Rowena's Home Care 2

Type of visit: Required - 1 Year

On 8/10/2026 Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with staff and explained the purpose of the visit. Later joined by Rowena Pablo. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 108.5 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. Continued LPA reviewed 3 resident and 1 staff files, including criminal record clearances. First aid kit was checked and is complete. LPA observed the carbon monoxide detectors in the facility. Fire drill was conducted on 6/2026. Per the Title 22, Division 6 of California Code of Regulations. No deficiencies were observed during today's inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Aug 10, 2026

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 07/08/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregiver, Nenita Foronda, who was briefly interviewed at this time. This LPA was also met by the facility designated Administrator Rowena Pablo who was briefly interviewed at this time. Current census was 6 residents. It was learned that there were (4) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (4) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there were (2) residents diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. It was learned that there weren't any residents deemed to be bedridden at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Additional food storage units located in the kitchen area were observed to be present and functional at this time. Laundry room was toured at this time. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, # 6036268740, for Rowena Pablo was observed to have an expiration date of 08/02/2025 and in compliance at this time. Forms and documents were being updated in order to renew this Administrator certificate at a this time. Medication cabinet, located in the facility hallway closet, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the medication cabinet area, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers located throughout this facility were observed to have been annually reviewed by the local fire extinguisher, Assured Fire Extinguisher, on 01/10/2025 and found to be in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (3) facility personnel records was conducted and noted on the following LIC 859. A review of (3) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's annual visit. Exit Interviewthe state’s words, verbatim · CDSS document, Jul 8, 2025

Type of visit: Required - 1 Year

Unannounced annual visit made out to this facility on 07/11/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Rowena Pablo, who was briefly interviewed at this time. Current census was 5 residents. It was learned that there were (3) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (4) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there was (1) resident diagnosed with dementia at this time. It was learned that there was (1) resident receiving services through home health at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility employee office, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Additional food storage units were observed to be present and functional at this time. Laundry area, located in the facility hallway, was toured. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Medication cabinet, located in the facility kitchen area, was observed to be locked and made inaccessible to the residents at this time. Policies and procedures involving storage, dispensing, and documentation of the resident medications was discussed with the facility designated Administrator at this time. Administrator certificate, # 6036268740, for Rowena Pablo was observed to have an expiration date of 08/02/2025 and in compliance at this time. First aid kit, located in the medication cabinet, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected by the local fire extinguisher company, Assured Fire Extinguisher, on 01/15/2024 and in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. This LPA observed an additional storage unit that was present on the north side of this facility at this time. This storage unit was observed to be locked and made inaccessible to the residents at this time. A review of (5) facility personnel records was conducted on the LIC 859. A review of (3) facility resident records was conducted on the LIC 858. There were no deficiencies observed or cited during today's annual visit. Exit Interviewthe state’s words, verbatim · CDSS document, Jul 11, 2024