Rose Garden

Type of visit: Case Management - Other

On April 29,2026, Licensing Program Analysts (LPAs), Venus Mixson and Mia Lankford arrived at the facility unannounced in order to conduct a facility closure visit. LPAs were not able to meet with anyone due to the facility being closed. LPAs toured the outside of the facility and made observations. There were no observable Title 22, Division 6, Regulation violations noted during the time of this visit. There were no residents or staff present at the time of the visit. An exit interview was not able to be conducted due to facility closure. A copy of this report was mailed the Administrator, at the last known address.the state’s words, verbatim · CDSS document, Apr 29, 2026

Allegation investigated: Facility Staff are sleeping in resident's rooms.

On April 10, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility and met with The Administrator, Rolando Corpuz. LPA explained the reason for the visit was to provide findings for the complaint investigation. During the investigation, LPA conducted interviews and record reviews, pertaining to the listed allegation. It was alleged staff were sleeping in resident bedrooms. It was further stated that staff do not have their own sleeping quarters. An interview with the Administrator, Rolando Corpuz revealed he denied the allegation. The Administrator indicated that the live in staff do have their own sleeping quarters. Interviews with staff were conducted, where 4 of 4 staff reported they do not sleep in the residents rooms. Additionally, the staff reported that none of the residents reported staff members were sleeping in their rooms. Interviews with residents were conducted, where 5 of 12 residents reported they could not recall any times where staff slept in their rooms. During the course of the investigation, a staff reported that they did sleep in resident’s bedrooms as well as in a back cottage and in the dining area. Substantiated The staff provided a photo of bedding on the floor as well as details such as the bedroom they were sleeping in and the name of the resident who occupied the room. Based on information obtained from interviews and photo, the evidence standard has been met, and the allegation has been deemed substantiated. An exit interview was conducted with the Administrator, Rolando Corpuz. A copy of this report, LIC 9099-D, and appeal rights were discussed and provided to the Administrator, Rolando Corpuz. The staff provided a photo of bedding on the floor as well as details such as the bedroom they were sleeping in and the name of the resident who occupied the room. Based on information obtained from interviews and photo, the evidence standard has been met, and the allegation has been deemed substantiated. An exit interview was conducted with the Administrator, Rolando Corpuz. A copy of this report, LIC 9099-D, and appeal rights were discussed and provided to the Administrator, Rolando Corpuz.the state’s words, verbatim · CDSS document, Apr 10, 2026 · control 18-AS-20250612085546

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87468.1(a) · Plan of correction due date: Apr 17, 2026

87307(a) Personal Accommodations and Services Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. Based on interviews and record reviews, the licensee did not provide comfortable living accommodations for residents and staff. Staff slept in resident bedrooms and dining area. This posed an immediate personal rights risk.the state’s words, verbatim · CDSS document, Apr 10, 2026

Plan of correction: POC: The Administrator indicated that all staff would have their own space and would provide additional supervision of staff.

Type of visit: Office

On April 09, 2026, Licensing Program Analyst (LPA) Venus Mixson, Regional Manager, Reyna Lacey, and Licensing Program Manager (LPM) Jazmond Harris met with Leslie Wang in the office. Leslie Wang reflects as the licensee of the facility. She reported she is not the Licensee and that she sold the business to Rolando Corpuz about four years ago. Leslie was unable to provide documentation of the sale nor proof that notifications were sent to the Department. Leslie reported that she will provide the documents by April 17, 2026. Leslie was provided LPM Harris' contact information to submit documents. An exit interview was conducted where this report was reviewed and provided to Leslie Wang.the state’s words, verbatim · CDSS document, Apr 9, 2026

Type of visit: Case Management - Other

On April 07, 2026, Licensing Program Analyst (LPA), Venus Mixson made an unannounced Case Management health and safety visit, and met with the Administrator, Rolando Corpuz. LPA explained the purpose of the visit. LPA conducted a tour of the facility along with the Administrator, currently there are ten residents and three staff members. LPA confirmed that the facility has operable utilities (gas, electricity, water) and adequate food supply. There were no immediate health and safety concerns noted at the time of this visit. LPA reviewed 10 of 10 resident files. LPA spoke with Administrator Rolando Corpuz to inquire about the closure letter that was issued to each resident and/or their Responsible party. Based on information obtained from the interviews as well as a copy of the letter issued, the requirements of Health and Safety (H&S) code 1569.682 were not met. There were various requirements missing including but not limited to, that the letter did not provide written notice no later than 60 days prior to the intended eviction. The letter was dated March 30, 2026, with an effective date of April 30, 2026. In addition, this facility has seven or more residents which requires that a closure plan be submitted to the Department and approved before the closure letter can be issued. A copy of the H&S code 1569.682 was reviewed and provided to the administrator. A deficiency will be cited. An exit interview was conducted where a copy of this report, LIC809D, H&S 1569.682 and appeal rights were reviewed and provided to the Administrator Rolando Corpuz. The administrator was advised to follow all of the requirements in that section and that if further assistance or clarification is needed, he can reach out to the Department for guidance.the state’s words, verbatim · CDSS document, Apr 7, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(E)(3) · Plan of correction due date: Apr 10, 2026

(i) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations. This requirement is not met based on evidence obtained through interviews, and record reviews, LPA's observations. The licensee did not comply by not providing adequate fingerprint clearance and association prior to hiring, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 7, 2026

Plan of correction: Administrator Rolando Corpuz indicated that the Licensee would complete the paperwork for S1 and S2 fingerprint clearance and Association to the facility was provided during this visit.

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.682(a)(2) · Plan of correction due date: Apr 8, 2026

Provide each resident or the resident's responsible party with a written notice no later than 60 days before the intended eviction. The notice shall include...reason for eviction...resident's service plan...relocation evaluation...list of referral agencies...contact information for long-term care ombudsman... This requirement was not met Based on observation, interview, record review the licensee did not ensure resident's or resident's responsible party received an eviction notice within the required time frame. with the required information. This poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Apr 7, 2026

Plan of correction: Administrator indicated that he would provide updated Facility Closure Process Notifications to the Residents and/or their Responsible Parties, Family Members, with the additional information required to meet the Regulations as stated in 1569.682(a)(2). Additionally, the he would provide the updated Plan of Action to the Regional Office by the POC Date indicated.

Type of visit: Case Management - Health Checks

On March 26, 2026, Licensing Program Analyst (LPA), Venus Mixson, and Regional Manager (RM), Reyna Lacey arrived unannounced for a Health and Safety case management visit and met with Administrator, Rolando Corpuz. CCLD staff introduced themselves and stated the purpose of the visit. During the visit LPA Mixson and RM Lacey toured the facility inside and out and made observations pertaining to today’s Health and Safety inspection. During the visit interviews, record reviews, and observations were conducted. There were two staff present at the time of the visit, and 2 of 2 staff were not associated to the above listed facility. There will be citations for this Regulation violation. An additional staff who arrived later was associated to the facility, and contact was made with the Administrator who advised that this would receive immediate attention. The Administrator advised that a copy of the LIC 500 Facility staff Roster and staff schedule, along with documented proof of medication training was provided by close of business day tomorrow (03/27/2026). Based on the information obtained from interviews, record reviews, and observation the facility will be cited for the above listed violations. An exit interview was conducted. A copy of this report, along with the Appeals Rights, and Citation was reviewed and given to the Administrator, Rolando Corpuz. CONTINUED ON LIC 809the state’s words, verbatim · CDSS document, Mar 26, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80065(i)(1) · Plan of correction due date: Mar 27, 2026

(i) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations.the state’s words, verbatim · CDSS document, Mar 26, 2026

Plan of correction: Administrator Rolando Corpuz indicated that the Licensee would complete the paperwork for S1 and S2 fingerprint clearance and Association to the facility was provided during this visit.

Allegation investigated: Facility is in disrepair. Staff did not keep the facility free from cockroaches. Staff did not keep the facility free of mold.

On February 25, 2026, Licensing Program Analyst (LPA) Antonine Richard conducted a subsequent complaint visit to the facility regarding the above allegations. LPA met with the Administrator (A1), Rolando Corpuz, and explained the purpose of the visit. LPA, along with staff, toured the facility. The investigation included the following: On February 19, 2026, LPA Richard reviewed and obtained the residents' roster dated 11/29/2025, staff roster dated 11/29/2025, and thirteen residents' files (R1-R13). These files included Admission Agreements, Physician Reports, Needs and Service Plans, and Medication Administration Records (MAR). The LPA also obtained two months of invoices from Lloyd Pest Control, dated 01/20, 26, and 02/17/2026. On the same day, the LPA interviewed the Administrator (A1), Rolando Corpuz, three staff members (S1-S3), and six residents (R1-R6). Report continued on LIC9099C. Unsubstantiated Allegation #1: Facility is in disrepair. The complaint alleged that the facility has deferred maintenance issues, such as leaks, dry rot, and kitchen cabinets that are completely dry rotted due to unrepaired leaks, which they refuse to repair. On February 19, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation and stated that the facility has maintenance staff who assist with any repairs needed. On February 19, 2026, LPA interviewed three staff members #1-3 (S1-S3), who denied that the facility is in disrepair. They also said maintenance is always available to address any complaints from residents or staff. On February 19, 2026, LPA interviewed six residents #1-6 (R1-R6), who denied that the facility or their bedrooms are in disrepair. They also said that when something is broken, the facility fixes it right away. On February 19, 2026, LPA observed that the facility is in good condition, with no leaks; the kitchen cabinets are in good shape and show no dry rot. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. Allegation #2: Staff did not keep the facility free from cockroaches. The complaint alleged that the facility's appliances were infested with cockroaches. On February 19, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation and stated that the facility has a pest control company, Lloyd Pest Control, that visits twice a month. On the same day, LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and mentioned that the facility has a contractor who services the facility and residents' rooms. Additionally, six residents, #1-6 (R1-R6), were interviewed, and they all denied seeing any cockroaches inside the facility or in their rooms. Also on February 19, 2026, LPA reviewed the facility's records, which showed two months of invoices from Lloyd Pest Control (dated 01/26/26 and 02/17/26). During a visit to the kitchen on February 19, 2026, LPA did not observe any cockroaches. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. Allegation #3: Staff did not keep the facility free of mold. The complaint alleged that black mold was growing behind the stove and under the sink. On February 19, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation and stated that the facility has maintenance personnel who repair leaks, mold, and tears. On the same day, LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and mentioned that the facility has a maintenance staff member who services the facility and residents' rooms. Additionally, six residents, #1-6 (R1-R6), were interviewed, and they all denied observing any mold inside the facility. Also, on February 19, 2026, during a kitchen visit, LPA did not observe any mold behind the stove or under the sink. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted. A copy of the report was provided to the administrator, Corpuz Ronaldo.the state’s words, verbatim · CDSS document, Feb 25, 2026 · control 18-AS-20230922144014

Allegation investigated: Facility has mold. Facility staff do not properly assist resident with toileting needs. Facility staff did not provide resident with medications as prescribed.

On February 25, 2026, Licensing Program Analyst (LPA) Antonine Richard conducted a subsequent complaint regarding the allegations mentioned above. LPA met with the Administrator (A1), Rolando Corpuz, and explained the purpose of the visit. LPA, along with staff, toured the facility. The investigation included the following: On February 19, 2026, LPA Richard reviewed and obtained the residents' roster dated 11/29/2025, staff roster dated 11/29/2025, and thirteen residents' files (R1-R13). These files included Admission Agreements, Physician Reports, Needs and Service Plans, and Medication Administration Records (MAR). And R1's Admission Agreement. The LPA also obtained two months of invoices from Lloyd Pest Control, dated 01/20, 26, and 02/17/2026. On the same day, the LPA interviewed the Administrator (A1), Rolando Corpuz, three staff members (S1-S3), and six residents #2-7 (R2-R7). Report continued on LIC9099C. Unsubstantiated Allegation #1: The facility has mold. The complaint alleged that the facility's ceiling is covered with mold. On February 19, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation and stated that the facility has maintenance personnel who repair leaks, mold, and tears. That same day, LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and mentioned that the facility has a maintenance staff member who services the facility and residents' rooms. Additionally, six residents, #1-6 (R1-R6), were interviewed, and all denied seeing any mold on the facility's ceiling. Also, during a visit to the kitchen on February 19, 2026, LPA did not observe any mold in the ceiling of residents' bedrooms. LPA was unable to interview resident #1 (R1) because R1 moved out of the facility two days after admission on 05/20/23. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. Allegation #2: Facility staff do not properly assist the residents with toileting needs. The complaint alleged that they observed a resident with a pool of urine on the floor by the resident’s bed, and the couch was also soaked with urine where the resident sits also no hand-washing soap in the bathroom for the residents. On February 19, 2026, LPA Richard interviewed the Administrator (A1), who denied the allegation and stated that staff change residents' diapers every two hours and as needed. On the same day, the LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and stated that all staff change residents every 2 hours and as needed. The LPA also interviewed six residents, #2-7 (R2-R7), all of whom denied ever leaving with soiled diapers or not being properly assisted with toileting needs. Later that day, the LPA visited the rooms of 8 residents and found them clean; their residents appeared very dry. LPA also observed that hand soap is available in the bathroom. LPA was unable to interview resident #1 (R1) because R1 moved out of the facility two days after admission on 05/20/23. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. Allegation #3: Facility staff did not provide resident with medications as prescribed. The complaint alleged that the resident was moved from the hospital to the facility, released with medication, and that the facility gave the medication to the hospice nurse for safekeeping. On February 19, 2026, LPA Richard interviewed the Administrator (A1) and stated that staff followed the doctor's orders when helping residents with their medications. Resident #1 (R1) was admitted to the facility on 05/18/23 and was in hospice care. The hospice nurse was responsible for the patient, and the resident's family took R1 out of the facility two days after R1's admission on 05/18/23. A1 also mentioned that there were no issues with helping residents with their medications. That same day, the LPA interviewed three staff members, #1-3 (S1-S3), who also denied the allegation and stated that all staff assist residents with their medications as prescribed by the doctor. The LPA also interviewed six residents, #2-7 (R2-R7), all of whom denied the allegation and said that staff helped them with their medications and made sure their oxygen levels were maintained. On February 19, 2026, the LPA reviewed the Medication Administration Records (MARs) for 8 residents and found no discrepancies. The LPA could not reach resident R1 because R1 moved out of the facility two days after admission on 05/20/23. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation (s) did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited. An exit interview was conducted, and a copy of this report was provided to the Administrator, Corpuz Ronaldo.the state’s words, verbatim · CDSS document, Feb 25, 2026 · control 18-AS-20230605140606

Type of visit: Required - 1 Year

On January 30, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the required annual inspection and met with the Administrator, Rolando. The facility file review was conducted in the office and additional forms were reviewed on site. LPA Mixson toured the facility along with the Administrator, Rolando and inspected the facility inside and outside. There were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a single multi structure story home, located at 1266 Pleiads Dr, CA 92084. Physical Plant: The facility phone number is (760)659-6397 and is operable. LPA Mixson observed the 15 residents bedrooms, and they are equipped with required furniture as per Title 22. LPA Mixson inspected the six 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. The closet was locked and inaccessible to residents in care. Care & Supervision Facility has sufficient staff, four staff at the time of this visit and the staff were engaging the residents in medication management, activities and Hospice Nurses Visits. Safety of Facility: Fire Department inspection was positive updated fire extinguishers, updated de-laded egress doors approved and labeled, exit signs are posted. Water sprinklers are recertified for five years approved. Medications: were reviewed, locked and inaccessible to residents, and there were a sufficient supply of scheduled medications for each resident in care. The overall facility is clean and 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. Records Review: The LPA reviewed five resident files, and three staff files, and conducted three staff interviews, and no resident interviews due to meal time and medications being passed. 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 Administrator, Rolando Corpuz.the state’s words, verbatim · CDSS document, Jan 30, 2026

Type of visit: Required - 1 Year

On January 10, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the required annual inspection and met with the Administrator, Rolando Corpuz. The facility file review was conducted in the office and additional forms were reviewed on site. LPA Mixson toured the facility along with the Administrator, Rolando Corpuz and inspected the facility inside and outside. There were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a single story home. With multiple buildings, located at 1266 Pleiades Dr, Vista, CA 92084. Physical Plant: The facility phone number is (760)659-6397 and is operable. LPA observed the residents’ bedrooms, and they are equipped with required furniture as per Title 22. LPA inspected facility bathrooms, and the hot water temperature 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. Medications: were reviewed, locked and inaccessible to residents, and there was a 30-day supply for each resident receiving medication. The overall facility is clean, and 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. Administrator's new certificate has an expiration date of 08/01/2026. Records Review: LPA reviewed resident files and staff files, and conducted staff and resident interviews. Files contained the required documents as per regulations. 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 Administrator, Rolando Corpuz.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Required - 1 Year

On January 10, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the required annual inspection and met with the Administrator, Rolando. The facility file review was conducted in the office and additional forms were reviewed on site. LPA Mixson toured the facility along with the Administrator, Rolando and inspected the facility inside and outside. There were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a single multi structure story home, located at 1266 Pleiads Dr, CA 92084. Physical Plant: The facility phone number is (760)659-6397 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. The closet was locked and inaccessible to residents in care. Medications: were reviewed, locked and inaccessible to residents, and there was a 30 day supply for each resident receiving medication. The overall facility is clean and 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, four staff at the time of this visit and the staff were engaging the residents in medication and meals. Records Review: The LPA reviewed five resident files, and three staff files, and conducted three staff interviews, and no resident interviews due to meal time and medications being passed. 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 Administrator, Rolando Corpuz.the state’s words, verbatim · CDSS document, Jan 10, 2024