Routine inspection·August 13, 2025

On 08/13/2025 at approximately 09:30AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Residential Care Facility for The Elderly (RCFE). LPA was greeted by Partner of Licensee/Staff, Dinesh Prakash. Licensee/Administrator, Sheh Prakash arrived during visit at approximately 12:00PM. Facility has an approved fire clearance and capacity for 6 non-ambulatory residents and has an approved hospice waiver for 1 individual. Upon arrival, LPA was informed that there were 5 residents in care and 2 staff members on-site. The facility is a 1 story building with 5 Resident bedrooms, 2 bathrooms, and common spaces. At approximately 10:05 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 10:15AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed fire exits were obstructed by clothesline, motorcycle, and box of household items (Technical Violation Given). Staff agree to remove all those items to clear all walkways and exits. All notices that are required to be posted have been posted. The garbage bin in the resident bathroom did not have proper cover or lid. Staff agree to get a lid or cover for the garbage bin (Technical Advice given). The amount of fresh and nonperishable foods is within regulation. The facility kitchen, refrigerators and freezers were clean, and food was stored properly. However, LPA observed expired canned food items and two gallons of milk in the kitchen (Technical Violation Given). Staff started organizing the pantry and throwing away the expired items at the time of inspection. Toxins are stored in locked garage cabinets. Continued LIC809-C... Continued from LIC809... Water temperature measured 115.5 degrees F and 114.2 which is within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire extinguishers last inspected on 01/03/2025. Carbon Monoxide detectors were present and in order. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 11:10AM, LPA reviewed 2 resident records and found 2 out of 2 residents did have current physician reports, signed admission agreements, and physician's orders on file. 1 out of 2 residents did not have Appraisal & Needs Service Plan in file Licensee Agree to submit completed Appraisal & Needs Service Plan and submit to CCL by 08/27/2025 (Technical Violation Given). Medication records are thorough and contain physician's orders for each resident. At approximately 11:45AM, LPA reviewed 3 staff records. 3 of 3 records did not have a first aid certificate as required (See LIC809D Page). Evidence d CPR training was current. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 06/01/2025. Administrator Certificate is for Sneh Lata Prakash #7010125740 expires on 04/23/2027. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 14 days of this visit: LIC 308 Designated LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (If Changed) LIC 9020 Register of Facility Resident’s Copy of Updated Certificate of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents.