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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 374700349
Report Date: 04/29/2025
Date Signed: 04/29/2025 12:39:15 PM

Document Has Been Signed on 04/29/2025 12:39 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:ROSE HOME CARE, INC. DBA HOME INSTEADFACILITY NUMBER:
374700349
ADMINISTRATOR/
DIRECTOR:		ROSENBLUM, GREGGFACILITY TYPE:
300
ADDRESS:250 W CREST ST STE ETELEPHONE:
(858) 753-6440
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: CENSUS: DATE:
04/29/2025
Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Greg RosenblumTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On April, 29, 2025 Home Care Services Bureau (HCSB) Analyst, Adrian Mangina arrived at the business office of Rose Home Care Inc., DBA Home Instead for a post licensing inspection. Upon arrival, Analyst Mangina was greeted by Service Coordinator, Ashley Pence. Licensee Greg Rosenblum was also present.

During the inspection, Analyst observed proper posting of License and business hours. The Analyst was shown to an area where the review of personnel and administrative files could be performed. Licensee provided proof of current professional liability, worker's compensation and dishonesty bond. Analyst reviewed ten Home Care Aide files.

Licensee was reminded that per Statute all employees must have fingerprint clearances and TB tests (initial and every 2 years) and all Home Care Aides must additionally have completed initial training consisting of two (2) hours Orientation and three (3) hours safety training including basic safety precautions, emergency procedures, and infection control prior to working with clients, and annually complete five (5) hours additional training prior to start day anniversary each year (see Health and Safety Code Section 1796.44 for specific topics required), as well as be registered and renewed biennially on the Home Care Aide Registry.

Upon completion of the file review the analyst discussed the findings of the inspection with Licensee and informed the Licensee that no discrepancies were found.
NAME OF LICENSING PROGRAM ANALYST: Adrian L Mangina
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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