Rosie's Board and Care operates an adult residential facility in College Area, San Diego at 4311 49th Street in the 92115 ZIP, serving adults ages 18 through 59 who require supervised residential support for mental health conditions. The facility holds California Adult Residential Facility licensing through the Department of Social Services Community Care Licensing Division, which mandates staffing ratios, individualized service plans, and facility inspections specific to the ARF classification. Counseling referrals for residents who need outpatient therapy beyond on-site behavioral support are coordinated through LifeStance Therapists & Psychiatrists San Diego, which provides psychiatric medication management and individual therapy sessions for adults with serious mental illness. Unlike residential care facilities for the elderly, an ARF serves younger adults whose psychiatric diagnoses — including schizophrenia, bipolar disorder, major depressive disorder, and co-occurring conditions — require a supervised residential environment with medication management and behavioral support. The College Area address places the facility in a residential block south of El Cajon Boulevard, accessible from SDSU's campus area via College Avenue. Board and care services at the 49th Street home include three meals, laundry, housekeeping, personal care assistance, and 24-hour supervision by trained staff. The San Diego County Network of Care lists Rosie's Board and Care in its directory of licensed board and care facilities, and 211 San Diego maintains current bed availability data on a monthly update cycle. Physical rehabilitation and mobility support for residents recovering from medication side effects or prolonged inactivity are coordinated through WellKneaded Chiropractic in San Carlos, which handles musculoskeletal assessments and corrective care for postural issues common in younger adults on long-term psychotropic medications. Medication sorting, dosage tracking, and physician coordination are built into the base monthly rate at the 49th Street home.