Country Gardens

Type of visit: Case Management - Health Checks

On 01/22/2026, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced case management visit to the facility to follow up on an incident report submitted by Administrator Jenny Castellanos reporting an incident that occurred in the facility on 01/18/2026 involving Resident 1 (R1), Resident 2 (R2), and Staff 1 (S1). LPA was greeted and granted entry by Activity Director (AD) Fely Dizon who was informed of the purpose of the visit. Administrator Castellanos was phoned and also informed of the purpose of LPA's visit and arrived to the facility to meet with LPA. The incident report documents on 01/18/2026, R1 observed S1 slap R2 on the left side of their head during lunchtime. The incident report documents S1 was immediately terminated and Administrator Castellanos reported the incident to R2's responsible person, Community Care Licensing, the Long-Term Care Ombudsman and law enforcement. Administrator Castellanos reported R2 was assessed and denied having any pain/injuries as a result of the incident. During today's visit, LPA toured the facility with AD Dizon, conducted interviews, and obtained copies of pertinent records. During the visit, LPA did not observe any immediate health or safety concerns nor did LPA observe S1 to be present in the facility. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Castellanos.the state’s words, verbatim · CDSS document, Jan 22, 2026

Type of visit: Case Management - Health Checks

On 01/22/2026, Licensing Program Analyst (LPA) Janette Romero visited the facility in response to an incident report submitted by Administrator Jenny Castellanos reporting on 01/18/2026 Resident 1 (R1) observed Staff 1 (S1) slap Resident 2 (R2) on the left side of their head during lunchtime. LPA was greeted and granted entry by Activity Director (AD) Fely Dizon who was informed of the purpose of the visit. Administrator Castellanos arrived to the facility to meet with LPA. During today's visit, LPA toured the facility with AD Dizon, conducted interviews, and obtained copies of pertinent records. Administrator Castellanos was interviewed in regard to the incident on 01/18/2026. However, during the course of the investigation Administrator Castellanos reported she is in the process of submitting an additional incident report to Community Care Licensing due to receiving allegations that Staff 2 (S2) and Staff (3) verbally abused multiple residents in the facility. At this time, the incident dates/times are unknown. Administrator Castellanos reported S2 and S3 have been relieved from their duties in the facility pending an internal investigation into the allegations. During the visit, LPA did not observe any immediate health or safety concerns nor did LPA observe S2 or S3 present in the facility. No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Castellanos.the state’s words, verbatim · CDSS document, Jan 22, 2026

Type of visit: Required - 1 Year

On 01/12/2026, Licensing Program Analyst (LPA) Janette Romero arrived unannounced to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver, Rosemarie Dela Cruz who was informed of the purpose of the visit. Administrator, Jenny Castellanos was contacted over the phone and also informed of the purpose of the visit. The facility has a fire clearance to serve sixteen (16) non-ambulatory elderly residents, of which eight (8) may be bedridden. The facility also has an approved hospice waiver for six (6) and is approved to have a secured perimeter. LPA was informed there are currently two (2) residents receiving hospice services at the facility. LPA toured the facility's interior and exterior with Caregiver Dela Cruz and observed eight (8) resident bedrooms, four (4) resident restrooms, two (2) living rooms, a kitchen, dining room, and staff office. LPA did not observe any bodies of water on the premises. Indoor and outdoor passageways were free of obstruction. Caregiver Dennis Cayas tested one (1) of the smoke alarms/carbon monoxide detectors and LPA heard it to be operational. LPA also observed several fire alarm pull stations throughout the facility along with charged fire extinguishers mounted that were last serviced on 05/29/2025. LPA reviewed the facility's Mandatory Fire and Earthquake Quarterly Drills noting their last drill was conducted on 01/02/2026. LPA toured resident bedrooms and observed they had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. LPA observed additional incontinent supplies, linens, blankets, towels, and hygiene supplies stored in facility cabinets/closets available for the residents in care. Medications are secured in a locked medication cart inside the locked medication room. Cleaning solutions and knives are secured in different locked storage closets. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods, which were stored in a safe and healthful manner. Staff present have a criminal record clearance and are associated with the facility. LPA reviewed random staff and resident files which had the Department's required records. The facility's certificate of liability insurance expires on 07/01/2026. Long Term Care Ombudsman contact information, complaint procedures, facility sketch, and emergency phone numbers are visibly posted near the dining room. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Caregiver Dela Cruz.the state’s words, verbatim · CDSS document, Jan 12, 2026

Type of visit: Required - 1 Year

On 1/17/2025, Licensing Program Analyst (LPA) Janette Romero arrived unannounced to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver, Ron Lao who was informed of the purpose of the visit. Administrator, Jenny Castellanos arrived during the visit and was also informed of the purpose of the visit. The facility has a fire clearance to serve sixteen (16) non-ambulatory elderly residents, of which eight (8) may be bedridden. The facility also has an approved hospice waiver for six (6) and is approved for a secured perimeter. LPA toured the facility's interior and exterior with Caregiver, Rosemarie Dela Cruz. LPA observed eight (8) resident bedrooms, four (4) resident restrooms, two (2) living rooms, a kitchen, dining room, and staff office. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. LPA did not observe any bodies of water on the premises. Indoor and outdoor passageways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods, which were stored in a safe and healthful manner. Medications are stored in a locked medication cart secured in the locked medication room. LPA observed additional incontinent supplies, linens, blankets, towels, and hygiene supplies available for the residents in care. Cleaning solutions and knives are secured in different locked storage closets. Facility staff tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed charged fire extinguishers mounted throughout the facility, which were last serviced on 6/29/2024. The facility's certificate of liability insurance expires on 7/1/2025. Staff present have a criminal record clearance and are associated with the facility. LPA reviewed random staff and resident files. Staff files reviewed had a criminal record clearance and valid first aid/CPR certification. Resident files reviewed had updated physician's reports and signed admission agreements. Long Term Care Ombudsman information, complaint procedures, facility sketch, and emergency phone numbers are visibly posted near the dining room. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Castellanos.the state’s words, verbatim · CDSS document, Jan 17, 2025

Type of visit: Required - 1 Year

On January 03, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the required annual inspection and spoke with the Administrator, Jenny Castellanos via the telephone, and interviewed her. The facility file review was conducted in the office. LPA Mixson toured the facility along with the Lead Caregiver, Rose, and inspected the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a two-story home, located at 1504 Hillcrest Lane Fallbrook, CA 92028. Physical Plant: The facility phone number is (951) 216-8130 and is operable. The LPA observed the residents bedrooms, and they are equipped with required furniture as per Title 22. The LPA inspected facility bathrooms, and the hot water temperature was tested and tested within regulations. The bathrooms were clean and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The LPA observed required postings such as "If you See Something, Say Something" the "Personal Rights" and the Ombudsman postings were posted in a common area. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the resident and staff files and they were locked and inaccessible to residents in care. Medications: were reviewed, locked and inaccessible to residents, and there was a 30 day supply. The overall facility is clean, the furniture is in good condition. The facility heating system and other appliances were operable currently at the time of this visit. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly. Care & Supervision Facility has sufficient staff, three staff at the time of this visit and the staff were engaging the residents in activities. Records Review: The LPA reviewed six resident files, and four staff files, and conducted two staff interviews, and four resident interviews. Previous Community Care Licensing forms were reviewed. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted and a copy of this report was given to the Lead Caregiver, Rose.the state’s words, verbatim · CDSS document, Jan 3, 2024