Rosewood Care Home

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Staff #1 (S1) Narciso De Guzman and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 3:45PM, LPA and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 5-bedroom, 2-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA observed 2 staff and 4 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 111 and 113 degrees F in the 2 bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the laundry room. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 2:30PM, LPA reviewed 4 resident files and 3 staff files, interviewed 2 residents and 2 staff, inspected medications for 4 residents, and inspected resident money and ledgers for 4 residents. During the inspection, LPA and S1 observed the following: based on observation, the facility's PUB475 is regular paper sized; based on documents, S3, who started working on May 1, 2026, has started but not completed their 40 hours of initial training, LPA observed S3 providing care independently during the inspection, and S3's training records show no progress on their training in over three weeks; based on documents, S3 does not have a first aid certificate; based on documents, the physician's reports for R1, R2, R3, and R4 are on the LIC602 (7/11) which does not include required information, including behavioral expressions; and based on observation, the cash on hand and ledger for R1 showed that R1 was short 16 dollars in cash Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, May 28, 2026

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Staff #1 (S1) Narciso De Guzman and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 1:45PM, LPA and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 5-bedroom, 2-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA observed 3 staff and 4 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 115 and 117 degrees F in the 2 bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the laundry room. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 2:45PM, LPA reviewed 4 resident files and 4 staff files, interviewed 2 residents and 2 staff, inspected medications for 4 residents, and inspected resident money and ledgers for 4 residents. During the inspection, LPA and S1 observed the following: based on documents, the licensee did not ensure Staff #2 (S2) had a completed health screening. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, May 19, 2025

Type of visit: POC

This unannounced POC inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of verifying correction of deficiencies issued during the Required – 1 Year Inspection conducted on July 25, 2024. LPA met with Staff #1 (S1) Narciso De Guzman and discussed the purpose of the inspection. During the inspection, LPA and S1 toured the facility and observed the following: Type A Violation cited under California Code of Regulations (CCR) Title 22, Section 87303(a) pertaining to smoke detectors has been CLEARED. During the inspection, LPA and S1 tested 7 smoke detectors throughout the facility and confirmed them to be functioning properly. There were no deficiencies observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Jul 30, 2024

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and William Vanegas for the purpose of conducting a Required – 1 Year Inspection. LPAs met with Staff #1 (S1) Narciso De Guzman and discussed the purpose of the inspection. Administrator (AD) Anna Mallari appeared via telephone. LPAs reviewed Infection Control requirements. At about 10:15AM, LPAs and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 5-bedroom, 2-bathroom, one-story house with detached garage that is used for storage. There is a back yard with seating for the residents. LPAs observed 3 staff and 4 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPAs inspected the 1 staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 106 degrees F and 111 degrees in the 2 resident bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the kitchen and laundry room. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 11:15AM, LPAs reviewed 4 resident files and 3 staff files, interviewed 2 residents and 2 staff, inspected medications for 4 residents, and inspected resident money and ledgers for 4 residents. CONTINUED During the inspection, LPAs and S1 observed the following: based on observation, 3 out of 5 smoke detectors tested were inoperable; based on observation and admission, the facility does not have shaded outdoor seating for residents although the residents do engage in activities outside; based on documents, the facility has been using Regional Center admission agreements and does not have their own admission agreement executed with any of the 4 residents. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Jul 25, 2024

Allegation investigated: Personal Rights

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegation(s). LPA met with Staff #1 (S1) Narciso De Guzman and explained the reason for today’s inspection. Administrator (AD) Anna Mallari appeared via telephone. The investigation into the allegation of Personal Rights revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD, clients, staff, and witnesses, and obtained and reviewed copies of the resident roster, staff roster, client files, Client #1’s (C1) Providence Saint Joseph Orange Cancer Center medical records dated 10/31/22, C1’s UCI Medical Center medical records dated 11/02/22, and the Garden Grove Police Department Officer Report for Incident 22063329. Regarding the allegation of Personal Rights: It was alleged that C1 had experienced a suspected personal rights violation. Unsubstantiated LPA inspected the facility and observed no health and safety issues or personal rights violations. LPA interviewed two staff and did not obtain information corroborating the allegation. One staff reported that on 11/01/22, police officers arrived at the facility, explained that a suspected personal rights violation had been reported, spoke with C1, and removed C1 from the facility. Per the staff interviewed, C1 returned to the facility the next day on 11/02/22. LPA conducted health and safety checks on three clients, including C1, and observed no health and safety issues. LPA interviewed the three clients, one of whom was non-verbal, and did not obtain information corroborating the allegation. LPA interviewed AD and did not obtain information corroborating the allegation. LPA interviewed one witness who reported picking C1 up from UCI Medical Center on 11/02/22 and returning C1 to the facility that same day after receiving no information from C1, UCI Medical Center, or the police corroborating that a personal rights violation had occurred or that C1 would not be safe at the facility. LPA subpoenaed and reviewed C1’s Providence Saint Joseph Orange Cancer Center medical records dated 10/31/22 which detail why a personal rights violation was suspected, but do not provide information corroborating the allegation. LPA subpoenaed and reviewed C1’s UCI Medical Center medical records dated 11/02/22 which indicate C1 underwent examination at Anaheim Regional Medical Center to determine whether a personal rights violation had occurred prior to C1 being admitted to UCI Medical Center, but do not provide the outcome of that examination or other information corroborating the allegation. LPA subpoenaed C1’s medical records from Anaheim Regional Medical Center, but Anaheim Regional Medical Center provided no medical records because C1 was never a patient there. Per the Garden Grove Police Department Officer Report for Incident 22063329, the examination at Anaheim Regional Medical Center was begun but not completed and no information was obtained corroborating that a personal rights violation has occurred. Interviews with the witness and AD revealed that C1 has been back at the facility since 11/02/22 with no issues reported since then. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Feb 26, 2024 · control 22-AS-20221102141015

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Narciso De Guzman, House Manager and LPA explained the nature of the visit. Three residents reside at this facility, all residents were at the facility at the time of the visit. LPA accompanied with house manager began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in storage in garage pantry and refrigerator/freezer. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage cabinet located common space between laundry unit and kitchen. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 116.4 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are locked and inaccessible to residents in care. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there are shaded seating areas for residents’ enjoyment. LPA observed a fire extinguisher with service date of July 09, 2023, in kitchen. Fire Continued on LIC809-C drills are conducted monthly, and LPA verified last fire drill conducted October 03, 2023. LPA began review of records. LPA reviewed three resident records. All the required documentation was present and current in the residents’ files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPA observed records reviewed have a current First Aid certificate. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility representative and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Oct 23, 2023