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Inspection visit

Routine inspection

PRINCE & PRINCESS HOME FOR THE ELDERLYLicense 10040556611 citations on this visit
11 citations recorded

Inspector’s narrative

What the inspector wrote

On 1/14/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Licensee (L1) Betty Prince. LPA was granted entry. No residents were present upon arrival but arrived from day program later during inspection. LPA toured facility with L1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -4 degrees F and refrigerator temperature was maintained at 37 degrees F. Fire extinguisher was observed with a purchase date of: 7/25/24. No fire drill was completed and no record obtained during inspection. Washer was observed not operational and dryer observed operational during visit. Carbon monoxide not present in facility, and smoke detector was tested and observed to be operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. 1 bathroom toured and observed to be operational, however toilet paper roll, bugs, liners, diapers were observed on top of bathroom sink. Hot water temperature was tested at a temperature of 115.8 degrees F. Non-skid mat and grab bars observed in bathroom shower, however bathroom floor and tile is in need of repair. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. Backyard contained debris throughout and contained debris on patio table. Medications was not checked because Licensee did not have MARS present at facility for review. First aide kit observed with all the required items. All residents files reviewed. 1 out of 4 resident is missing Identification/Emergency Contact form and Fire Drill completion log. Staff file reviewed and is missing current First Aide certification, and posted Facility Sketch. The following deficiencies are being cited on the attached 809D forms in accordance to California Code of Regulations, Title 22, Division 6. Technical Support Services were referred offered and Licensee agrees to utilize services. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 1/28/25: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. A copy of this report with Appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.

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.

  • Keep bath, laundry and kitchen floors clean

    Based on observation, interview, the licensee did not comply with the section cited above in 1 out of 1 kitchen floor tile needs replacing or repair which poses an immediate health, safety or personal rights risk to persons in care.

  • 87303(e)(5)(A)Type A

    Based on observation, the licensee did not comply with the section cited above in 1 out of 1 shower floor/tile needs repairing or replacing which poses an immediate health, safety or personal rights risk to persons in care.

  • Passageways and stairways kept clear

    Based on observation, interview, the licensee did not comply with the section cited above in 1 out of 1 backyard contains debris and overall is not clean which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(a)Type A

    Maintain required personnel records for staff

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 staff files including First Aide Certification, Facility Sketch, and Fire Drill log which poses an immediate health, safety or personal rights risk to persons in care.

  • Maintain records of centrally stored medication dosages

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 MARS was not present in facility for review, which poses an immediate health, safety or personal rights risk to persons in care.

  • Document each PRN medication dose taken

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 MARS was not present in facility for review, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(f)(1)Type A

    Based on observation, interview, and record review, the licensee did not comply with the section cited above in 1 out of 4 resident's Identification/Emergency Contact form LIC-601 which poses an immediate health, safety or personal rights risk to persons in care.

  • 87470(a)(2)(A)Type A

    Based on observation, and interview, the licensee did not comply with the section cited above in 1 out of 1 bathroom sink containing used toilet paper roll, bugs, diapers and liners, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87470(a)(4)(A)4Type A

    Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 First Aide certificate on file which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.311Type A

    Based on observation, interview, the licensee did not comply with the section cited above in 1 out of 1 carbon monoxide detector not present in facility which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.655(a)Type A

    Based on observation, and record review, the licensee did not comply with the section cited above in 1 out of 4 out of residents is missing the Identification/Emergency contact LIC-601, which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 14, 2025 inspection of PRINCE & PRINCESS HOME FOR THE ELDERLY?

This was an inspection of PRINCE & PRINCESS HOME FOR THE ELDERLY on January 14, 2025. 11 citations were issued: 11 Type A (serious).

Were any citations issued to PRINCE & PRINCESS HOME FOR THE ELDERLY on January 14, 2025?

Yes, 11 citations were issued (11 Type A, 0 Type B). The first citation was for: "Based on observation, interview, the licensee did not comply with the section cited above in 1 out of 1 kitchen floor ti..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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