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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045002775
Report Date: 10/21/2025
Date Signed: 10/22/2025 05:01:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/21/2025 and conducted by Evaluator Kayla Adkison
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20251021112112
FACILITY NAME:ROSELEAF GARDENSFACILITY NUMBER:
045002775
ADMINISTRATOR:LEACH, BAILEYFACILITY TYPE:
740
ADDRESS:2770 SIERRA LADERATELEPHONE:
(530) 895-0800
CITY:CHICOSTATE: ZIP CODE:
95928
CAPACITY:56CENSUS: 23DATE:
10/21/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Bailey Malagon, AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facilty signal system is inoperable
INVESTIGATION FINDINGS:
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On October 21, 2025, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced for the purpose of opening a complaint investigation. LPA was greeted by Bailey Malagon, Administrator, and explained the purpose of the visit. During the visit, there were 23 residents in care and 3 direct care staff. LPA and Administrator toured the facility and made observations.

Allegation: Facilty signal system is inoperable

It was alleged that the facility's emergency pull cords from resident's rooms were inoperable. Staff informed LPA that the pagers for the call system were all missing or inoperable. During the inspection, LPA observed Administrator pull (1) one emergency alert cord from a resident room. Administrator showed LPA that the alert then shows up on a computer in the facilities charting room. LPA noted there were no sounds observed. (2) two of (2) two residents interviewed stated that when they were in need of assistance it took over an hour for staff to come too their need. Administrator stated that once it was known that the pagers were all missing or inoperable, a staff member was temporarily assigned to sit in the charting room to monitor the computer were alerts are recorded. Administrator noted that (5) five new pagers have been ordered and are scheduled to be delivered to the facility on October 23, 2025.

Based on observation and interview, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Exit Interview conducted. A copy of this report and Appeal Rights were provided to Bailey Malagon, Administrator.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
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 59-AS-20251021112112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ROSELEAF GARDENS
FACILITY NUMBER: 045002775
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/23/2025
Section Cited
CCR
87303(i(1)(B)
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87303 Maintenance and Operation
(i) Facilities shall have signal systems which shall meet the following criteria:
(1) All facilities licensed for 16 or more... shall have a signal system which shall:(B)Transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff.
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The LIcensee/Administrator agrees to have the signall system repaired and operable by end of business on 10/24/25. Licensee/Administrator shall submit video proof to LPA of working pagers by end of business 10/24/25. Until the pagers have been received and programmed, the licensee/administrator agrees to have staff check on residents hourly and staff shall sign off on a physical log of these checks.
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Based on observations and interviews conducted, the licensee did not ensure the facility's emergency signal system was operable, which poses an immediate health, safety or personal rights violation.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Kayla Adkison
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2