Ashley's Garden Elderly Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:16 AM. LPA met with facility staff who contacted the facility Administrator Annie Osborn via telephone call. The facility Administrator arrived to the facility at 11:01 AM. Entrance interview was conducted and the reason for the visit was explained. Beginning at 11:03 AM, the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: This included the living room and dining room. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contained an appropriately screened fireplace, a television, and activities for resident use. The dining room was observed to be clean and contained adequate seating for resident use. Smoke detectors, fire doors, and carbon monoxide detectors were tested at 03:46 PM. During the test LPA observed the fire doors leading to resident bedrooms to fail to close when the fire alarm in the living room was activated. LPA tested the fire alarms in the kitchen and entryway and observed the fire doors closing properly. LPA retested the fire alarm in the living room at 03:48 PM and again at 03:52 PM and again observed the fire doors to fail to close. LPA notified the Administrator that the failure for the fire doors to close when the living room fire alarm was activated constituted a violation of the facility’s fire clearance. LPA notified the Administrator that this is a zero-tolerance violation and a civil penalty in the amount of $500 is being assessed on today’s date (08/03/2026). CONTINUED ON LIC 809C. KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a properly secured drawer which contained knives and other sharp objects. LPA observed a secure under-sink cabinet which contained cleaning chemicals. LPA observed an additional secured cabinet which contained resident medications and facility files. LPA observed a wall mounted fire extinguisher to be fully charged and purchased on 05/08/2026. BEDROOMS: There are four (4) bedrooms in the facility; all are designated for resident. LPA and the Administrator toured all four (4) bedrooms in the facility. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #3 contained a direct exit to the outdoors of the facility. Additionally, LPA observed an unsecured bottle of prescription medication in bedroom #3. LPA notified the Administrator who secured the medication at the time of the visit. BATHROOMS: There are two (2) bathrooms at the facility, one (1) is designated as a shared resident bathroom and one (1) is designated as a private resident bathroom. Both bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed near all toilets and all were properly secured. The water temperature was measured to be between 107.3 and 107.8 degrees Fahrenheit, which is in compliance with regulation. OUTDOOR SPACE/GARAGE: The facility had one (1) emergency exit gate located at the front entrance to the property; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. The garage was observed to be secured and contained an extra refrigerator, emergency water supplies, a washer and dryer, cleaning chemicals, and extra care supplies. LPA observed three (3) window screens attached to the private resident bedroom and bedroom #1 which contained tears in the screening material. LPA notified the Administrator who agreed to perform repairs to the identified screens. RECORD REVIEW: Record review began at 11:33 AM. Staff and resident 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, consent forms, and personal rights. Three (3) staff files were reviewed. All staff files contained the required documentation and trainings. Six (6) resident files were reviewed. All resident files reviewed contained all required documentation and signatures. No deficiencies were observed during record review. CONTINUED ON LIC 809C. MEDICATION REVIEW: Medication review began at approximately 12:45 PM. Medications for three (3) residents were observed. All medications were stored appropriately and were documented on their respective centrally stored medication and destruction record sheet (CSMDRs). No deficiencies were observed during medication review. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. Emergency disaster drills are conducted at least quarterly and the last emergency disaster drill was conducted on 07/10/2026. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed two (2) staff members and two (2) residents. The residents interviewed stated that staff treat them well and are attentive to their needs. The residents interviewed had no concerns with the facility. The staff members interviewed were knowledgeable on their roles and responsibilities, the resident rights, the different forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s updated emergency disaster plan, LIC 500, resident roster, and liability insurance. Pursuant to Title 22 of the CA Code of Regulations the following deficiencies were cited and civil penalty was assessed (refer to LIC 809-D). Exit interview was conducted. A copy of the report was issued, and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 3, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:59 AM. LPA met with facility staff #1 (S1) who contacted the facility Administrator Annie Osborn via telephone call. The facility Administrator arrived to the facility at approximately 10:55 AM. Entrance interview conducted and the reason for the visit was explained. Beginning at 10:05 AM, the LPA, along with S1 toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a properly secured drawer to contain knives and other sharp objects. LPA observed a secure under-sink cabinet to contain cleaning chemicals. A secured cabinet was observed to contain resident medications and facility files. LPA observed a wall mounted fire extinguisher to be fully charged and purchased on 04/11/2025. BEDROOMS: There are four (4) bedrooms in the facility; three (3) are designated for resident use and one (1) is designated as a staff room. LPA and S1 toured all four (4) bedrooms in the facility. The staff bedroom was observed to be locked and inaccessible to clients in care. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #3 contained an additional closet that contained the facility’s adequate emergency food supply. Continued on LIC 809C. BATHROOMS: There are two (2) bathrooms at the facility, one (1) is designated as a shared resident bathroom and one (1) is designated as a private resident bathroom. Both bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Both bathrooms were observed to contain locked cabinets that contained resident grooming supplies. Grab bars were observed near all toilets and all were properly secured. The water temperature was measured between 106.2 and 112.8 degrees Fahrenheit, which is in compliance with regulation. COMMON AREAS: This includes the living room and dining room. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contains an appropriately screened fireplace, a television, and board games for resident use. Smoke detectors, fire doors, and carbon monoxide detectors were tested at 10:59 AM and were functional at the time of the visit. The dining room was observed to be clean and contained adequate seating for resident use. OUTDOOR SPACE/GARAGE: The facility has one (1) emergency exit gate located at the front entrance to the property; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. The garage was observed to be secured and contained an extra refrigerator, a washer and dryer, cleaning chemicals, and extra care supplies. The garage was observed to contain adequate emergency water supplies. RECORD REVIEW: Record review began at 11:03 AM. Staff and resident 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, consent forms, and personal rights. Three (3) staff files were reviewed. All staff files contained the required documentation and trainings. Five (5) resident files were reviewed. All resident files reviewed contained all required documentation and signatures. No deficiencies were observed during record review. MEDICATION REVIEW: Medication review began at 12:22 PM. Medications for three (3) residents were observed. Resident #1 (R1) was observed to have a bottle of multivitamins stored with their medication. LPA reviewed R1’s file and did not observe a prescription for the multivitamin. Additionally, the multivitamin was not logged on R1’s Centrally stored medication and destruction record sheet (CSMDR). LPA informed the Administrator of the discrepancy. The Administrator informed LPA that the medication was given at R1’s request. The Administrator agreed to obtain a doctor’s order for the multivitamin. S1 updated R1's CSMDR to include the multivitamin at the time of the visit. Report Continued on LIC 809-C. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as they pertain to infection control are adequate. The last emergency disaster drill was conducted on 07/14/2025. The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s Administrator. INTERVIEWS: LPA interviewed one (1) staff and one (1) resident. The resident interviewed stated that the food was of good quality and is provided in sufficient amounts. The resident stated that staff treat them well and are attentive to their needs. The resident interviewed had no concerns with the facility. The staff member interviewed was knowledgeable on their role and responsibilities, the resident rights, the different forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s updated LIC500, resident roster, and liability insurance. Pursuant to Title 22 of the CA Code of Regulations the following deficiency was cited (refer to LIC 809-D). The Administrator had to leave the facility during today's inspection but has designated S1 to sign this report on their behalf. This report was read to the Administrator via telephone call. Exit interview was conducted. A copy of the report, and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:04 AM. LPA met with facility staff who contacted the facility administrator Annie Osborn via telephone call. Facility administrator arrived to the facility at 09:20 AM Entrance interview conducted and the reason for the visit was explained. Beginning at 09:20 AM, the LPA, along with facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. LPA observed a secured drawer to contain knives and other sharp objects. The LPA observed the fire extinguisher to be fully charged and purchased on 05/25/2024. Cleaning chemicals are stored securely under the kitchen sink. BEDROOMS: There are four (4) bedrooms in the facility; three (3) are designated for resident use and one (1) is designated as a staff room. All resident rooms are designated as dual occupancy rooms. LPA and facility administrator toured all three (3) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom number three (#3) contains a direct exit to the backyard. An auditory alarm was observed and was functional at the time of the visit. The staff room is secured and inaccessible to residents. Report Continued on LIC 809-C BATHROOMS: There are two (2) bathrooms at the facility. Both bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed in all showers and near all toilets, all were properly secured. The water temperature was measured between 117.1 and 117.5 degrees Fahrenheit, which is in compliance with regulation. COMMON AREAS: This includes the living room and dining room. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contains an appropriately screened fireplace and board games for resident use. Smoke detectors and carbon monoxide detectors were tested at 09:43 a.m. and were functional at the time of the visit. The dining room was observed to be clean and contains adequate seating for resident use. LPA observed adequate amounts of emergency food stored in a pantry. The facility’s first aid kit was inspected and contained all required supplies. The first aid kit contained an unsecured box of prescription Ipratropium Bromid 0.02% solution. OUTDOOR SPACE/GARAGE: The facility has one (1) emergency exit gate located at the front entrance to the property, LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. The garage was observed to be secured and contains an extra refrigerator, a washer and dryer, cleaning chemicals, and extra care supplies. The garage contains adequate emergency water supplies as well as an emergency generator. RECORD REVIEW: Record review began at 10:10 a.m. Staff and resident 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, TB tests, consent forms, and personal rights. Three (3) staff files were reviewed. All staff files contained the required documents and trainings. Five (5) resident files were reviewed. All resident files reviewed contained all required documentation. No deficiencies were observed during record review. MEDICATION REVIEW: Medication review began at 11:23 a.m. Medications are stored centrally and securely in a cabinet in the kitchen. Medications for two (2) residents were observed. All medications reviewed were documented properly on their centrally stored medication and destruction record sheet. No deficiencies were observed during medication review. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Last emergency disaster drill was conducted on 07/23/2024. The facility’s emergency disaster plan is up to date and adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated quarterly. INTERVIEWS: LPA interviewed two (2) staff and two (2) residents. All residents interviewed stated that the food was of good quality and is provided in sufficient amounts. All residents stated that staff treat them well and are attentive to their needs. No residents interviewed had concerns with the facility. Both staff members interviewed were knowledgeable on their roles and responsibilities, resident rights, the different forms of abuse and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s updated LIC500, resident roster, and liability insurance. The Pursuant to Title 22 of the CA Code of Regulations, and the Health and Safety Code, the following deficiency was cited (refer to LIC 809-D): Citation was issued. Exit interview was conducted. today's report, and appeal rights were reviewed and issued.the state’s words, verbatim · CDSS document, Aug 27, 2024