Senior Care Records.

Complaint Investigation Report

Roseleaf Gardens, Chico03/23/2026Licence 045002775

Date signed03/23/2026 04:48:11 PM
The inspector’s account

Allegation: Facility does not have sufficient staff to provide care and supervision to residents

It was alleged the facility is operating without enough staff to properly care for residents in care.

Five (5) of five (5) staff members interviewed agreed that the facility was understaffed and staff were unable to care for residents properly because of this. Two (2) of two (2) residents interviewed agreed that the facility had been regularly understaffed to meet their needs. One resident, R1, claimed they had waited for approximately two hours for staff assistance to use the restroom. Another resident, R2, claimed they were left unattended in the restroom for approximately 1.5 hours and had been yelling for assistance during this period.

Based on observations, interviews, and record review, 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 9099-D.

Allegation: Staff are not provided with proper training to care for residents .

It was alleged that staff at the facility are not being provided with required training.

LPA reviewed three (3) employee files at random and found two (2) of three (3) staff reviewed had no current CPR training and one (1) of three (3) had no current First Aid training.

Based on observations and record review, 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 9099-D.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction