Senior Care Records.

Facility Evaluation Report

Rose Residential Care Facility, Union City11/13/2025Licence 019200056

Capacity6
Census4
Date signed11/13/2025 02:08:06 PM
Name of licensing program analystLuisa Fontanilla
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 11/13/2025 at around 9:30 am, Licensing Program Analyst (LPA) L. Fontanilla arrived unannounced to conduct an annual required inspection and met with Administrator Jonnasburg Carbonel. LPA explained to the Administrator the purpose of the visit. The facility is a Level 41 home vendorized by the Regional Center of the East Bay (RCEB). The facility has an approved fire clearance for all 6 non-ambulatory clients.

During the visit, LPA toured facility inside and out including but not limited to kitchen, client bedrooms, bathrooms, dining room, living room, and backyard. Smoke detectors and carbon monoxide were tested and observed in operational condition. Last fire drill was conducted on 11/3/25. Fire extinguisher was observed to be full and was last serviced on 9/27/25. Hot water in the kitchen was measured at 105 degrees F. Bathrooms/shower area have non skid mats. There is a minimum of 7-day non-perishable and 2-day perishables foods. There is an adequate supply of toiletries, hygiene supplies, and extra linens. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. All indoor and outdoor passageways were observed free of obstruction. There are no bodies of water observed.

At 10:10 am, LPA reviewed medication and medication administration record (MAR). At 10:45 am, LPA reviewed P&I money and log with the Administrator. Facility has surety bond sufficient to cover amount of cash being handled at one time. At 10:55 am, LPA reviewed 4 client files and 3 staff files.

The following deficiencies were observed:

ceiling in the family room was leaking from the rain water

cabinet under the sink has mold/floor needs repair

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