Pre-licensing visit·June 11, 2021

On 6/11/21 at 9:00am Licensing Program Analyst (LPA) Kevin Gould conducted a pre licensing inspection for Prestige Care Homes 2. LPA Gould met with Administrator Marcial Marinas and the Licensee. There are currently five (5) residents in placement (see LIC-811, dated 4/21/21). The Licensee is requesting a capacity of six (6) LPA observed the approved fire clearance is for six (6) residents, six (6) resident may be non-ambulatory. The home is a two story located in a residential area with 6 bedrooms, 3 bathrooms, living room, dining room, receiving room, kitchen, Staff office and break room and laundry and backyard with no pools or bodies of water. Facility layout is as follows: Bedroom #1 : Occupied by R1, with a capacity for one (1) resident. LPA observed one bed, adequate storage and lighting. Smoke detector is working and operational. Private bathroom Bedroom #2: Occupied by R1, with a capacity for one (1) resident. LPA observed one bed, adequate storage and lighting. Smoke detector is working and operational. Bedroom #3 : Occupied by R2, with a capacity for one (1) resident. LPA observed one bed, adequate storage and lighting. Smoke detector is working and operational. Bedroom #4: Occupied by R3, with a capacity for one (1) resident. LPA observed one bed, adequate storage and lighting. Smoke detector is working and operational. Bedroom #5: Occupied by R4, with a capacity for two (2) residents. LPA observed two beds, adequate storage and lighting. Smoke detector is working and operational. shared bathroom Bedroom #6: Occupied by R5, with a capacity for one (1) resident. LPA observed one hospital style bed, adequate storage and lighting. Smoke detector is working and operational. Bathroom #1: is a full bathroom equipped with toilet, sink and shower with appropriate grab bars. Upstairs: LPA observed two overnight staff bedrooms and one staff bathroom. No resident bedrooms upstairs. LPA observed adequate seating for residents in the kitchen and an appropriate number of plates, cups and silverware to meet the residents needs. Licensee has an appropriate supply of non-perishable food supply and a 2 day supply of fresh perishable foods. LPA observed the medication storage in the kitchen cabinet with no other food items and locked in accordance with Title 22 regulations. LPA also observed a small fridge for storing medications requiring refrigeration in the hallway with a lock and no other food items stored inside. LPA also observed sharp knives locked and inaccessible to residents and cleaning supplies locked away inaccessible to residents. The facility has a working fire extinguisher and fully stocked first aid kit located in the kitchen. Family room was observed with plenty of seating, TV and a staff desk and cabinets for files all with locks per regulations to ensure confidentiality. Laundry room with washer and dryer. LPA observed the back yard to be free of any debris or hazards to residents in care. LPA observed plenty of seating in the backyard with a covered patio for shade. LPA also observed a storage shed in the back yard with a lock. Facility will transport residents in a personal vehicle. LPA observed that staff two (2) of the four (4) staff members working at the facility did not have their criminal record clearances transferred to the new facility. Administrator has documentation of criminal record clearances but has not changed the association due the facility not being licensed yet. member's criminal background checks have not yet been associated to the new facility. The following deficiencies are cited per California Code of Regulations Title 22, see LIC 809-D An exit interview was conducted with the licensee and a copy of this report was left at the facility. Facility is not in compliance for licensing at this time.