Prasad's Care Home

Type of visit: Case Management - Annual Continuation

On September 11, 2026, at 9:00 AM, Licensing Program Analyst (LPA) Sulma Lopez arrived unannounced at the facility to conduct an annual required inspection. LPA Lopez met with Administrator (A1) Sanjeeta Prasad and explained the purpose of today's visit. The Administrator holds current certificate #7005809740 and expires on February 02, 2027. The facility is licensed for 6 non-ambulatory clients. There are currently 6 residents who reside at this facility. The facility has an approved hospice waiver for 2. The facility is currently utilizing 1 out 2 hospice placements. At 9:10AM, LPA conducted record reviews of 6 staff and 6 resident files. Resident files were observed to contain medical assessments, TB test records, medical consent forms, and admission agreements. LPA observed 2 out of 6 resident files contained outdated Needs and Services Plans (reappraisals). LPA also observed that 2 out of 6 resident pre-placement appraisals were not completed. Upon discovery, A1 completed the pre-appraisal form during the visit, and created a Service Plan for Resident 1 (R1). Staff records were observed to be missing Health Screen Reports, and Job Applications. LPA provided technical support for documentation expectations going forward. At 10:30AM, LPA reviewed 2 resident medication administration records. LPA observed that the facility utilizes a Medication Administration Record (MAR) sheet to document each time a medication is dispensed. At 11:40AM, LPA toured the facility with A1. LPA Lopez inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; facility bathrooms, laundry room, room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. Continued on LIC 809-C. LPA toured the facility kitchen and dining room area. The kitchen was clean, sanitary, and free of odors. The facility contained 2 days worth of perishable food items and at least 7 days of non-perishable foods. The facility stores medications and sharps in locked cabinets in the kitchen. LPA reviewed the facility's first aid kit and observed that it contained all the required components. The fire extinguishers were serviced annually on June 5, 2026. The hot water temperature was 111 degrees. The living room area was observed to be clean and free of odors. There was enough seating available for the current census. The LPA observed activities available such as puzzles, games, and coloring items available for resident use. The LPA observed a public telephone available in the living room. The facility's temperature was 75 degrees. LPA toured the exterior of the facility. The exterior fence and side gate were in good repair. The walkways were free of obstructions. LPA observed a shaded patio area containing patio furniture for resident use. LPA toured the restrooms with A1. LPA observed that the restrooms were clean and free of odors. The showers contained grab bars for resident safety. Hand washing supplies were present including soap, paper towels, and hand dryer. LPA toured the resident bedrooms with A1. The bedrooms were observed to be clean, safe, and free of odors. Resident bedrooms were furnished with televisions, beds, dressers, closets, and night stands. The furniture was observed to be in good repair. Windows and window screens were also observed to be in good condition. The LPA toured the laundry area which contained an operable washer and dryer. LPA observed that the facility stores detergent and cleaning supplies in locked cabinets above the laundry equipment. The LPA also observed extra bedding and linens available in the hallway and laundry areas. LPA requested the following documents to be emailed or faxed within 15 days: - LIC 500 Personnel Report, LIC 308 Designation of Facility Representative, LIC 610E Emergency Preparedness Plan. As a result of this annual inspection, deficiencies were cited on the LIC 809-D. An exit interview was conducted and a copy of this report, LIC 809-D, and Appeal Rights were provided to the facility.the state’s words, verbatim · CDSS document, Sep 11, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87457(c) · Plan of correction due date: Oct 11, 2026

87457 Pre-Admission Appraisal- (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria... This requirment is not met as evidenced by: Based on observation, interviews, and records reviews, the Licensee did not ensure that 2 out of 6 residents had pre-placement appraisals completed before admission which poses a potential Health, Safety, or Personal Rights risk for persons in care.the state’s words, verbatim · CDSS document, Sep 11, 2026

Plan of correction: The Licensee completed a pre-placement appraisal for R1 during the LPA's visit. Licensee agreed to review sections 87457 Pre-Admission Appraisal and 87455 Acceptance and Retention Limitations and email RO a signed acknowledgement of the regulations by 10/11/26 by 5:00PM.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87463(a) · Plan of correction due date: Oct 11, 2026

87463 Reappraisals- (a) The pre-admission appraisal... shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition... This requirement is not met as evidenced by: Based on observation, interviews, and record reviews, the Licensee did not ensure that 3 out 6 residents' Needs and Services Plans were updated annually. LPA observed 3 outdated Service Plans which poses a potential Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 11, 2026

Plan of correction: The Licensee created a Service Plan for 1 out of 3 residents whose Service Plans were outdated. The Licensee agreed to update Service Plans for the remaining residents and email copies to the RO by 10/11/26 by 5:00PM.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(f) · Plan of correction due date: Oct 11, 2026

87411 Personnel Requirements- General- (f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening... This requirement is not met as evidenced by: Based on observation, interviews, and record reviews, the Licensee did not ensure that 2 out of 5 staff records contained completed and signed health screening reports which poses a potential Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 11, 2026

Plan of correction: LPA provided a copy of LIC 311F Records to be Maintained for RCFE. The Licensee agreed to review sections 87411 Personnel Requirements- General and 87412 Personnel Records and email signed statements of acknowledgement of the regulations to the RO by 10/11/26 by 5:00PM.

Allegation investigated: Staff do not ensure resident's toileting needs are met. Staff do not provide daily activities for residents.

On 3/25/26, Licensing Program Analyst (LPA) Cynthia Tamayo arrived unannounced to complete and close the investigation into an allegation noted above. LPA met with Administrator, Sajeeta Prasad and stated the purpose of this visit. Allegation 1: Staff do not ensure resident's toileting needs are met. It was alleged “Staff do not ensure resident's toileting needs are met.”, this investigation consisted of interviews with staff, residents, records review, and observations. This investigation focused on Resident 1(R1) Throughout the process, LPA conducted facility observations, interviewed on duty staff and residents, collateral interviews, and reviewed all relevant documents related to R1. LPA reviewed the following records for R1, LIC 601 Identification and Emergency Information, LIC 602A Physician's Report, Admission's Agreement, LIC 603 Preplacement Appraisal Information. Per record review of R1s care plan and incident reports, R1 requires toileting assistance. CONTINUED ON 9099-C Unsubstantiated Residents (R1) stated their toileting needs are met. LPA held a collateral interview with the reporting party (co-RP) whom did not have specific insight into concerns regarding toileting needs. S1 and Staff 2 (S2) stated all resident toileting needs are being met. LPA observed three occupied resident rooms were clean and free of odors. On 1/26/26, S1 stated that bathing and toileting needs are handled by facility staff. Stating that toileting and changing for residents is handled every 2 hours or as needed, “no residents in the facility have no incontinent odor or skin issues because facility staff take care of the residents” bathing and toileting needs. S1 stated Resident 1 (R1) cannot sit for long periods of time, because of damage to their lower extremities, administrator stated that R1 has had physical therapy but it was reported that the resident will decline to walk. S2 stated that all residents here in the facility are healthy and usually don’t have hospital ER visits. R1 has had Urinary tract infection (UTI) about once a year, however R1’s physician regarding how the facility can improve in order to help the resident with UTI’s, and was told that UTI happens, and its nothing the facility has done to cause the infections. Based on interviews and record review the allegation that “staff do not ensure resident's toileting needs are met” is unsubstantiated. Allegation 2: Staff do not provide daily activities for residents. It was alleged “Staff do not provide daily activities for resident”, this investigation consisted of interviews with staff, residents, records review, and observations. This investigation focused on Resident 1(R1) Throughout the process, the LPA conducted facility observations during multiple visits, interviewed on duty staff and residents, collateral interviews, and reviewed all relevant documents related to R1. LPA reviewed the following records for R1, LIC 601 Identification and Emergency Information, LIC 602A Physician's Report, Admission's Agreement, LIC 603 Preplacement Appraisal Information. Per record review of R2s care plan and incident reports. LPA did not observe an activity calendar posted in a common area. S1 stated activities are offered everyday and based on interest. An activity calendar is in the facility binder. S1 stated they are working on obtaining a digital calendar to have available in a common area. On 1/26/26, LPA Shakaricka Hughes toured inside the facility and observed (1) resident sitting at the kitchen table having lunch, and facility staff (S2) assisting a resident in the facility. LPA observed (2) residents in their rooms resting at the time of the visit. CONTINUED ON 9099-C On 3/24/26, S1 and S2 stated facility staff do provide daily activities for residents. LPA observed activities available for residents include puzzles, books, bingo, scrabble, UNO, coloring/painting supplies.. S1 stated outdoor activities include walking, exercising, bowling set, balls, snacks outside. During this visit, LPA observed two residents eating lunch and one resident was resting in their room. R1 was eating in their bedroom. One resident was not present at the facility. Resident 1 stated they want to be in bed and like watching television. The reporting party did not have any insight into concerns around activities including walking being provided at the facility. On 1/26/26, Administrator (S2) stated that no residents ask about activities, stating that the facility interacts with residents and has activities here in the facility, however it is residents choice. Two residents are non-ambulatory and usually do not want to do participate in anything . One resident has memory loss and does not engage for long periods of time. S2 stated resident can choose to do what they like in the facility, but usually has a routine. One resident goes to day program on Wednesday’s and Friday’s, times vary as the resident may have appointments. R1 does not receive physical therapy at this time. Based on interviews and LPA and review of records the allegation that “Staff do not provide daily activities for residents”, is unsubstantiated Based on the interview statements and record review obtained during the investigation process, there is not a preponderance of the evidence to prove that the alleged violations listed above occurred. The Department has determined that the allegations above are unsubstantiated. As the allegation may have happened or is valid, if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility administrator and a copy of this report was left at the facilitythe state’s words, verbatim · CDSS document, Mar 25, 2026 · control 27-AS-20260122182738

Type of visit: Required - 1 Year

On 8/7/2025, Licensing Program Analyst (LPA) Cynthia Tamayo arrived unannounced to conduct a Required 1 Year inspection visit. LPA met with staff Karishma Devi (S2) and Administrator Sanjeeta Prasad (S1) whom arrived a bit later and explained the purpose of this visit. An entrance interview was conducted. Administrator current certification is current. This facility is licensed to serve six (6) non-ambulatory of which all may be bedridden. Hospice approved for (2).Current census is 6. LPA toured the facility with S1 and S2. LPA toured the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms; resident bathrooms, garage, laundry area, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility is clean and in good repair. LPA observed required furniture and lighting throughout the facility. LPA observed two day perishables and seven day non-perishables. The hot water temperature was measured initially at 134.1*F. S1 stated the water heater was replaced recently. S1 readjusted the water heater and the final water temperature was at 130.1 within the required range of 105-120*F. S1 stated they will keep a water temperature log and periodically check the temperature is within Title 22 regulation. The temperature inside the facility measured at 77*F which was within the required range of 68-85*F. LPA observed the centrally stored medications area to be locked and inaccessible to residents. LPA observed the fire extinguisher(s) and first aid kits were up to date. Smoke and carbon monoxide detector(s) in the facility were in good repair. Continued on 809-C PA requested resident and staff files for review. LPA reviewed (3) staff files and (4) resident files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. LPA observed that the garage is currently undergoing construction for two additional bedrooms. As per the licensee, they are still in the process of converting the garage with two additional bedrooms. The emergency exit in the garage remains unchanged and observed to be unobstructed. LIC200 and LIC 999 was received. The following forms were requested by 8/15/25: LIC 308 Designation of Administrative Responsibility After several attempts troubleshoot FAS, it was determined that FAS was "not responding" when LPA tried to print reports..Although LPA was able to capture signatures on FAS, LPA was not able to print a physical copy of these reports due to technical issues with FAS. As a result of this annual visit two(2) deficiencies were cited (See LIC809D). An exit interview was conducted with S1and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility via emailthe state’s words, verbatim · CDSS document, Aug 7, 2025

Type of visit: Required - 1 Year

On 7/9/24, Licensing Program Analyst (LPA) Tung Truong arrived unannounced to conduct a Required - 1 Year inspection visit. LPA met with Administrator Sanjeeta Prasad explained the purpose of the visit. Administrator current certification expires on 2/10/2025. This facility is licensed to serve six (6) non-ambulatory of which all may be bedridden. Hospice approved for (4). The current census is 5. LPA toured the facility with Sanjeeta Prasad. LPA toured the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms; resident bathrooms, garage, laundry area, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility is clean and in good repair. LPA observed required furniture and lighting throughout the facility. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. The hot water temperature was measured at 113.4*F which was within the required range of 105-120*F. The temperature inside the facility measured at 72*F which was within the required range of 68-85*F. LPA observed the centrally stored medications area to be locked and inaccessible to residents. LPA observed the fire extinguisher(s) and first aid kits were up to date. LPA observed smoke and carbon monoxide detector(s) in the facility were in good repair. Proof of current liability insurance was observed. Report continued on 809-C LPA observed the garage is still under construction. Administrator advised that the Department has approved for the garage conversion. Administrator will notify LPA for any changes or when construction is complete. LPA requested resident and staff files for review. LPA reviewed (3) staff files and (5) resident files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. The following forms and documents were requested to be submitted within 15 days: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, Copy of Administrator Certificate, LIC 610 Emergency Disaster Plan and Proof of Current Liability Insurance. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were observed. An exit interview was conducted, and a copy of this report was provided to facility.the state’s words, verbatim · CDSS document, Jul 9, 2024