 on Sunday January 12, 2025, and that staff did not allow I1 to see R1 as they told I1 that R1 was not home. Per interview with the Licensee, it was revealed that facility staff did not restrict I1 from visiting R1 instead I1 came to the facility while R1 was out in the community. The LPA reviewed R1’s daily notes and the facility’s sign in and out sheet and confirmed that R1 was out in the community on January 12, 2025. The Licensee stated that residents are always allowed visitors and that she has not restricted R1 from seeing I1. The LPA reminded the Licensee that facility staff cannot restrict visitation unless there are legal documents such as a restraining order in place. The LPA reminded the Licensee to keep a copy of such legal documents in resident’s files. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jan 24, 2025 · control 29-AS-20250115113432

Allegation investigated: Staff did not allow resident to have visitors while in care.

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced initial complaint visit to this facility. At 11:30 a.m., the LPA called the Licensee, Amalia Soratorio and explained the reason for the visit. At 11:45 a.m., the Licensee arrived at the facility and allowed the LPA entrance to the facility. Between 11:51 a.m. and 1:40 p.m., the LPA conducted interviews with the Licensee and four (4) residents. At 12:50 p.m., the LPA along with the Licensee conducted a physical plant tour. At 12:58 p.m., the LPA obtained copies of pertinent documents. Continued on LIC 9099-C. Unsubstantiated Regarding the allegation: Staff did not allow resident to have visitors while in care. On 11/07/2024, the Department received a complaint alleging facility staff restricting Resident #1 (R1) visitation from Individual #1 (I1). It was alleged that I1 attempted to visit R1 last year in January 2023 and that staff did not allow I1 to see R1. Per interview with Licensee, it was revealed that facility staff did not restrict I1 from visiting R1 instead I1 came to the facility in the morning while R1 was at day program. The Licensee explained that I1 has not returned to the facility since then. The Licensee stated that residents are always allowed visitors and that majority of the residents do receive visitors or residents leave the facility with family. The LPA reminded the Licensee that facility staff cannot restrict visitation unless there are legal documents such as a restraining order in place. The LPA reminded the Licensee to keep a copy of such legal documents in resident’s files. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Nov 14, 2024 · control 29-AS-20241107134508

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 3:35 p.m. Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced initial 10-day complaint visit for the above allegations. Upn arrival the LPA met with staff and administrator Amalia Soratorio arrived shortly after. During today's inspection, between 3:30 p.m. and 6:00 p.m., the LPA conducted a file review, interviewed the administrator, two (2) staff, three (3) residents 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. To investigate the allegation, the LPA conducted a staff record review for five (5) of nine (9) staff, and interviewed staff and the administrator. Report will continue on LIC9099-C. Unsubstantiated The record review revealed that all staff received the required training and continue to receive on going training. Interview with administrator Amalia 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) including the staff observed at the facility. 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 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 all of the six (6) 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 Amalia conducted an audit of the clients cash in front of the LPA, all amounts and balances matched. LPA observed items at the facility that were listed at as the purchased items. Staff interviews revealed that staff buys items the clients ask for during outings and send the receipt to Administrator Amalia. All staff interviewed including the Licensee denied spending clients money or falsifying any records. All client interviews 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 Amalia Soratorio.the state’s words, verbatim · CDSS document, Aug 1, 2024 · control 29-AS-20240726170440

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 09:00AM. The LPA met with Licensee Amalia Soratorio and was explained the reason for the visit. There were no clients or any other staff when the LPA arrived. The home is vendored by Tri-Counties Regional Center as a level 4-E home. RECORD REVIEW: Beginning at 09:15AM, the LPA conducted a record review. Records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, personal rights, and resident cash resources. Five (5) resident records reviewed were complete and contained all required documents. 5 (five) staff files reviewed were complete. The LPA reviewed P&I records for all residents. Cash resources were separate and intact, and not be commingled with facility funds or petty cash. The LPA left the facility at 11:45 AM and returned at 1:15 PM. When the LPA arrived there were six (6) clients and three (3) staff present. MEDICATION REVIEW: Medications review began at 1:20 PM. Medications were observed locked in the hallway cabinet. Medications for two (2) residents were observed. All medications are labeled and maintained in compliance with label instructions, and state and federal law. All medications reviewed were recorded on the centrally stored medication and destruction record. The LPA inspected the first aid kit, which was complete. Continued on LIC 809-C At 1:51 PM the LPA along with facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: The LPA observed two (2) fire extinguishers at the facility, which were fully charged and last serviced 10/16/2023. At 02:05 PM, all smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings in the common area. KITCHEN: Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food, as well as emergency food and water supply. All knives and cleaning supplies were observed to be locked and properly stored at the time of the visit. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are four (4) total bedrooms; 2 (two) are designated for private resident use and 2 (two) are designated as shared resident rooms. RESTROOMS: The LPA observed 2 (two) restrooms in the facility; one is a shared restroom and one is a private restroom. Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Water temperature was measured in the private resident restroom at 2:02PM and measured at 112.1 degrees Fahrenheit, which is within the required range. COMMON SPACES/OUTDOOR SPACE: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. A fireplace was observed to be adequately inaccessible. Laundry room was observed with locked chemical storage. The backyard has an enclosed patio and outdoor area equipped for resident use. There were no bodies of water noted. The detached garage was observed unlocked and contained storage. INTERVIEWS: Throughout today's visit, LPA interviewed two (2) residents and two (2) staff. No immediate concerns were voiced. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 9, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.