Royal Garden Guest Home

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Ramon Serrano arrived to conduct an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was allowed entry and discussed the purpose of the visit with Administrator Rodolfo Tabladillo. Administrator immediately informed LPA that the facility had a major plumbing issue approximately 1-2 weeks ago resulting in the residents being relocated to another facility. LPA interviewed Administrator, Licensee Edna Tabladillo and the Licensee of the facility that the residents were transferred to. Licensee Edna Tabladillo stated that the facility has been dealing with plumbing issues for the last 2 months with the residents in care. Licensee further stated that approximately 2 weeks ago they realized that it was not a "localized thing" and it was effecting every bathroom in the facility which meant every bathroom needed to be repaired. Licensee stated that she called LPA Serrano and also spoke with the duty officer and advised them that the residents were being transferred to another CCL facility on 4/5/26. No deficiencies were cited or observed on this date. An exit interview was conducted with Rodolfo Tabladillo who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Apr 13, 2026

Allegation investigated: Staff had an inappropriate sexual interaction with residents Staff made inappropriate comments to residents

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Administrator Rodolfo Tabladillo and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of Department observation, records review, interviews with staff, residents and outside sources. It was alleged that Staff1 (S1) had an inappropriate sexual interaction with residents. It was also alleged that S1 made inappropriate comments to residents. It was reported that S1 made sexual remarks towards Resident 1 (R1). It was also reported that Resident 2 (R2) was forced to have sexual relations with S1 causing scratches and redness to R2’s back area. Records review revealed R1 has a diagnosis of schizophrenia, bipolar and traumatic brain injury. Unsubstantiated The Department interviewed R1 on March 20, 2025. R1 stated that they have lived at the facility for over two years. R1 stated that they have a diagnosis of Schizophrenia for which they take medication, to think and behave accordingly. R1 stated that they have auditory hallucinations and hear voices. R1 stated that in the past week they heard “voices” three times. R1 stated that they have hallucinated for “a long time now.” R1 stated that on January 21, 2022, “S1 said, you better keep your mouth shut, they can’t prove anything, you always bother me at the wrong time.” R1 kept insisting that they were telling the truth. R1 stated that S1 lived in the garage. R1 stated that S1 made sexual remarks to R1 for several months. R1 stated that R1 did not inform the Licensee of the incidents involving S1. R1 stated that R1 overheard another resident had scratches and redness on their back. R1 stated that S1 walks into the facility through the garage at night and enters R2’s room. R1 denied S1 coming into their room at night but reiterated that S1 made sexual remarks to R1. On March 20, 2025 the Department attempted to interview R2. R2 did not respond to their name and did not respond to any of the questions asked. R2’s physician’s report revealed R2 had a diagnosis of; memory loss, delirium, mild cognitive impairment, and R2 is non-verbal. On March 20, 2025 the Department interviewed Resident 3 (R3). R3 stated S1 did enter the facility through the garage door. R3 has seen S1 coming in and out into the living room, then going into the kitchen. R3 has not seen S1 go into R2’s room. R3 stated that S1 assists S2 with cooking. R2 denied being touched inappropriately by S1. R2 also denied having any redness, scratches or rawness on their back that were caused by S1. On March 20, 2025 the Department interviewed Resident 4 (R4) R4 stated that they have never witnessed S1 “go in and out” of R2’s bedroom. R4 stated that S1 would cook meals sometimes, work in the yard and do some housekeeping. R4 stated that although they have seen S1 seated in a lawn chair in the garage they do not know if S1 has ever slept in the garage. The Department interviewed S1 on March 20, 2025. S1 confirmed that they did not live at the facility. S1 stated that their work duties include landscaping and occasionally the cooking. S1 did not know the residents by name, only by their “looks.” S1 stated that they do not work past 5pm at the facility. S1 denied the following: touching any of the residents, making any sexual remarks to R1 and forcing a resident to have sexual relations with them. No corroborating evidence or witness interviews to support that S1 had ever touched a resident or said anything inappropriately to the residents. Based on interviews conducted and review of resident records, the preponderance of the evidence standard has not been met and the allegations are unsubstantiated. An exit interview was conducted with Administrator Rodolfo Tabladillo. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Administrator Rodolfo Tabladillo whose signature below verifies receipt of these rights. S1 stated that S1 did not talk to the residents. S1 stated that the Licensee is always present at the facility and/or Staff 2 (S2) who did the house cleaning and cooking as well. On April 7, 2025 the Department interviewed Staff 2 (S2). S2 stated that S2 works at the facility Monday through Friday. S2 stated that S1 will occasionally help with the cooking but S1 mainly works in the yard. S2 stated that S1 did not take care of any of the residents. S2 stated that S1 has a home and S1 goes home after work hours. S2 stated that S1 did not assist with the care of residents, including; the changing of clothes or incontinence briefs. S2 stated that S1 did not go into resident’s rooms even on the days that S1 helps with the cooking. On March 20,2025 the Department interviewed Administrator (ADM). ADM stated that R1 was recently hospitalized due auditory hallucinations. ADM stated that R1 has a diagnosis of Schizophrenia for which they take medication. ADM stated that R1 has made complaints against everyone and has told their doctor about S1 doing certain things to the other residents which is not true. ADM stated that S1 is not a caregiver, but S1 would cook occasionally. ADM stated that S1 does not live on the property. ADM stated that R2 was admitted to the facility on November 2024. ADM denied R2 had any wounds or scratches on their back. The Department was shown R2’s back and no marks or scratches were observed. ADM further stated that R1 has been expelled from previous Adult Day Programs that R1 attended due to “making up stories.” On August 4, 2025 LPA interviewed an Outside Source (OS) for an unrelated complaint investigation involving R1. OS stated that they have worked directly with R1 for several months. OS stated that they regularly receive many voicemail's and messages from R1 regarding various gripes and allegations. OS stated that when they “press” R1 for more details or information regarding the allegations, they do not get any details from R1. OS stated that the facility is a "good place for R1 to be." OS stated that due to R1's condition and intolerance of stress, R1 tends to report things in the moment. A review of records further revealed that S1 was not working at the facility during the time of allegations: R1 stated on January 21, 2022, S1 made sexual remarks towards R1, however S1 started working at the facility September or October 2024. R1 stated S1 was having forced sexual relations with R2. R2 was not admitted into the facility until November 2024, and neither R2 nor R3 had scratches on their backs, as was reported by R1.the state’s words, verbatim · CDSS document, Aug 26, 2025 · control 08-AS-20250311142609

Allegation investigated: Staff did not safeguard residents personal belongings

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit and delivered findings on the above allegation. LPA met with Licensee Edna Tabladillo and we discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA observation, records review, interviews with staff, residents and outside sources. It was alleged that the facility staff did not safeguard Resident 1 (R1) personal belongings. It was reported that a staff member was stealing items from R1 including; clothing, jewelry, toiletries and dentures. LPA interviewed R1 who stated that they have lived at the facility for over two years and they are trying to move to a different board and care. R1 stated that several of their personal belongings including; pants, perfumes, lotions, dentures and jewelry have gone missing. R1 stated that the jewelry was "super cheap" and one size fits all. R1 stated that their dentures were recently located after they thoroughly cleaned their room. Unsubstantiated LPA interviewed Resident 2 (R2) who stated that R2 has lived at the facility for over two years. R2 stated that the staff are "above average." R2 stated that the facility staff treat them with respect and dignity. R2 stated that they have never witnessed staff treat another resident disrespectfully. R2 stated that they have no knowledge of staff stealing another resident's belongings. R2 stated that in the past R2 has misplaced items that were later found. R2 stated that they have never had an incident where R2's items were deliberately stolen. LPA interviewed Staff 1 at the facility. S1 stated that they have no knowledge of any staff members stealing residents personal belongings. S1 further stated that they have never been informed by any resident that their personal items were stolen. LPA interviewed Outside Source (OS) who stated that they have worked directly with R1 for several months. OS stated that they are familiar with the allegation since R1 has advised them many times via voicemail. OS stated that often times these items "show up later" OS stated that when they have "pressed" R1 for more information regarding their missing items and the allegation, they do not get any details from R1. OS stated that R1's missing dentures were relocated recently after the facility staff cleared out and organized R1's bedroom for treating and pest control. OS stated that the facility is a "good place for R1 to be." OS stated that due to R1's condition and intolerance of stress, R1 tends to report things in the moment. LPA interviewed Licensee who stated that R1 has a history of hoarding items in their room and not allowing staff to touch any of it claiming that is their personal right. R1 was recently advised that all of their personal items would be placed in bags and stored outside in the heat while R1's room was being treated for pests. Licensee stated that R1 became upset and immediately asked for items. Licensee advised R1 that they would be receiving all of their belongings back once they were treated for pests. Licensee stated that this was done to avoid reintroducing pests back into the room through R1's personal belongings. Records review revealed R1 has a diagnosis of schizophrenia, bipolar and traumatic brain injury. It should be noted that R1 was interviewed by the Department on March 20, 2025 regarding a complaint allegation. R1 stated that R1 has auditory hallucinations. R1 stated that R1 had hallucinations "for a long time now." The investigation did not reveal any corroborating evidence that staff did not safeguard R1's personal belongings or that staff stole R1's personal belongings. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met. An exit interview was conducted with Edna Tabladillo. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Edna Tabladillo whose signature below verifies receipt of both.the state’s words, verbatim · CDSS document, Aug 4, 2025 · control 08-AS-20250728115757

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was allowed entry and discussed the purpose of the visit with Administrator Rodolfo Tabladillo and Licensee Edna Tabladillo joined a short time after. According to the facility’s license, the facility has a maximum capacity of six (6)residents. All of whom may be non-ambulatory. LPA, accompanied by Administrator toured the interior and exterior of the facility, and inspected each room. LPA encountered mice droppings in the linen closet located on the first floor, adjacent from the kitchen. Both the hot water temperature and the facility ambient temperatures were at compliant readings. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. .Per Administrator, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC 809-C] LPA reviewed multiple staff, resident and facility records/files. Records review revealed no current facility liability insurance on file. Records review further revealed facility staff did not meet the 20 hours of yearly training required by the Department. Licensee confirmed that she is currently in the process of obtaining liability insurance. Licensee also stated that her along with the facility staff have conducted the yearly training but it has not been documented. Confidential records were stored in locked areas. Based on interviews, observations, and record review, deficiencies were observed and cited on the attached LIC 809D. An exit interview was conducted with Rodolfo Tabladillo whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Apr 17, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management Visit. LPA was greeted by and met with Administrator Rudy Tabladillo, to discuss the purpose of the visit. LPA conducted a tour of the facility, both inside and outside. No deficiencies were cited or observed on this date. An exit interview was conducted with Rudy Tabladillo. A copy of this report along with Licensee Rights was provided to Rudy Tabladillo whose signature below verifies receipt of these rights.the state’s words, verbatim · CDSS document, Jul 8, 2024

Allegation investigated: Facility is in disrepair

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Administrator Rudy Tabladillo to whom LPA explained the purpose of the visit. Community Care Licensing (CCL) has investigated the above listed complaint allegations. The investigation consisted of LPA direct observation and interviews with staff and residents. It was alleged that the facility was in disrepair. It was reported that the facility had piles trash and "junk" in the back yard area. LPA’s observation confirmed that the outside of the facility was indeed in disrepair. Piles of junk and bags of recyclable trash were visible in the back yard area, contributing to an unsightly and potentially hazardous environment. The allegation of facility disrepair was substantiated based on visual evidence. Substantiated LPA interviewed Administrator who stated that his neighbor advised him a couple of years prior that a rodent was seen going into his yard from the back of the facility. Administrator stated that immediately after he was informed he cleaned up the back area. Administrator stated that the facility has an ongoing contract with a pest control company. Administrator further stated that the pest control company visited the facility last week and "treated" the facility perimeter and surrounding areas. Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. An exit interview was conducted with Rudy Tabladillo. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Rudy Tabladillo whose signature below verifies receipt of these rights. Based upon the foregoing, the above listed allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegations are valid. Deficiencies are cited in accordance with California Code of Regulations, Title 22 and are noted on the attached LIC 9099-D. An exit interview was conducted with Rudy Tabladillo and a copy of this report and Licensee/Appeal Rights (LIC9058, 3/22) were provided to Rudy Tabladillo whose signature below confirms receipt of documents.the state’s words, verbatim · CDSS document, May 28, 2024 · control 08-AS-20210325085111

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Jun 7, 2024

87305(a)- The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met, as evidenced by: Based on LPA observations licensee did not maintain a clean and sanitary yard. This posed a potential health and safety risk to 3 in 3 residents in care.the state’s words, verbatim · CDSS document, May 28, 2024

Plan of correction: Licensee agreed they will submit a written plan for obtaining trash removal services with estimated completion date by POC date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was allowed entry and discussed the purpose of the visit with Licensee Edna Tabladillo. According to the facility’s license, the facility has a maximum capacity of six (6)residents. All of whom may be non-ambulatory. During today’s inspection there were 2 residents present in the facility. LPA, accompanied by Administrator toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. The pool on the premises was secured and properly fenced. Per Administrator, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC 809-C] LPA interviewed staff and residents and reviewed multiple staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Edna Tabladillo whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Mar 12, 2024