Prosperity Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Facility Administrator Jamal Shalabi and was granted entry to the facility. At the time of the visit there was two (2) staff present, and six (6) residents present. The facility is a four (4) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is a Residential Care Facility for Elderly (RCFE). Licensed capacity is (6) current census (6). LPA was accompanied by Facility Administrator Jamal Shalabi, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept medicine cabinet inaccessible to clients. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed six (6) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator Jamal Shalabi.the state’s words, verbatim · CDSS document, Jul 28, 2023

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Rohit Lama conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. At approximately 9:00 AM, LPA met with Administrator Jamal Shalabi . An initial application for a new facility to operate a Residential Care for the Elderly (RCFE) facility was submitted to the Central Applications Bureau (CAB) on 04/04/2022 for a total capacity of six (6) ambulatory residents. Fire clearance was granted on 5/5/2022. LPA Lama observed the following: Structure: Facility was a one-story house with three (3) resident bedrooms, two (2) resident bathrooms, living room, dining area, kitchen, and employee room, and an office space. There was an attached garage in the front of the house. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house. Bedrooms: Each resident bedroom #1, #2, and #3 (Master Bedroom) will accommodate two ambulatory residents. The three resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm. Bathrooms: The (2) resident bathrooms has a working toilet, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. At 9:55 AM, LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 118 degrees Fahrenheit. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked drawer located in the kitchen. There was adequate room for food storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition. (CONTINUED ON LIC 809C) (CONTINUED FROM LIC 809) and had sufficient storage for perishable food. There was adequate seating for meals for all clients. Laundry room with washer and dryer was located inside the garage. Laundry detergents and cleaning supplies were observed in garage away from residents. Living/Family room: There was a living/family room with for all clients and TV. Linens and Hygiene Supplies: An adequate supply of linens was stored in a closet in the main hallway of the residence. Yards/Outside: Patio tables and six chairs were observed in the backyard. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch were observed posted in the main hallway. Necessary signages were observed in the facility. General items: One (1) fire extinguishers were charged and located in the kitchen. 5 smoke/carbon monoxide alarms and one carbon monoxide detector were tested and were observed to be in working order. Client records will be stored in a locked cabinet in the Family room. First Aid kit with required components, and locked area for medication storage was observed. LPA observed a facility phone and it was verified to be operational as evidenced by LPA dialing the number to trigger a ring. Emergency water supply and 72-hour emergency food supply was observed. Component III was completed on this day as well. Pre-Licensing is complete and no corrections are needed. An exit interview was conducted, and a copy of this report was given.the state’s words, verbatim · CDSS document, Jun 22, 2022