306003448-10-15-2026-22-AS-KSGH-DYWVT5-20261016164233

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003448
Report Date: 10/15/2026
Date Signed: 10/15/2026 03:40:00 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/26/2026 and conducted by Evaluator Hanna Fuller

COMPLAINT CONTROL NUMBER: 22-AS-20260726101840

FACILITY NAME:	FULLERTON ROSEWOOD ASSISTED LIVING		FACILITY NUMBER:	306003448
ADMINISTRATOR:	JANE KIM		FACILITY TYPE:	740
ADDRESS:	411 E. COMMONWEALTH AVENUE		TELEPHONE:	(714) 441-0644
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92832
CAPACITY:	99	CENSUS:	DATE:	10/15/2026
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Jane Kim		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not maintain a comfortable temperature for residents in care.
Staff communicate inappropriately to resident in care
Staff do not treat resident with dignity and/or respect
Staff do not seek medical attention to resident in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hanna Fuller made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Jane kim and discussed the purpose of the visit.

The investigation into the facility allegations mentioned above revealed the following: LPA reviewed R1s file and R1 moved into the facility on March 2, 2023. LPA reviewed a needs and services plan dated June 23, 2026, stating that R1 is verbally and physically abusive to others, is able to get around the facility independently and does not need assistance with showers, dressing or medication management. LPA reviewed a physicians report dated March 20, 2026, stating that R1 does not have any cognitive conditions, has motor impairment, expresses frustration and can administer their own medications. This report is signed and dated by a medical professional.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Fuller
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2026

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

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20260726101840

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: FULLERTON ROSEWOOD ASSISTED LIVING	FACILITY NUMBER: 306003448
	VISIT DATE: 10/15/2026

NARRATIVE

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It was alleged that staff turned off the air and let Resident #1 (R1) room get to 90 degrees. LPA toured the facility and observed that all facility thermostats were set between 76-78 degrees Fahrenheit and would kick on when necessary. LPA observed the facility to be at a comfortable temperature with the thermostats in the facility hallways and not in the individual resident rooms. LPA observed a picture that was sent to the Department of a screen shot showing that it was 90 degrees in the city that the facility resided in. LPA observed a picture sent to the Department of an illegible thermostat number on the screen.

LPA interviewed 6 residents and 5 of 6 residents informed LPA that the staff keep the facility at a comfortable temperature even throughout the summer. 4 of 6 residents informed LPA that staff turn off the air conditioning at night and they are still comfortable with the internal facility temperature. 1 of 6 residents informed LPA that the temperature in their room varies.

R1 informed LPA that there is no problem with the facility air conditioning since it had been addressed.

LPA interviewed 5 staff and 5 of 5 staff informed LPA that they turn the air conditioning down or off at night due to the residents complaining that they were cold. 5 of 5 staff informed LPA that if the temperature gets to warm, then they will turn the air conditioner back on as soon as they are notified by a resident. 2 of 5 staff informed LPA that when R1 requested for the air to be turned back on, staff obliged immediately.

Regulations state the temperature of the facility must be maintained at a comfortable temperature and must not exceed 85 degrees Fahrenheit. Therefore, this allegation is deemed UNSUBSTANTIATED.

Regarding the allegations of Staff communicate inappropriately to resident in care and Staff do not treat resident with dignity and/or respect revealed the following: It was alleged that when R1 requested for the air conditioner to be turned back on Staff #1 (S1) spoke to R1 inappropriately and did not treat them with respect. LPA reviewed an incident report regarding R1 that on July 23^rd, 2026, R1 was seen insulting and screaming at S1 when approached about the air conditioning being turned down at 7pm in R1s hallway.

LPA interviewed 6 residents and 6 of 6 residents stated that staff are always kind and treats all residents with respect when communicating. 6 of 6 residents informed LPA they have no issue with the staff at the facility. 1 of 6 residents informed LPA that they have overheard R1 giving staff a hard time on many occasions.

LPA interviewed 5 staff and 5 of 5 staff denied the allegation and informed LPA that they have been spoken to inappropriately and received verbal abuse from R1, including S1.

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SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Fuller
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20260726101840

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: FULLERTON ROSEWOOD ASSISTED LIVING	FACILITY NUMBER: 306003448
	VISIT DATE: 10/15/2026

NARRATIVE

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Therefore, this allegation is deemed UNSUBSTANTIATED.

Regarding the facility allegation of Staff did not seek medical attention to resident in a timely manner revealed the following: It was alleged that R1 had a medical emergency and S1 delayed calling emergency services due to passing dinner trays on October 25^th, 2025. LPA reviewed an incident report for R1 stating that on October 30^th, 2025, R1 sustained a fall and called for assistance. Staff went to R1s room to assist and R1 refused to go to the hospital. LPA reviewed another incident report dated November 5, 2025, stating that R1 requested to go to the hospital due to pain and emergency services was called for transport. LPA did not review an incident report dated October 25^th 2025, for R1.

LPA interviewed 6 residents and 6 of 6 residents informed LPA that staff assist them with all their needs. 3 of 6 residents informed LPA that they have had a medical emergency while at the facility and staff assisted them in a timely manner.

LPA interviewed 5 staff and 3 of 5 staff could recall a fall in October of 2025 for R1. 3 of 5 staff informed LPA that R1 refused to go to the hospital initially and was sent at a later time when R1 expressed pain. 1 of 5 staff informed LPA that they answered the phone and spoke to R1 when the incident occurred and R1 denied emergency transport over the phone and then again once staff entered R1s room. S1 informed LPA that they went to R1s room, called 911 right away and R1 initially refused to go to the hospital.

Therefore, this allegation is deemed UNSUBSTANTIATED.

LPA reviewed S1s training and observed updated staff training's on topics such as psychosocial needs of the elderly, mandated reporter abuse, resident rights and 911 calls for falls.

Based on information gathered and interviews conducted, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR NAME: Hanna Fuller
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2026

LIC9099 (FAS) - (06/04)

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