306003424-3-21-2025-22-AS-ARJR-DEYQ45-20250321114943

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306003424
Report Date: 03/21/2025
Date Signed: 03/21/2025 11:49:54 AM

Document Has Been Signed on 03/21/2025 11:49 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME:	ROSE GARDEN BOARD AND CARE		FACILITY NUMBER:	306003424
ADMINISTRATOR/ DIRECTOR:	ROSEMARIE ONG		FACILITY TYPE:	740
ADDRESS:	767 S. YORBA STREET		TELEPHONE:	(714) 516-9410
CITY:	ORANGE	STATE: CA	ZIP CODE:	92869
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 3	DATE:	03/21/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:00 AM
MET WITH:	Rosemarie Ong-Administrator		TIME VISIT/ INSPECTION COMPLETED:	12:02 PM

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Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Administrator (AD) Rosemarie Ong.

For today’s visit, LPA observed a total of three residents in care and two staff members on duty.

LPA observed the Administrator's Certificate for facility AD Rosemarie Ong which expires on July 19, 2025.

LPA Ramirez toured the interior and exterior portions of the facility with AD Ong. The facility is a single level structure and is licensed for six non-ambulatory residents, of which three may be on hospice and 0 bedridden. For this visit, there are a total of three residents in care. There are a total of six bedrooms, of which four are private resident bedrooms, and two private bedrooms for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of three restrooms of which one is for staff and two are for residents. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 109.4-112.9 degrees Fahrenheit.

Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged, mounted and one was located by the residents' bedroom hallway and the one by the laundry room entrance. Fire extinguishers were last service on February 10, 2025.

CONTINUED ON LIC809-C...

Sheila Santos	TELEPHONE: (714) 334-2062
Alvaro Ramirez Jr.	TELEPHONE: 714-705-6007
	DATE: 03/21/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: ROSE GARDEN BOARD AND CARE	FACILITY NUMBER: 306003424
	VISIT DATE: 03/21/2025

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LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the main entrance hallway. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. Medications are locked in a cabinet by the dining room.

For the exterior portion, LPA Ramirez observed a shaded patio and sitting area, and the grounds were free of any hazards. There is one gate in the backyard, which is self-closing and self-latching. No bodies of water were observed.

LPA reviewed three resident files and two staff files. LPA interviewed residents and staff present.

For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted with AD Ong.

A copy of this report was provided at the time of exit.

SUPERVISOR'S NAME: Sheila Santos	TELEPHONE: (714) 334-2062
LICENSING EVALUATOR NAME: Alvaro Ramirez Jr.	TELEPHONE: 714-705-6007
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

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