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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426422
Report Date: 01/30/2026
Date Signed: 01/30/2026 10:41:03 AM

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
01/04/2024 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20240104104232
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: 53DATE:
01/30/2026
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Executive Director Melissa Buckridge TIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Neglect/Lack of care and supervision resulting in resident hospitalization.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegation mentioned. LPA met with Executive Director Melissa Buckridge and explained the purpose of the visit. The Department's investigation involved interviews and records review.

It is alleged Neglect/Lack of care and supervision resulted in resident hospitalization. Resident #1 (R1) denied receiving any medication or substance that was not prescribed to them. Medical records show that on December 31, 2023, a urinalysis was positive for fentanyl but negative for norfentanyl and other opioids. The medical report concluded that R1’s confusion was most likely related to their underlying diagnosis, potentially worsened by dehydration and elevated glucose levels. Facility staff denied any on the premises and denied providing it to R1 or having any knowledge of how R1 could have been exposed. Residents interviewed also reported no concerns regarding staff use, possession, or distribution of fentanyl and expressed no concerns about neglect or inadequate care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
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-20240104104232
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: 01/30/2026
NARRATIVE
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The investigation found insufficient evidence to substantiate allegations of neglect or lack of care. The allegation is therefore deemed unsubstantiated.

An Unsubstantiated complaint means, that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with Executive Director Melissa Buckridge and a copy of this report was provided at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2