Caring Home Care

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Carmen Lopez conducted a Case Management visit, to conduct an unannounced health and safety check for residents in care. LPA identified herself and was granted entry by Ivan Salas, Caregiver. LPA met with caregiver Salas and disclosed the purpose of the visit. LPA spoke with Zhike Pruett via telephone. During today's visit, LPA toured the facility, and spoke with staff, and requested records maintained by the facility. There were no residents at the facility during today’s visit. Resident #1 (R1) had passed from their underlying medical condition. A Death Report was on file along with the Unusual Incident/Injury Report. Resident #2 was sent to the hospital 09/08/2026 and has been sent to a Skilled Nursing Facility. As of today, there is no date of return for R2. No deficiencies were cited during today’s visit. An exit interview was conducted with caregiver Iban Salas, and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided to caregiver Salas at the conclusion of the visit. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Sep 18, 2026

Type of visit: Office

On 8/31/2026, an office meeting was held to discuss concerns in the facility observed during a case management visit conducted 8/28/2026. In attendance was Regional Manager Jerry Romero, Licensing Program Manager (LPM) Robyn Clark, Licensee Zhike Pruett, facility office assistant Jay Barrozo, and Facility Consultant Yolanda Torres. During the meeting, LPM and RM discussed significant concerns including lack of qualified administrator designee, insufficient staffing, and licensee accountability. LPM also discussed the available resources to ensure transfers of criminal record clearances while the Licensee awaits Guardian access. The Licensee was cited for two deficiencies and the Licensee agreed to plans of correction to bring the facility into compliance [see attached LIC 809 (d)]. Exit interview conducted. This report, LIC 809 (d) and Appeal Rights reviewed and discussed with Pruett whose signature below confirms receipt.the state’s words, verbatim · CDSS document, Aug 31, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Aug 31, 2026

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on observation, interview and record review, the Licensee did not ensure that there were sufficent quantities of background-cleared staff trained and competent to provide services to meet resident needs. This posed an immediate health, safety and personal rights risk to 2 of 2 Residents in care (R1-R2).the state’s words, verbatim · CDSS document, Aug 31, 2026

Plan of correction: Licensee will obtain temporary staffing plan, submit background clearance transfers requests, and submit an LIC 500 detailing immediate coverage plans for the facility to the Regional Office by 5 p.m. on 8/31/202.,

From the deficiency page — Deficiency type: Type A · Section cited: CCR87405(a) · Plan of correction due date: Sep 14, 2026

87405 Administrator - Qualifications and Duties (a) ...When the administrator is not in the facility, there shall be coverage by a ... substitute who shall have qualifications... to be responsible ... for ...administration of the facility... This requirement was not met as evidenced by: Based on interview and record review, the licensee did not ensure there was a designated and competent administrator designated to substitute in the absence of the current facility administrator. This posed an immediate health safety and personal rights risk to 2 of 2 residents in care (R1-R2).the state’s words, verbatim · CDSS document, Aug 31, 2026

Plan of correction: Licensee has retained consultant services effective immediatley and will review Title 22 regulations and Health & Safety Code pertaining to RCFEs and submit a statement of understanding and acceptance of responsibility of the Administrator to the Department by September 14, 2026.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Case Management visit to follow up on the Death Report submitted to Community Care Licensing (CCL) on August 27, 2026, regarding Resident 1 (R1). LPA was allowed entry into the facility by Caregiver Kaitlin Rodriquez. LPA contacted Administrator Megan Nguyen by telephone and discussed the purpose of the visit. Licensee/Administrator Zhike Pruett arrived at the facility during the visit, and LPA explained the purpose of the visit to her. During the visit, LPA determined that Caregiver Kaitlin Rodriquez and five (5) additional caregivers providing care and supervision to residents were not associated with the facility in the Guardian system. LPA conducted a tour of the facility. Administrator Megan Nguyen agreed to provide the requested facility records electronically by close of business on August 28, 2026. Deficiencies were issued during today's visit, as documented on the LIC 809D, Deficiency Report. An immediate civil penalty in the amount of $2,000 was also assessed, as documented on the LIC 421, Civil Penalty Assessment. Plan of correction was developed with Licensee, Pruett. An exit interview was conducted with Licensee/Administrator Zhike Pruett. The Licensee/Administrator was provided copies of this report, LIC 809D, Deficiency Report, LIC 421, Civil Penalty Assessment, and LIC 9058, Licensee/Appeal Rights (03/22).the state’s words, verbatim · CDSS document, Aug 28, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(B)(3) · Plan of correction due date: Sep 4, 2026

87355 Criminal Record Clearance(e)All individuals subject to a criminal record review… shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance… This requirement was not met as evidenced by: Based on interview and record review, the licensee allowed five (5) staff (S1-S4) to work in the facility prior to completing a criminal record clearance transfer. This posed an immediate health, safety and personal rights risk to 2 of 2 residents in care (R2-R3)the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: The staff members will be associated by POC deadline

From the deficiency page — Deficiency type: Type A · Section cited: CCR87355(e)(2) · Plan of correction due date: Aug 28, 2026

87355 Criminal Record Clearance(e) All individuals subject to a criminal record review… shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption… This requirement was not met as evidenced by: Based on interview and record review, the licensee allowed one staff (S5) to work in the facility despite being denied a criminal record clearance and exemption. This posed an immediate health, safety and personal rights risk to 1 of 2 Residents in care (R1-R2).the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: The staff (S5) was immediately removed from the facility. In addition, Licensee agreed to conduct criminal record clearances prior to hiring furture staff.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(a) · Plan of correction due date: Sep 28, 2026

87412 Personnel Records (a)The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee… This requirement was not met as evidenced by: Based on interview and record review, the Licensee was unable to furnish records to the Department as requested for three staff (S1-S3). This posed a potential health, safety and personal rights risk to 2 of 2 Residents in care (R1-R2).the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: Licensee agreed to maintain complete personnel records as required by Title 22 regulations. Documentation of personnel records will be submitted to CCL by POC deadline.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(a) · Plan of correction due date: Sep 28, 2026

87506Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidenced by: Based on interview and record review, the Licensee was unable to furnish records to the Department for one recently deceased resident (R1). This posed a potential health, safety and personal rights risk to 2 of 2 Residents in care (R1-R2).the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: Licensee agreed to obtain and maintain complete records in the facility for all residents. In addition, licensee agreed to retain the records for three (3) per Title 22 regulations. Documentation will be submitted to CCL by POC deadline.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Carmen Lopez conducted an announced Pre-Licensing with the Component III inspection, and to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted at the front entrance by the applicant’s Megan Nguyen and Asim Guharoy. LPA was granted entry after identifying herself and disclosed the purpose of her visit. The facility is a new Residential Care for the Elderly (RCFE) undergoing their initial licensure. The fire clearance was approved on 09/04/2025 and reflected that the facility was approved for six (6) residents; 4 of whom may be non-ambulatory and one bedridden in at any given time at the facility site. Their fire clearance was granted with no violations. Their facility sketch was consistent with the current layout of the facility. During today’s visit, LPA accompanied by applicant Nguyen, conducted an overall inspection of the internal and external areas of the facility. There are one and a half (1.5) number of bathrooms for residents to use. The facility has all the required furnishings, linens and personal hygiene items. Bathrooms were equipped with non-skid mats. Facility had personal hygiene items stored. The facility was clean, sanitary, and in good repair. Bedrooms allowed for easy passage and no obstruction. Toilets, sinks, and showers were all in working order. Each window screen which was in good condition. The facility’s ambient internal temperature was comfortable and compliant at 71 degrees Fahrenheit. Hot water temperature at taps accessible to residents were also compliant. (Continuation on LIC809-C) (Continuation of LIC809) All outdoor and indoor pathways were free from obstruction and slip hazards. Fire extinguishers (01) affixed with current tags and applicant was aware that fire extinguishers are to be updated within the last 12 months for future inspections. Smoke and carbon monoxide detectors, and emergency lighting, were present and all operational. The facility phone will be installed through a third party vendor and LPA will be notified once the phone line is up and operational. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and residents activities. The facility has no pools or bodies of water that were observed on the facility premises. Per applicant Megan Nguyen, no firearms or ammunition are or will be stored on the facility premise. All toxic substances, poisons, and chemicals were safely stored in an inaccessible cabinet. There were no fireplaces, or open-faced heaters present on the facility premise. The facility has a locked area for storage of sharps and sharp objects inaccessible to residents. The facility kitchen was stocked with appropriate cooking items and utensils. Non-perishable and perishable food items will be stocked in the refrigerator and kitchen cabinets once residents have been admitted. The facility is aware that a seven (7) day non-perishable and two (2) day of perishable food supply shall be maintained at all times. Medications will be secured in a locked cabinet which is inaccessible for residents. A first aid kit was available. The first aid manual was ordered during the inspection and will be delivered by 02/05/25. Residents and staff files will be kept in a lock area of the facility. Licensing postings were observed in visible areas of the facility and were posted. LPA discussed continuing operation requirements, record keeping, reporting requirements and physical plant compliance with the applicant along with the Component III training. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The Pre-Licensing and Component III was completed during today’s visit. The applicant was advised that the facility is ready for licensure pending management final review and approval. An exit interview was conducted with applicant Megan Nguyen, to whom a copy of this report along with the licensee Appeal Rights (LIC 9058 01/16) were provided at the conclusion of the visit. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Feb 2, 2026

Type of visit: Office

Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): Method: Telephone call with CAB COMP II Participants: Pruett, Zhike; Nguyen, Megan On 12/10/2025, the applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 10, 2025