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Inspection visit

Routine inspection

PRN CARE HOME 2License 07920102911 citations on this visit
11 citations recorded

Inspector’s narrative

What the inspector wrote

On 1/27/2025 at 1:10PM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Shengxi Liu, and explained the purpose of the visit. The Co-Administrator certificate expires on 4/27/2025. The facility’s fire clearance was approved for five (5) non-ambulatory and three (3) bedridden residents. LPA toured the facility with Co-Administrators including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of six (6) total bedrooms, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher is not tagged. Emergency Disaster Plan was last posted on 8/29/2019. First aid kit was observed to be complete. Facility did not have both Co-Administrator and one (1) staff files complete including CPR/First Aid Certificates available. Three (3) residents files were reviewed were complete. Continued on LIC809C. continue from LIC 809C · At 2:20pm, LPA observed a building with two (2) rooms in the process of being build in the backyard with a permit or contacting CCLD before starting project. · At 2:26pm, LPA observed a room without a permit in the garage. · At 2:29pm, LPA observed a large dead tree in the back yard. · At 2:35pm, LPA observed a generator, wood planks, large can of food, debris, cement, toilet, pipes, paint, rake, Lysol and a shovel, ladder. At 3:40am, LPA observed staff files incomplete. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate $100.00 civil penalty will be assessed on today's date for associations.* Exit interview conducted. A copy of the LIC421BG, this report and appeal rights provided Continued from LIC809C. LPA requested the following documents to be submitted to CCLD by 2/10/2025. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance LPA observed the following deficiencies: · At 1:45pm, LPA observed the fire extinguisher has no tag or purchase receipt. · At 1:47pm, LPA observed no Emergency and Disaster Plan updated and posted. · At 1:50pm, LPA observed bathroom #1 sink and floor needs to be cleaned. · At 1:53pm, LPA observed bathroom #2 shower floor is in disrepair. · At 1:59pm, LPA observed kitchen sink has dishes and needs to be cleaned. · At 2:10pm, LPA observed unlocked sharps drawer. · At 2:12pm, LPA observed the freezer and both refrigerators has odor and needs cleaning. · At 2:18pm, LPA observed expired can foods, ladder, laundry soap, propane and other chemicals unlocked in the garage. continue on LIC 809C

Citations

11 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.618(c)(3)Type B

    Based on observation and record review, the licensee did not comply with the section cited above by having two staff without CPR/First Aid training working and Administrator out of town which poses a potential health and safety risk to persons in care.

  • 1569.625(B)(2)Type B

    Based on record review, the licensee did not comply with the section cited above by not having documents for annual training which poses a potential health and safety risk to persons in care.

  • 87203Type B

    Based on observation, the fire extinguishers did not have any inspection tags or purchase receipt taped on cylinder to show date of purchase or when last inspected which posed a potential Health & Safety risk to residents in care.

  • 87212(c)Type B

    Based on observation and record review, the licensee did not comply with the section cited above by not having a current Emergency and Disaster Plan which poses a potential health and safety risk to persons in care.

  • 87303(a)Type B

    Based on observation, the licensee did not comply with the section cited above by having bathroom #1 sink dirty and floor needs to be swept. Bathroom #2 shower floor needs repair which poses a potential health and safety risk to persons in care.

  • 87305(a)Type B

    Based on observation, the licensee did not comply with the section cited above building two (2) rooms located in the backyard and one (1) room in the garage without obtaining a building permit which poses a potential health and safety risk to persons in care.

  • 87307(d)(4)Type B

    Based on observation, the licensee did not comply with the section cited above by having dust pan, portable bed, pipes, wood, table, mixer, chairs, walker, paint, Lysol, boxes, water cooler, Ortho groundclear, boxes of cement, open can of food, hoses, toilet, cement blocks, shovel, large tree branch and ladder located in the back yard which poses a potential health and safety risk to persons in care.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above by having knife, meat clever and scissors unlocked in a kitchen drawer which poses an immediate health and safety risk to persons in care.

  • 87412(a)Type B

    Based on record review of four staff files, the licensee did not comply with the section cited above in having incomplete employee files for 3 of 3 employees records reviewed which poses a potential health and safety risk to persons in care.

  • 87555(b)(27)Type B

    Based on observation, the licensee did not comply with the section cited above by having the kitchen are not clean and a glue trap with incest on it which poses a potential health and safety risk to persons in care.

  • 87555(b)(8)Type B

    Based on observation, the licensee did not comply with the section cited above by having expired food in the refrigerator with an odor which poses a potential health and safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 27, 2025 inspection of PRN CARE HOME 2?

This was a inspection inspection of PRN CARE HOME 2 on January 27, 2025. 11 citations were issued: 1 Type A (serious) and 10 Type B.

Were any citations issued to PRN CARE HOME 2 on January 27, 2025?

Yes, 11 citations were issued (1 Type A, 10 Type B). The first citation was for: "Based on observation and record review, the licensee did not comply with the section cited above by having two staff wit..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.