Rosewood Retirement Community

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) J. Duarte and M. Vega, arrived unannounced to conduct the Annual Inspection. LPAs met with and explained the reason for the visit with Administrator (AD) Rochelle Balaban. During this visit, LPAs toured the facility inside & out. Resident rooms and common areas were clean, in good repair and contained required equipment, furnishings and lighting. LPAs observed required items in bathrooms (including shower mats & grab bars) which were clean. The hot water measured between 105 and 114 degrees F. The kitchen was observed to be clean, in good repair, with necessary items and appliances. LPAs observed a two-day supply of perishable and a seven-day supply of nonperishable food, emergency food, water, and paper products. Refrigerator, freezers, prep stations and appliances were clean and organized with food properly stored and labeled. Medications are centrally stored in locked medication carts on each floor. Doors and passageways are unobstructed throughout the facility including outdoors. LPAs toured the outdoors to find the grounds well-kept with clear walkways, and seating available. The in ground pool was gated and locked as required. Fire extinguishers were serviced on 11/05/2025. Bakersfield Fire Department conducted fire safety, sprinkler system on 03/05/2026. A fire drill was conducted on 03/29/26, per staff records. Continued on LIC809-C Continued from LIC809. LPAs conducted resident and staff file reviews as well as a medication audit. Emergency/ Disaster and Infection Control procedures and requirements were reviewed during the inspection. LPAs observed eight out of 20 staff files reviewed had expired CPR/First Aid. The centrally stored log for R1 and R2 did not have a start date for some medications. Deficiencies were cited. See LIC 809-D. An exit interview was conducted and Plan of Correction (POC) developed. A signed copy of this report and Appeal Rights were provided. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 04/10/26the state’s words, verbatim · CDSS document, Apr 3, 2026

Allegation investigated: Staff keep inappropriately sending resident to the emergency department Staff are not providing a safe environment for resident

On 03/25/2026, Licensing Program Analyst (LPA) J. Duarte arrived unannounced to commence a complaint investigation. LPA introduced self, stated the purpose of the visit and met with Administrator Rochelle Balaban. Based on interviews and records review the resident in the complaint does not reside at this facility. This agency investigated the complaint alleging; staff keep inappropriately sending resident to the emergency department and staff are not providing a safe environment for resident, found that the complaint was UNFOUNDED, which means it could not have happened, and/or, it is without a reasonable basis; therefore, we have dismissed the complaint. An exit interview was conducted. A copy of this report was provided to Administrator Rochelle Balaban, whose signature confirms receipt of this document. Unfoundedthe state’s words, verbatim · CDSS document, Mar 25, 2026 · control 24-AS-20260323093918

Allegation investigated: Staff do not maintain facility in good repair.

On 01/28/2026, an unannounced Complaint visit was conducted by Licensing Program Analyst (LPA) J. Duarte. LPA was met at the front by receptionist. LPA introduced self and stated purpose of visit.The receptionist contacted Administrator Rochelle Balaban and she arrived shortly after. During the visit, LPA conducted interviews, obtained records, and conducted a tour of the facility. Based on records review, observations, and interviews, the facility has an elevator that has been out of service since 11/25/25. The facility has contacted the elevator service provider they are contactracted with and the facility is waiting for the elevator service provider to obtain a part for the elevator to complete repairs needed. The facility has second elevator that was observed to be functioning and available for use. 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, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of the report was provided to Administrator Rochelle Balaban. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 28, 2026 · control 24-AS-20260127111350

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) J. Duarte arrived at the facility unannounced to conduct a complaint investigation. During the course of the investigation, LPA observed a deficiency. LPA conducted a Case Management to address the deficiency. LPA met with Administrator Rochelle Balaban. During the course of the investigation of complaint 24-AS-20260127111350, LPA interviewed staff and reviewed documentation. Documentation and interviews revealed following incidents were not reported to CCLD: On 11/07/2025, a resident was trapped in an elevator due to a power outage, on 11/11/25, the elevator was stuck between the third and fourth floor, and on 11/25/25, three residents were stuck in the elevator. Administrator stated that these incidents were not reported to CCLD due to no injury or need for further evaluation or medical care. A deficiency is being cited, please see attached LIC 809D. A copy of this report and appeal rights was provided to Administrator.the state’s words, verbatim · CDSS document, Jan 28, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Feb 4, 2026

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. Documentation and interviews revealed following incidents were not reported to CCLD: On 11/07/2025, resident trapped; elevators down due to outage, on 11/11/25, the elevator was stuck between the third and fourth floor, and on 11/25/25, three residents were stuck in the elevator.the state’s words, verbatim · CDSS document, Jan 28, 2026

Plan of correction: Licensee agrees to review regulation 87211 Reporting Requirements to ensure compliance and submit incident reports. Licensee agrees to review the regulation with the team and provide documenation of topic discuseed and participants in training to CCLD by POC due date of 02/4/26

Allegation investigated: Staff handled resident in a rough manner causing injury. Staff are not positioning resident in their bed according to physician's instructions.

Licensing Program Analyst (LPA) J. Duarte and Shawna Doucette arrived at the facility unnounced to conduct a 10-day complaint investigation. LPAs met with administrator (AD) Rochelle Balaban. LPAs interviewed AD. LPAs reviewed and obtained copies of residents roster for assisted living and skilled nursing. Based on interviews and records review, R1 has never resided in the facility. This agency has investigated the complaint alleging; staff handled resident in a rough manner causing injury and that staff are not positioning resident in their bed according to physician's instructions, found that the complaint was UNFOUNDED, which means it could not have happened, and/or, it without a reasonable basis; therefore, we have dismissed the complaint. An exit interview was conducted with AD, and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, May 29, 2025 · control 24-AS-20250521123231

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Katie Brown and Jimmy Duarte arrived unannounced to conduct the Annual Inspection. LPAs met with and explained the reason for the visit with Administrator (AD) Rochelle Balaban During this visit, LPAs toured the facility inside & out. Resident rooms and common areas were clean, in good repair and contained required equipment, furnishings and lighting. LPAs observed required items in bathrooms (including shower mats & grab bars) which were clean with hot water measuring between 105 and 108 degrees. LPAs observed hygiene items, paper products, towels, extra bedding, and linens which were stored and available for use. The kitchen was found to be clean, in good repair with necessary items and appliances. LPAs observed required food supply, emergency food, water, and paper products. Medications are centrally stored in locked medication carts on each floor. Doors and passageways are unobstructed throughout the facility including outdoors. First aid kits contained required items. LPAs walked the outdoors to find the grounds well-kept with clear walkways with sitting areas. The in ground pool was gated and locked as required. Fire extinguishers were charged and serviced on 3/5/25 by Independent Fire Co. Bakersfield Fire Department conducted fire safety, sprinkler system and boiler system inspection 1/25/25. LPAs conducted resident and staff file reviews as well as a medication audit. Emergency/ Disaster and Infection Control procedures and requirements were reviewed during the inspection. Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D in the areas of: Hospice Care for Terminally Ill Residents, Incidental Medical and Dental Care, Oxygen Administration and Storage Space and Access - See LIC809C for continuation of this report Annual continuation: An exit interview was conducted and Plan of Correction (POC) developed. A signed copy of this report and Appeal Rights were provided. LPA requested the following updated forms faxed to CCLD by 4/15/25: Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Personnel Report (LIC 500), Client Roster (LIC 9020) and Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Mar 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Annual Inspection visit. LPA Williams met with Director Assisted Living Cille Caldwel, Nurse Manager, Jesse Hernandez, and Administrator Rochelle Balaban, and discussed the purpose of the visit. The facility is a nine story building; Assisted living on floors 2 and 3 and the rest of the floors are independent living. Each floor has two wings with a lobby separating them in the middle Tour began on the first floor. There is a library and meeting room that is used for activities and family visits. The main dining hall has seating to accommodate residents. LPA toured the kitchen where all food prep is completed. According to the Dining Director they receive two shipments of food a week through a contracted service. LPA observed active food prepping being completed and kitchen staff wearing personal protective equipment. There was a variety of perishable and non perishable food for the residents consumption. LPA observed a large walk in industrial refrigerator and freezer stocked with food. Additionally, LPA observed an emergency three day food supply. The Asssited Living floors, 2 and 3 were clean and in good repair. LPA toured 2 rooms and spoke with 2 residents who reported loving their living situation. The rooms were clean, good repair, and free of odor. Rooms had bed (with all required linens), dresser, night stand, working lights, chair, and other personalized items and furniture from the residents. Bathrooms are located in each room. Bathrooms were observed to be clean, good repair, and have grab bars and non slip mats. *Continued on LIC 809C* The 3rd floor housed another small dining room which has food catered from the kitchen on the 1st floor. The 4th through 9th floor are independent living and were all clean and in good repair. Thermostat temperature on the 8th and 9th floor Lounge room reflected 73 degrees Fahrenheit and each resident room has an individual thermostat. The memory care unit is on the 2nd floor. LPA observed 8 residents sitting at a table engaging in various activities. Each room had a personalized shadow box designed by the residents. The bathroom and kitchen were clean and in good repair. An activities calendar is available on each floor. There are two large activity rooms on facility grounds. LPA observed residents actively engaged in a yoga class. Pool on the premises had a locked gate. Chemicals, sharps, and medications were locked and inaccessible to residents. Smoke detectors, carbon monoxide detector, and fire extinguishers were present and operational. Due to insufficient time the LPA will have to return at a later date for an CONTINUATION ANNUAL INSPECTION. No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Mar 27, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Darius Williams conducted an Case Management in response to two Incident Reports submitted by the faciity. LPA Williams met with Wellness Supervisor, Jesus Hernandez III and Administrator, Rochelle Balaban. Resident 1 resides in Independent Living and Resident 2 resides in the memory care unit. LPA Williams reviewed resident records. Based of discussion Administrator and Wellness Director reported they will be conducting an updated fall risk assessment on R1 and R2. No deficiency cited during the visit. An exit interview was conducted and a copy of this report will be provided via e-mail.the state’s words, verbatim · CDSS document, Sep 28, 2023