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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850358
Report Date: 08/19/2024
Date Signed: 08/19/2024 03:52:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/26/2024 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20240726164006
FACILITY NAME:ROSE GARDEN MANORFACILITY NUMBER:
565850358
ADMINISTRATOR:SORATORIO, AMALIAFACILITY TYPE:
735
ADDRESS:1731 S. VENTURA ROADTELEPHONE:
(805) 890-0607
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:6CENSUS: 6DATE:
08/19/2024
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Amalia Soratorio TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff are not adequately trained
Staff falsified resident records
Staff are not fingerprint cleared
Residents are being financially abused by the licensee
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subsequent complaint visit for the above allegations. Upon arrival, the LPA met with staff and explained the reason for the visit. Administrator Amalia Soratorio arrived shortly after.

On 08/01/2024, between 09:30 a.m. and 11:00 A.m., LPA Cortez and Tri-Counties Regional Center Quality Assurance Specialist (QAS) Ryan Landseadel interviewed the Administrator, conducted a file review, and obtained copies of records and other pertinent documents relevant to the investigation. During today's visit, the LPA conducted resident and staff interviews.

On the allegation that Staff are not adequately trained, it is the reporting party’s concern that staff are working without being trained. To investigate the allegation, the LPA conducted staff record review on 08/01/2024, and interviewed staff and residents during today's visit. Report will continue on LIC9099-C (2ND PAGE).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
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 29-AS-20240726164006
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROSE GARDEN MANOR
FACILITY NUMBER: 565850358
VISIT DATE: 08/19/2024
NARRATIVE
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The record review revealed that all staff received the required training and continue to receive on going training. Interview with administrator Amalia revealed that the staff receives orientation training, continuation on-site training, CPI training, medication training and Direct Support Professional Training. Staff interviews revealed that they received the required training and continue to receive on going training. Based on interviews and record review the allegation above is deemed unsubstantiated at this time.

On the allegation that Staff are not fingerprint cleared, it is the concern of the reporting party that staff without background clearance are working at the facility. To investigate the allegation, the LPA requested all staff’s records for the staff reflected on the LIC500 (Personnel Roster). The LPA reviewed records and the reviewed records revealed that all staff members were background cleared and are associated with this facility. Staff interviews confirmed there are no other adults who work at the facility other than those on the staff schedule. Based on interviews and record review the above allegation is deemed unsubstantiated at this time.

On the allegation that Staff falsified resident records and Residents are being financially abused by the licensee; it is the concern of the reporting party that the Licensee had Staff help in making false documents including receipts for personal purchases being shown as client purchases. To investigate the allegation, the LPA conducted a record review of the clients record of client’s/resident’s safeguard cash resource (LIC 405) for the three clients that the facility safeguards their cash resources for and conducted interviews during today's visit. The LPA observed all LIC 405 forms properly documented with each transaction dated, signed by the client, correct amounts and balances, and descriptions documented. The LPA observed supporting receipts that matched the LIC 405 transactions. Administrator Amalia conducted an audit of the clients cash in front of the LPA on 08/01/2024, all amounts and balances matched. Staff interviews revealed that staff buys items the clients ask for during outings and send the receipt to Administrator Amalia. Furthermore, the LPA observed items in the client's rooms that were listed at as the purchased items during today's visit. All staff interviewed denied spending clients money or falsifying any records. Client interview revealed that staff helps them buy items they want, and that they feel safe. Based on information gathered, the Department does not have sufficient evidence to determine Staff falsified resident records and Residents are being financially abused by the licensee. Therefore, the above allegation is deemed unsubstantiated at this time.

No citations were issued. Exit interview conducted. A copy of the report was provided to the Administrator.
SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2