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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502700655
Report Date: 01/12/2022
Date Signed: 01/12/2022 12:20:03 PM

Document Has Been Signed on 01/12/2022 12:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:PRESTIGE CARE CENTER IIFACILITY NUMBER:
502700655
ADMINISTRATOR:MCNEAL, TANISHAFACILITY TYPE:
735
ADDRESS:1800 VALPARAISOTELEPHONE:
(209) 534-3245
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 6CENSUS: 4DATE:
01/12/2022
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator Massi McNeal.TIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Jason Lund arrived at the above address announced to conduct a required annual inspection. LPA Lund explained the reason for the visit to Administrator Massi McNeal.

LPA toured the facility with Massi McNeal. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, and kitchen.

The interior of the facility is sanitary and furnished. All resident rooms were furnished with the required furniture. The resident bathrooms were equipped with grab bars, night lights, and a non-slip mat. The facility kitchen is sanitary and equipped with the required utensils. The facility has locked closets for cleaning supplies and sharp cutlery. The facility has the required food supply and emergency water. The facility has an area for laundry and has locked cabinets for cleaning supplies.



The facility medication is locked in a cabinet for each residents' medication. The facility has a locked cabinet for resident and staff files. The facility also has a first aid kit, fire alarms and carbon detectors are in working order. The facility has 1 fire extinguisher, and last inspection was on 12/1/21.

No deficiencies cited during this visit

Exit Interview held and report given to the administrator.
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE: DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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