Blissful Garden

Allegation investigated: Staff abused resident in care Staff restrained resident in care Staff yelled at residents in care

On 3/3/26, Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Motu Sokimi. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unfounded Staff abused resident in care Staff restrained resident in care The Department conducted interviews with staff members and reviewed records regarding allegations above. Staff interviews revealed that they were not aware of any abuse or restraining of any residents in care; therefore, the above allegations are found to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Staff yelled at residents in care The department interviewed six (6) staff during a complaint investigation. The department conducted a tour of the facility on 12/08/25 and 02/17/26. Interviews indicated that all staff treat all residents with dignity and respect and do not yell at residents. During a facility tour on 12/08/25 and 02/17/26, facility staff were observed to be attentive to residents’ needs and treating residents with dignity and respect. Based on facility tours, interviews and observation, the department found that there is no evidence that facility staff do not treat residents with respect or speak inappropriately to residents; therefore, these allegations are found to be UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Report left with facility.the state’s words, verbatim · CDSS document, Mar 3, 2026 · control 59-AS-20251208103213

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on 10/06/2025 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and Administrator Motu Sokimi toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA reviewed resident (4) and staff files (4). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Oct 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced on 10/9/24 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA and RSD Ricky Dulay toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPA reviewed resident (5) and staff files (5). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to staff.the state’s words, verbatim · CDSS document, Oct 9, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit and to deliver a notice of immediate exclusion for an individual (S1). LPA Moleski met with resident service director Ricky Ziese-Dulay and explained the purpose of the visit. Ziese-Dulay said S1 was present for training. Ziese-Dulay sent S1 home immediately after being told that S1 was excluded. LPA Moleski observed S1 being led out of the facility by staff. LPA Moleski provided a copy of the exclusion order for S1. No deficiencies were cited during this visit. An exit interview was held with Ziese-Dulay. A copy of this report will be emailed to facility representatives.the state’s words, verbatim · CDSS document, Nov 9, 2023

Allegation investigated: Resident sustained an unexplained fracture while in care. Facility modified a contract without notifying resident's responsible party. Facility did not give a copy of the contract to resident's responsible party. Facility staff did not keep a doorway free of obstruction. Facility staff did not safeguard resident's personal items.

On 10/10/23, Licensing Program Analysts (LPAs) Lavinia Muscan and Cheyenne Ratajczak arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Motu Sokimi. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: **Report continued on 9099-C** Unfounded ALLEGATION: Resident sustained an unexplained fracture while in care. Based on records reviewed and interviews, R1 has a diagnosis of osteoporosis. On 3/24/23, R1 went to the hospital and was diagnosed with a fifth lumbar vertebra compression fracture which was related to osteopenia. Based on interviews and records review, there is no indication that R1 sustained a fall at the facility resulting in the injury listed above. A review of the medical records indicated that R1’s fracture resulted from medical decline, not trauma or lack of care and supervision by facility. Based on records reviewed it was concluded that compression fractures occurred due to R1’s osteoporosis and fragile bones, therefore the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility modified a contract without notifying resident's responsible party Based on records reviewed and interviews conducted on 8/16/23 and 9/19/23, there is no evidence of Admission Agreements being changed without notifying residents responsible parties, therefore the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility did not give a copy of the contract to resident's responsible party. Based on records reviewed and interviews conducted, R1s responsible party did receive an Admission Agreement. The Department observed a signed contract between the responsible party and the facility. Further, the Department was notified by the responsible party that they may have misplaced the Admission Agreement. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility staff did not keep a doorway free of obstruction. Based on facility observation on 8/16/23 and 9/19/23 there was no sign of any doorway being obstructed by anything. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. ALLEGATION: Facility staff did not safeguard resident's personal items. Regarding safeguarding residents’ belongings this allegation was regarding clothing items and hearing aids. All residents interviewed on 9/19/23 said they always get their own clothes back when laundry is done. If something is missing, there is a certain place where clothes are kept so that residents can look for their lost items. Staff verified that this is the case. Additionally, upon verifying the safeguards form, there were no hearing aids listed on R1’s LIC621, therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted. Copy left with facility Administrator.the state’s words, verbatim · CDSS document, Oct 10, 2023 · control 59-AS-20230814163322

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Lavinia Muscan and Cheyenne Ratajczak arrived unannounced on 10/10/23 to conduct the annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPAs and Administrator Motu Sokimi toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. The disaster drill is current. The administrator's certificate is current. There is a side gate for emergency access. LPAs checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPAs observed cleaning products and other toxins to be locked away. LPAs observed the area used for medication to be locked and inaccessible to residents. LPAs observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguishers are ready for emergency use. Water temperature is within compliance. In the areas toured, there were no health or safety violations observed. LPAs reviewed resident (5) and staff files (5). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills. All required posting were observed. Staff training contained the required initial training. LPAs requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by end of the month. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Oct 10, 2023

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.