Rose Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff #1 and shortly after with Administrator, Sandy Jeong, and explained the reason for the visit. At approximately 11:50 am, with the assistance of the staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. LPA tested the smoke alarms and the carbon monoxide detectors, and they were functioning properly. The fire extinguisher is located in the kitchen. The charge date is June 6, 2025. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility, properly stored. Knives were stored in a locked drawer in the kitchen. Bedrooms: There were four(4) bedrooms designated for residents' use. Two (2) bedrooms are designated for private use, and two (2) rooms are shared. Currently, Room#3 is vacant. All four bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: The facility has four (4) bathrooms. Three (3) bathrooms are designated for residents' use, and one(1) bathroom is designated for staff. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 107.8 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Staff Workstation/Offices: There are staff offices located adjacent to the living room, where staff and residents' records are kept and locked in a filing cabinet. Properly labeled medications were also locked in one of the office cabinets. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. (Continue on 809C) Garage/ Laundry area: The garage is attached to the building. The garage is used as storage for PPE, food, and water. There is also a freezer for additional perishable food items. Entry to the garage from inside the home with an electronic keypad lock. LPA observed the washer and dryer to be in good repair. No cleaning supplies or toxin stored in the garage at the time of the visit. Resident Files: LPA conducted a file review of resident records to ensure compliance with licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and in compliance with licensing forms. Medications: Medications and Medication Records were reviewed for proper documentation. Temperature: Facility maintains a comfortable temperature of 77 degrees Fahrenheit. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issuedthe state’s words, verbatim · CDSS document, May 27, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with Administrator, Sandy Jeong and explained the reason for the visit. At approximately 10:20 am, with the assistance of the Administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There is a carbon monoxide detector that functions properly installed in the hallway between resident rooms. The fire extinguisher is located in the kitchen. The charge date is June 11,2024. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Bedrooms: There were four(4) bedrooms designated for residents' use. Two (2) bedrooms are designated for private use, and two (2) rooms are shared. Currently, Room#2 is vacant. All four bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: The facility has four (4) bathrooms. Three (3) bathrooms designated for residents' use and one(1) bathroom designated for staff. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 113.8 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Staff Workstation/Office: There is a staff office located adjacent to the living room, where staff and residents records are kept and locked in a filing cabinet. Properly labeled medications were also locked in one of the office cabinets. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. LPA observed a small golf court and turtle pet house in the backyard for the residents. (Continue on 809C) Garage/ Laundry area: The garage is attached to the building. The garage is used as storage for PPE, food and water. There is also a freezer for additional perishable food items. Entry to the garage from inside the home with electronic key pad lock. LPA observed the washer and dryer to be in good repairs. No cleaning supplies or toxin stored in the garage at the time of the visit. Resident Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Medications: Medication and Medication Records were review for proper documentation. Temperature: Facility maintains a comfortable temperature of 75 degrees Fahrenheit. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, May 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff, and explained the reason for the visit. Administrator had arrived shortly after. At approximately 10:15 am, with the assistance of the Administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are hardwired and operated. There is a carbon monoxide detector that functions properly installed in the hallway between resident rooms. The fire extinguisher is located by the kitchen. LPA was informed that annual service for the fire extinguisher is scheduled on June 11, 2024. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the office cabinets. Bedrooms: There were four(4) bedrooms designated for residents' use. Two (2) bedrooms are designated for private use, and two (2) rooms are shared. All four bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: The facility has four (4) bathrooms. Three (3) bathrooms designated for residents' use and one(1) bathroom designated for staff. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 115.6 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit.Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. LPA observed a small golf court and turtle pet house in the backyard for the residents. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms.Medications: Medication and Medication Records were review for proper documentation.Temperature: Facility maintains a comfortable temperature of 78 degrees Fahrenheit Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Jun 3, 2024