The Gardens

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator David Cooper. The facility's license shows a maximum capacity of fifteen (15) non-ambulatory residents, of which seven (7) may be bedridden. Hospice waiver approved for fifteen (15) residents and the facility is approved for a locked perimeter. During today’s inspection, there were ten (10) residents in care. LPA and 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, screens, 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 client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas.The pool located on the premises was fenced and locked. Per Administrator, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Administrator to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jun 2, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Licensee David Cooper. The facility's license shows a maximum capacity of fifteen (15) non-ambulatory residents, of which seven (7) may be bedridden. Hospice waiver approved for fifteen (15) residents and the facility is approved for a locked perimeter. During today’s inspection, there were twelve (12) residents in care. LPA accompanied by Licensee Cooper toured the interior and exterior of the facility and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. The pool located on the premises was fenced and locked. Per Licensee Cooper, no firearms or ammunition are kept at the facility. Carbon monoxide detectors and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [Continued on LIC809-C] LPA reviewed facility records. During review of staff records LPA observed that Staff #1-3 (S1-S3) did not have a health screening report in the files. One deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D). A plan of correction was jointly formulated, and an exit interview was conducted with Licensee Cooper, to whom a copy of this report, LIC809-C, LIC809-D and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to.the state’s words, verbatim · CDSS document, Jun 26, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ryan Fulton conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Elsa Tovar. The facility's license shows a maximum capacity of fifteen (15) residents, of which fifteen (15) may be non-ambulatory. During today’s inspection there were six (11) residents in care, of which one (8) was non-ambulatory. LPA and Elsa Tovar 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. Residents bedrooms contained the required furnishings. Doors, windows, screens, 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 client activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all of which are safely stored. Cooking/dining equipment and utensils were present. Toxic chemicals/poisons were locked and inaccessible to clients. Medications were labeled, as required, and stored in locked areas. The facility’s ambient internal temperature was compliant at 74 F. Hot water temperature at taps accessible to clients were all complainant. No pools or bodies of water exist on the premises. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide/Smoke detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. A technical violation was issued due to the Personal Rights not being published in the facility. No deficiencies were cited during todays inspection. An exit interview was conducted with Elsa Tovar to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jun 4, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Licensee placed video camera without permission

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced visit to initiate a complaint investigation. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Elsa Tover. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources. It was alleged a Licensee placed a video camera without permission. Interviews with internal sources revealed there were two cameras in two residents’ bedrooms. One was non-operational and the second camera was linked to a monitor in the kitchen area displaying a live image. During the visit, the LPA observed both cameras in resident bedrooms and confirmed one was operational displaying a live image. Review of the facility file and records revealed the licensee had not submitted and updated Plan of Operation addressing video surveillance, nor submitted a waiver request. Substantiated The deficiency was cited in accordance with California Code of Regulations, Title 22, and listed on the LIC 9099D. A plan of correction was jointly formulated with Administrator David Cooper over the phone. An exit interview was conducted with Caregiver Elsa Tover, to whom a copy of this report, LIC 9099D, and Licensee/Appeals Rights (LIC 9058),were provided.the state’s words, verbatim · CDSS document, Feb 7, 2024 · control 08-AS-20240202135810

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Feb 7, 2024

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by: Based on review of records, interviews, and observations, the license did not ensure reasonable level of privacy when placing a camera, which posed a potential personal rights risk to 1 of 12 residents in care.the state’s words, verbatim · CDSS document, Feb 7, 2024

Plan of correction: Administrator and caregiver agreed to remove the camera and monitor in question. LPA observed the camera and monitoer were removed, therefore, the POC was cleared on today's date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection visit to ensure substantial compliance with tittle 22 regulations. LPA Rodgers was granted entry into the facility by care giver, Elsa Tovar after identifying herself and stating the purpose of the inspection. The facility has one building with 2 different living areas. The facility is licensed for fifteen non-ambulatory elderly residents, seven of whom may be bedridden. There is an approved hospice waiver for fifteen (15). Seven (7) residents are currently on hospice care. LPA, accompanied by manager Elsa Tower, 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 rooms contain required furnishings. There is an outdoor front yard with water feature. Smoke and carbon monoxide alarms are operable in the small building (consisting of 3 client rooms) and the large building (7 client rooms) have an operable signal system. 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. Hot water temperature at taps accessible to residents were all compliant. Continued on 809-C Continued on 809-C 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 sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients According manger Tovar, there are no weapons and/or ammunition stored on the premises. Each toilet and shared shower have grab bars for resident use and non-skid surfacing along with shower chair. Each resident room has sufficient lighting. Medications were labeled, as required, and stored in locked areas. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. Staff records review and verified that 6 of 6 staff do not have a current First Aid/CPR, TB clearance or Health Screening Report. They do have all required training. Resident records reviewed for a current Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information and Admission Agreement. Administrator’s certification for David Cooper expires on December 1, 2024. A deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D). The Department determined that the violation resulted in a potential safety hazard to clients. A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Licensee Cooper to 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, Oct 19, 2023