Sen's Caregiving

Type of visit: Required - 1 Year

On September 17, 2026, at 2:30 PM, Licensing Program Analyst (LPA) Sulma Lopez arrived unannounced at the facility to conduct an annual required inspection. LPA Lopez met with Administrator Ekshay Sen and explained the purpose of today's visit. The Administrator holds current certificate #7022154740 and expires on March 24, 2028. The facility is licensed for 6 non-ambulatory residents. There are currently 4 residents who reside at this facility. The facility has an approved hospice waiver for two (2). One (1) out of the two (2) hospice placements are occupied. At 3:00PM, LPA conducted record reviews of two (2) staff and two (2) resident files. The staff files were observed to contain Health Screening Reports, TB Test records, and current first aid certificates. Resident files were observed to contain Physician's Reports, Needs and Services Plans, and Centrally Stored Medication Records. The facility contains current Infection Control Plans and Emergency and Disaster Plans which are reviewed and updated on a yearly and as needed basis. At 3:30 PM, LPA Lopez toured the facility with the administrator. LPA Lopez inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms, facility bathrooms, laundry room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. The facility was clean, safe, and in good repair. The facility temperature was 78 degrees. The facility’s hot water temperature was 107 degrees. The facility’s fire extinguishers were last inspected on January 22, 2026. The facility carbon monoxide and fire alarms were located on ceilings. Continued on LIC 809-C. The facility kitchen was observed to be clean and free of hazards. The facility contained perishable foods for at least 2 days, and at least 7 days worth of non-perishable foods. The kitchen appliances were observed to be in good working condition. Sharps and medications were stored in locked kitchen cabinets. LPA toured the facility's garage which contained equipment for laundry services, additional food supply, and storage items such as incontinence pads. The dining room and living room areas were clean and free of hazards. LPA observed enough seating available for the current census. The facility contained a weekly menu posted on the dining room wall. The resident bedrooms were clean and free of odors. Bedding was observed to be clean. Bedrooms were furnished with beds, dressers, closets, and night stands which were in good repair. The facility bathrooms were clean and sanitary. Hand washing supplies, non-slip mats, and grab bars were available to ensure resident safety. LPA toured the exterior of the facility. The walkways were free of obstructions. The perimeter fence and exit gates were in good repair. The backyard contained a covered patio with outdoor furniture. The LPA requested the following documents to be mailed/ faxed to the Regional Office within 15 days: - LIC 500 Personnel Report, LIC 308 Designation of Facility Representative, LIC 610E Emergency and Disaster Plan. As a result of this annual inspection, the facility is in compliance with Title 22 Regulations. An exit interview was conducted and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 17, 2026

Allegation investigated: Staff allowed staff to sleep in common areas of the facility. Staff did not ensure staff coverage documentation accurately reflects the actual hours worked by staff.

On 12/5/2025, Licensing Program Analysts (LPA) Cynthia Tamayo made an unannounced inspection to the Sen’s Care giving to open and conclude the investigation of the above allegation and to deliver the findings. LPA Tamayo met with Administrator, Prasad Indra Sen (S1) and Ekshay Sen (S2) Sen, and Parmila Prasad (S3) and together discussed the complaint details. LPA requested the following records for review: • LIC 500 • LIC 9020 • LIC 9999 Allegation: Staff allowed staff to sleep in common areas of the facility. It was alleged that staff allowed staff to sleep in common areas of the facility. The investigation into the above allegation consisted of interviews and record reviews. Unsubstantiated S1-S3 stated no staff sleep in the common areas nor have any staff been "live-in staff". S1-S3 stated they decided to have S4 go on a temporary leave due to awaiting their background clearance being resolved via Guardian. S2 stated they spoke with Guardian Operator 91, Jennifer, whom told them it will take a couple of days to update S4's status. LPA interviewed R2 and R3 whom stated they have not seen staff sleep in common areas such as the living room. 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 allegation that staff allowed staff to sleep in common areas of the facility occurred and is unsubstantiated. Allegation: Staff did not ensure staff coverage documentation accurately reflects the actual hours worked by staff: It was alleged that Staff did not ensure staff coverage documentation accurately reflects the actual hours worked by staff, the investigation into the above allegation consisted of interviews and record reviews. S1-S3 stated they work variable schedules Monday thru Sunday between 8:00 AM-7:00 PM. S2 stated S4 has not worked at the facility since 12/1/25 but they have not slept at the facility and their hours worked accurately reflects documentation of staff hours worked (LIC 500). 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 violation that staff did not ensure staff coverage documentation accurately reflects the actual hours worked by staff occurred and is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations that staff allowed staff to sleep in common areas of the facility is unsubstantiated and staff did not ensure staff coverage documentation accurately reflects the actual hours worked by staff, are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies noted or 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 facility.the state’s words, verbatim · CDSS document, Dec 4, 2025 · control 27-AS-20251201151746

Allegation investigated: Licensee does not maintain an adequate amount of food supply to provide residents in care.

On 11/20/2025, Licensing Program Analysts (LPA) Cynthia Tamayo made an unannounced inspection to the Sen’s Care giving to open and conclude the investigation of the above allegation and to deliver the findings. LPA Tamayo met with Administrator, Prasad Indra Sen (S1) and Ekshay Sen (S2) Sen, and Parmila Prasad (S3) and together discussed the complaint details. The census was four residents in care and four staff. One resident was out for a doctor’s visit. It was alleged that Licensee does not maintain an adequate amount of food supply to provide residents in care. The investigation consisted of staff interviews and LPA observations. Four out of four staff present stated groceries are purchased for the facility once, sometimes twice per week based on need. S2 stated they do not over buy food inventory in order to prevent food from going bad. CONTINUED ON 9099-D Substantiated S2 stated they are the responsible staff member to complete grocery shopping and they were going to go food shopping today. S1 and S3 stated one residents receives nothing by mouth (NPO) via G-tube three times per day. LPA observed there were nine boxes of “compleat” peptide in which one box contains 24 peptides. The residents family assists with replenishing peptide inventory every other week. Additionally, one resident receives pureed meals following their physicians orders. S1-S3 assisted LPA with a tour of the refrigerator, pantry, and supplemental food supply that is kept in the garage. LPA observed there is not sufficient food inventory to accommodate for seven-day non-perishable and two day perishable food supplies for four residents in care; which would consist on a minimum of 84 non perishable meals and 24 perishable meals plus snacks available at the facility at all times. Based on the interview statements and observations obtained during the investigation process, the allegations are substantiated. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of the home is not often maintained with an adequate supply of food. The deficiency is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Nov 20, 2025 · control 27-AS-20251117142427

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(26) · Plan of correction due date: Nov 27, 2025

87555 General Food Service Requirements (b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirment was not met, as evidenced by interviews and observations in which it was leared the facility did not have one week and perishable foods for a minimum of two days for four residents maintained on the premises this poses a potential/ immediate health risk to residents in care.the state’s words, verbatim · CDSS document, Nov 20, 2025

Plan of correction: By POC due date, the licensee shall ensure that there is a sufficient amount of food supply at all times. Licensee stated a food shopping will be completed for the facility by 11/21/25. A copy of the food receipt as well as a photo of food supply shall be sent to the LPA by11/20/25 Licesee also agreed to submit a statement of review and undestandin of regualtion 87555 and a plan to ensure there is a minimum of two days for four residents

Type of visit: Case Management - Other

On 11/20/2025, Licensing Program Analysts (LPA) Cynthia Tamayo made an unannounced inspection to the Sen’s Caregiving to follow up via a case management. LPA Tamayo met with Administrator, Prasad Indra Sen (S1) and Ekshay (S2) Sen, and Parmila Prasad (S3) and together discussed the complaint details. The current census was four residents and four staff. Although LIS and guardian database show staff 4 (S4) criminal background clearance is still "In Process", Staff record review show the facility received letter from Department of Justive on 5/21/25, stating that S4 has been " there is no information meeting dissemination criteria pursuant to California law on the above names individual". Administrator will follow up with DOJ and/or Guardian to ensure S4 clearance is updated/processed reflecting "eligible clearance". A 9102 Technical Violation has been issues to the facility. licensee agrees to ensure all current and future staff are eligble cleared before starting to work at the facility. Per California Code of Regulations, Title 22 there were no other deficiencies cited during this case management visit. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Nov 20, 2025

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 Administrator Indra Prasad (S1) and staff Ekshay Sen(S2) explained the purpose of the visit. Administrator current certification expires on 11/13/26 for S1 and on 3/24/26 for S2. Current census is 3. LPA toured the facility with 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 at 115.1 *F which was within the required range of 105-120*F. The temperature inside the facility measured at 78*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. The last fire drill was conducted in May 2025. Continued on 809-C LPA requested resident and staff files for review. LPA reviewed (3) staff files and (3) 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. The following forms and documents were collected during this inspection and will be added to the facility file. 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, no deficiencies observed or cited. Exit interview conducted, and a copy of report was provided.the state’s words, verbatim · CDSS document, Aug 7, 2025

Type of visit: Required - 1 Year

On 8/6/2024, Licensing Program Analyst (LPA) Tung Truong arrived unannounced to conduct a Required - 1 Year inspection visit. LPA met with Administrator Indra Prasad explained the purpose of the visit. Administrator current certification expires on 11/13/2024. Current census is 2. LPA toured the facility with Indra Prasad and staff Ekshay Sen. 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 at 113.7*F which was within the required range of 105-120*F. The temperature inside the facility measured at 78*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. Continued on 809-C LPA requested resident and staff files for review. LPA reviewed (2) staff files and (2) 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. 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 deficiencies observed or cited. Exit interview conducted, and a copy of report was provided.the state’s words, verbatim · CDSS document, Aug 6, 2024