Rose Valley Altadena II

Type of visit: Required - 1 Year

At 9:30a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met with caregivers that granted entry to the facility and explained the reason for the visit. Later, Administrator joined today’s visit. At approximately 12:05p.m., LPA and Administrator conducted a physical plant tour inside and out. During the tour, LPA observed that the facility is a home located in a residential community. Required postings were observed in the entry area. The smoke alarms are operational, they are in each bedroom and hallways. There are carbon monoxide detectors that function properly. The fire extinguishers are located throughout the facility. The charge date is 02/20/26. Fire/Earthquake emergency drill was last conducted on 06/02/26. During this visit the facility is 78 degrees Fahrenheit. The facility is fire cleared for six (6) non-ambulatory residents; two (2) hospice waiver current census is five (5) residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Kitchen: LPA observed kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrapped, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. The menu was posted for review, snacks and beverages are always available for the residents in the facility. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides, and toxic cleaning supplies were stored and locked away in the kitchen under the sink. Cont. LIC 809-C Cont. LIC 809 Bedrooms: LPA observed seven (7) bedrooms designated for residents use. Bedrooms #6 and #4 are vacant. All bedrooms were toured and observed to be clean and properly furnished with appropriate dressers, bedding, and linens with sufficient lighting. Bathrooms: LPA observed the bathrooms to be clean, sanitary and with necessary supplies. The were appropriate grab bars and mats in the shower. Hot water temperature measured at a range of 104.0°F to 119.0°F and within the required range. Resident’s personal hygiene supplied are kept separate in clear plastic containers stored in a locked cabinet under the sink. Towels and washcloths are not shared. Common Areas: These included the living room and dining area for residents. The common areas were properly furnished. Furniture in common areas was observed to be in good repair. Residents dining table fits six (6) residents. No obstructions or tripping hazards throughout the facility. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The facility does not have a swimming pool or body of water. The facility does not have a garage, just a car port. Laundry Room: LPA observed two (2) washers and (2) drying machines located between rooms #6 & #7 inaccessible to residents in care. Lines are also storage in laundry room and observed to have ample supply of clean linen, comforters, and towels in facility. Cleaning supplies are also stored in locked cabinets in the laundry room. Medications are in a centrally stored and locked medication closet, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the resident’s doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and were observed to be stored in medication closet. Staff Files: LPA conducted a file review of staff files for criminal record clearances and current First Aid. All three (3) staff files reviewed were current at the time of this visit. Resident Records. LPA conducted a resident record review for five (5) residents for requirements and legibility. All residents’ records were current at the time of this visit. Residents were also interviewed. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Jun 3, 2026

Type of visit: Required - 1 Year

At 10:15a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met with caregivers that granted entry to the facility and explained the reason for the visit. Later, Administrator joined today’s visit. At 10:45a.m., LPA and administrator conducted a physical plant tour inside and out. During the tour, LPA observed that the facility is a home located in a residential community. Required postings were observed in the entry area. The smoke alarms are operational, they are in each bedroom and hallways. There are carbon monoxide detectors that function properly. The fire extinguishers are located throughout the facility. The charge date is 02/14/2025. Fire/Earthquake emergency drill was last conducted on 05/14/2025. During this visit the facility is at 70 degrees Fahrenheit. The facility is fire cleared for six (6) non-ambulatory residents; two (2) hospice waiver. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Kitchen: LPA observed kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. The menu was posted for review, snacks and beverages are available for the resident in the facility when they want. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen under the sink. Cont. LIC 809-C Cont. LIC 809 Bedrooms: LPA observed seven (7) bedrooms designated for residents use. Bedroom #6 is vacant. All bedrooms were toured and observed to be clean and properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Bathrooms: LPA observed the bathrooms to be clean, sanitary and with necessary supplies. The appropriate grab bars and mats in the shower. Hot water temperature measured at a range of 109.9°F to 119.0°F and within the required range. Resident’s personal hygiene supplied are kept separate in clear plastic containers stored in a locked cabinet under the sink. Towels and washcloths are not shared. Common Areas: These included the living room and dining area for residents. The common areas were properly furnished. Furniture in common area was observed to be in good repair. Residents dining table fits six (06) residents. No obstructions and or tripping hazards throughout the facility. There are no issues with Fire Clearance. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. The facility does not have a garage, just a car port. Laundry Room: LPA observed washers and dryers machines l located between rooms #6 & #7 and inaccessible to residents in care. Linen are also storage in laundry room and observed to have ample supply of clean linen, comforters, and towels in facility. Cleaning supplies are being also stored in locked cabinets in the laundry room. Medications are in a centrally stored and locked medication closet, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the resident’s doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and were observed to be stored in medication closet. Staff Files: LPA conducted a file review of staff files for criminal record clearances and current First Aid. All four (4) staff files reviewed were current at the time of this visit. Resident Records. LPA conducted a resident record review for six (06) residents for requirements and legibility. All residents records were current at the time of this visit. Resident were also interviewed. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Jun 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPAs) Leslie Ngo-Castaneda and Leizl De La Cerra conducted an annual required visit and inspection of the facility. LPAs met with staff Yessica Iscoa and was explained the reason for the visit. At 10:00 am Monica Aguilera who is the administrator met with LPA, explained the reason for the visit. At 11:50 am, with the assistance of administrator, LPAs took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom and the hallway. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen and hallway. The charge date is 2/10/2023. During the visit the facility is at 71 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory residents; two (2) hospice waiver. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPAs found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. The menu was posted for review, snacks and beverages are available for the resident in the facility when they want. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen under the sink. Bedrooms: There were seven (7) bedrooms designated for residents' use. Bedroom #1, bedroom #2, bedroom #3, bedroom #4, bedroom #5, bedroom #6, and, bedroom #7 are private. Bedroom #1 and bedroom #6 are vacant. All of the bedrooms are private, is used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Continue to LIC 809-C Bathrooms: There are four (4) bathroom designated for residents' and staff use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 120.0 degrees Fahrenheit for bathroom #1 located in the hallway in between bedroom #1 and bedroom #2. Bathroom #2 is beside bedroom #4. Hot water temperature was measured at 119.7 degrees Fahrenheit. Bathroom #3 is beside bedroom #6. Bathroom #4 is for staff used and is located beside the kitchen. There was enough clean linen available in the cabinets in the hallway. Common Areas: LPAs toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPAs observed common areas to be very clean and tidy. LPAs observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPAs obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. The facility does not have a garage, just a car port. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and is located in the laundry room by the hallway. Staff Files: LPAs also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Office space is across the entrance. Records were checked for expired or missing certificates and clearances: LPAs conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Continue to LIC 809-C Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Resident records were reviewed for requirements and legibility: LPAs reviewed client’s files; Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Apr 3, 2024