Rose Valley Redlands II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Marsie Marcos, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (9), a current census of (6). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility does not have a swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in resident bathrooms measured between 106 and 110 degrees F. Resident bedrooms had beds, bed linen, chairs, dressers, storage space and lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, administrator certificate, activity schedule, personal rights, facility sketch, emergency disaster plan and telephone numbers, menu, CCLD complaint poster, sample of facility's admissions agreement, and Ombudsman poster. During the inspection of the facility, LPA observed a unknown male individual sitting outside near the front side of the facility. LPA asked Administrator who the person was. Administrator stated that they were the spouse of the one of the caregivers. After inquiring for more information, the Administrator disclosed to the LPA that they hired the individual/staff #1 as a caregiver but their criminal record clearance is still pending and is temporarily residing at the facility. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are stored locked. LPA's review of resident medication records, reveals that Resident #1(R1) still had three (3) of today's (12/12/25), morning medications in the bubble pack; however, staff initialed that the (3) medications were administered in the morning. Administrator informed LPA that medication may have been missed due to the way the medication was stored and may have been separated from the other AM medications. Record Review: Three (3) resident records were reviewed for admission's agreements, appraisals, and medical assessments. Review of three (3) staff files reveals the Administrator, Staff #2(S2), Staff#3(S3) did not have a health screening which indicates that that they are physically qualified to perform their job duties and signed by examining physician. Deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Civil penalties have been accessed for have not having a criminal record clearance for S1 prior to them residing and/or working at the facility. An exit interview was conducted, and this report was discussed and provided with appeal rights to Administrator Marsie Marcos.the state’s words, verbatim · CDSS document, Dec 12, 2025

Allegation investigated: Staff do not maintain accurate medication records for residents Staff do not store residents’ medication in original container Staff do not ensure facility is free from odors

On 12/02/2025 at 4:15PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the residence in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with Administrator, Marsie Marcos. The investigation consisted of interviews, record review and observation. In regards to the allegation of staff do not maintain accurate medication records for residents: LPA interviewed three (3) staff. LPA reviewed the Medication Administration Record(s) (MAR) for five (5) residents in care and audited medications. Staff denied the allegation. Based on interviews and record review, this allegation is UNSUBSTANTIATED. In regards to the allegation of staff do not store residents’ medication in original container: LPA observed all resident medication(s) to be in their original containers. Staff denied the allegation. Based upon observation and interview, this allegation is UNSUBSTANTIATED. Unsubstantiated SUBSTANTIATED is defined as the complaint allegation(s) is valid and a violation has occurred based on the preponderance of available evidence. Two deficiencies will be cited. An exit interview was conducted where this report LIC9099A, LIC9099C, LIC9099D and Appeal Rights were discussed, and a copy was provided to Administrator, Marsie Marcos. In regards to the allegation of staff do not ensure facility is free from odors: LPA observed five (5) residents in care and two (2) staff assisting residents. LPA conducted a brief tour of the residence and found it to be sanitary and free from mal odors. Based upon observation, this allegation is UNSUBSTANTIATED. UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and copies were provided to staff.the state’s words, verbatim · CDSS document, Dec 2, 2025 · control 56-AS-20240321113158

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(5)(D) · Plan of correction due date: Dec 3, 2025

87465 Incidental Medical and Dental Care (5) Facility staff, except those authorized by law, shall... : (D).. does not include..., hiding or camouflaging medications in other substances... without the resident's knowledge and consent.. This requirement was not met as evidenced by: Based upon interview and record review, the Administrator did not ensure that the resident exercised their right to refuse medication by hiding Resident 1 (R1's) medication in their food which poses/posed an immediate risk to health and safety of resident(s) in care.the state’s words, verbatim · CDSS document, Dec 2, 2025

Plan of correction: The Administrator will conduct a staff training on medications, review the regulations on Medication and submit proof to LPA by the Plan of Correction (POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(b)(2) · Plan of correction due date: Dec 5, 2025

87465 Incidental Medical and Dental Care (b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need...(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Based on interview and record review, the Administrator did not ensure that the resident(s) in care were given their medications according to the physician's orders which posed/poses a potential risk to the health and safety of residents in care.the state’s words, verbatim · CDSS document, Dec 2, 2025

Plan of correction: The Administrator will conduct a staff training on medication and submit proof to LPA by Plan of Correction (POC) due date.

Allegation investigated: Staff do not ensure a fire safety measure is being followed

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Aministrator Marsie Marcos, and discussed the purpose of the visit. LPA observed a smoke alarm detached from its mount. Although the smoke alarm is detached from its mount, it is functional. LPA proceeded to test another smoke alarm in facility hallway as well as facility’s carbon monoxide detector, both of which were found to be in proper working order. Based on the evidence gathered, the allegation is deemed UNFOUNDED. A finding that the complaint allegation is UNFOUNDED means that the allegation was without a reasonable basis. Therefore, the allegation dismissed. An exit interview was conducted where this report LIC9099 was discussed and provided to Administrator Marsie Marcos. Unfoundedthe state’s words, verbatim · CDSS document, Mar 18, 2025 · control 56-AS-20250313151448

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Mar 22, 2025

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.the state’s words, verbatim · CDSS document, Mar 18, 2025

Plan of correction: Administrator has informed LPA a Maintenance technician will be visiting the facility 3/19/25. Administrator has agreed to submit proof to LPA once sink has been repaired.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Mar 22, 2025

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on observation and interview, the Administrator did not comply with Maintenance and Operation by not repairing resident sink in a timely manner, which poses a potential health, safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 18, 2025

Plan of correction: Administrator has informed LPA a Maintenance technician will be visiting the facility 3/19/25. Administrator has agreed to submit proof to LPA once sink has been repaired.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a Health and Safety check. LPA met with Administrator Marsie Marcos, and discussed the purpose of the visit. LPA toured the facility. LPA observed a smoke alarm detached from its mount. Although the smoke alarm is detached from its mount, it is functional. The LPA proceeded to test another smoke alarm in facility hallway and facility’s carbon monoxide detector, both of which were found to be in proper working order. LPA observed Administrator and staff attempting to mount smoke alarm back in place, however they were unsuccessful. LPA provided a Technical Violation, Administrator informed LPA a new smoke alarm will be purchased and mounted. An exit interview was conducted where this report was discussed, and a copy of this safety report along with LIC 9102 was provided to Administrator Marsie Marcos at the conclusion of the visit.the state’s words, verbatim · CDSS document, Mar 18, 2025

Allegation investigated: Resident sustained serious injury due to staff neglect Facility staff did not provide assistance in meeting resident's medical needs

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegations mentioned above. LPA met with Administrator Marsie Marcos and explained the purpose of the visit. The Department's investigation involved interviews and records review. The allegation alleged that a resident (R1) sustained serious injury due to staff neglect. After a comprehensive review of medical records, interviews with facility staff, outside parties, it was determined that R1 arrived at Rose Valley Redlands II on August 6, 2024, and had two reported falls subsequently. The treating Orthopedic Surgeon estimated the fracture treated on September 23, 2024, was approximately two months old, indicating it occurred before R1 placement at Rose Valley Redlands II. Therefore, it cannot be conclusively demonstrated that the fracture happened at this facility or resulted from staff neglect. Unsubstantiated The allegation alleged Facility staff did not provide assistance in meeting resident's medical needs. Administrator clarified that R1 received care from Innovage PACE, which manages all transportation to medical appointments. It was reported that R1 sustained an elbow skin injury on September 3, 2024, after an overnight home visit. Administrator promptly contacted Innovage for medical treatment. R1 was treated on September 5, 2024. Records show that R1’s elbow fracture was diagnosed by September 9, 2024, and was seen by a Nurse Practitioner on September 19, 2024. Therefore, the alleged allegations have been determined Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Administrator Marsie Marcos.the state’s words, verbatim · CDSS document, Feb 21, 2025 · control 56-AS-20240925161927

Allegation investigated: Staff are financially abusing resident

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegation mentioned above. LPA met with Marsie Marcos and explained the purpose of the visit. Regarding the allegation Staff are financially abusing resident, LPA interviewed 5 residents. 3 out of 5 residents informed LPA their families handle their finances and no one in the facility has access, 2 out of 5 residents informed LPA they handle their own finances. R1 was not interviewed due to no longer living at the facility. LPA interviewed 3 staff. 3 out of 3 staff informed LPA they do not handle resident’s finances. Administrator informed LPA they never safeguard cash or cards for residents, if residents need anything they notify or call their responsible parties. Administrator stated they never had possession of R1's cards, R1's belongings were never opened. Unsubstantiated Based on LPAs observations, record review, and interviews, the above allegation is Unsubstantiated; meaning that 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. An exit interview was conducted where this report was discussed and a copy was provided to Administrator Marsie Marcos at the conclusion of the visit.the state’s words, verbatim · CDSS document, Feb 21, 2025 · control 56-AS-20241001084826

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Marsie Marcos, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (9), a current census of (8). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility does not have a swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) resident bathrooms measured between 114.8 and 116 degrees F. Five (5) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, administrator certificate, activity schedule, personal rights, facility sketch, emergency disaster plan and telephone numbers, menu, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. Record Review: Three (3) Staff files reviewed were observed to be complete. Four (4) Resident files reviewed were observed to be complete. Based on observations and record review no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Marsie Marcos.the state’s words, verbatim · CDSS document, Dec 19, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Marsie Marcos, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (9) with a current census of (9). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility is enclosed with self-latching gates. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured at 105 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, disaster evacuation plan and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision: Facility has 24-hour care staff. Staff working have California criminal record clearances or exemptions. Medical Related Services: All medication is centrally stored and kept locked and inaccessible to residents in care. Record Review: The Administrator's certification expires on 5/22/2024. (3) staff files were reviewed. LPA observed the facility did not maintain verification of job training on file for staff #1 (S1), including verification of S1's Dementia Care training. (3) resident files were reviewed. LPA observed the facility did not maintain a complete appraisal which includes a resident's functional capabilities on file for resident #1 (R1) and resident #2 (R2). Based on observations and record review, deficiencies are being cited in accordance with California Code of Regulations, Title 22, Division 6. Licensing reports (LIC809/LIC809-D/LIC9102) were discussed with the Administrator. Copies of the Licensing reports with appeal rights were provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Nov 13, 2023

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced case management visit to the facility. LPA met with Marsie Marcos, Administrator and discussed the purpose of the visit. LPA visited the facility to amend report LIC809-D that was previously issued on 11/13/2023. An exit interview was conducted where this report was discussed and a copy of the report was provide to the Administratorthe state’s words, verbatim · CDSS document, Nov 13, 2023