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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426422
Report Date: 12/16/2025
Date Signed: 12/16/2025 03:18:59 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/03/2024 and conducted by Evaluator Becky Mann
COMPLAINT CONTROL NUMBER: 56-AS-20240103084422
FACILITY NAME:ROSE GARDEN RESIDENTIAL CAREFACILITY NUMBER:
366426422
ADMINISTRATOR:DANICA TURNERFACILITY TYPE:
740
ADDRESS:1350 WABASH AVE.TELEPHONE:
(909) 794-1040
CITY:MENTONESTATE: CAZIP CODE:
92359
CAPACITY:63CENSUS: 57DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Schamone Bard, Executive DirectorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff leave resident in soiled diapers/clothes
Staff are not following special diet physicians order
Staff are not assisting resident with feeding/drinking
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Schamone Bard, Executive Director and explained the purpose of today's visit.The investigation consisted of observations, record reviews, interviews with staff, and residents.

The allegation that staff leave resident in soiled diapers/clothes. Four (4) staff interviewed stated that they have not left residents in soiled diapers and/or clothes. The four (4) staff have not seen another staff leave a resident in soiled diapers and/or clothes. LPA interviewed five (5) residents, they were not able to answer due to cognitive impairment. LPA was unable to interview Resident #1 (R1) due to no longer residing at the facility. Based on LPA observations and record reviews, R1 does not reside at the facility anymore. Based on LPA observations, residents are kept clean and dry. Residents are assisted with diaper change or clothes change when needed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 56-AS-20240103084422
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ROSE GARDEN RESIDENTIAL CARE
FACILITY NUMBER: 366426422
VISIT DATE: 12/16/2025
NARRATIVE
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The allegation that staff are not following special diet physicians order. Four (4) staff interviewed stated that they do follow the special diets based on physicians order. Five (5) residents interviewed were not able to answer due to cognitive impairment. LPA toured the facility and observed in the kitchen area that there was a special dietary binder for residents who are on a special dietary plan. Based on LPA observations, interviews and record reviews, staff do follow the special dietary plans for residents.

The allegation that staff are not assisting resident with feeding/drinking. Four (4) staff interviewed stated that they do assist the residents with feeding and drinking. Five (5) residents interviewed were not able to answer due to cognitive impairment. During the facility tour, LPA observe staff assisting the resident with eating and drinking.

Based on evidence obtained during the investigation, the above allegations are Unsubstantiated; meaning that 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.

An exit interview was conducted where this report was discussed, and a copy was provided to Schamone Bard, Executive Director at the conclusion of the visit.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Becky Mann
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2