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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502700655
Report Date: 02/18/2026
Date Signed: 02/18/2026 03:14:06 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/18/2026 03:14 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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:PRESTIGE CARE CENTER IIFACILITY NUMBER:
502700655
ADMINISTRATOR/
DIRECTOR:		MCNEAL, TANISHAFACILITY TYPE:
735
ADDRESS:1800 VALPARAISOTELEPHONE:
(209) 534-3245
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 6CENSUS: 4DATE:
02/18/2026
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Tanisha McNealTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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LPA Noel Wolf Petersen arrived unanounced to conduct an annual inspection, LPA met with facility manager Massi McNeal, and later administrator Tanisha McNeal to explain the purpose of the visit. Prestige Care Home II is a 6 bed facility with a current census of 4, no clients have restricted conditions, all are ambulatory. 2 clients have diabeties, meformin controled.

Physical Inspection including but not limited to the kitchen, bedrooms, bathrooms, exteriors, common areas, storage areas, and evacuation areas. Facility is clean, traffic areas are well lit and unobstructed. Kitchen had adequate lockable storage for sharps, medication, and cleaning supplies. There is adequate food for 4 adults over 3 meals a day in 2 days perishable and 7 days non perishable, and 3 days emergency storage. The bedrooms have the required furniture and furnishings, including mattress encasements. The bathrooms have functional hardware, water temperature was measured 105-120*f. Common areas and exteriors have adequate space for activities and no trip hazards. Linens are in adequate supply for a change of linen for all residents. Evacuation route gate swings freely and latches closed.

Medications for 2 clients were checked at random, found in accordance with the MAR. LPA gave guidance that blistered medication should have a start date listed.

Fire extinguishers are dated 3/25. LPA gave guidance to have the extinguishers scheduled to be checked in the next month. Administrator provided they are scheduled for thursday. First aid kit contains required items. Smoke CO Alarm was functional.

Continued on C Page.
NAME OF LICENSING PROGRAM MANAGER: Liza King
NAME OF LICENSING PROGRAM ANALYST: Noel Wolf Petersen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: PRESTIGE CARE CENTER II
FACILITY NUMBER: 502700655
VISIT DATE: 02/18/2026
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Client files were reviewed: including but not limited to the signed admission agreements, house rules, grievence policies, 602's, needs and servcies, health screenings. documents are complete and up to date.

P+I was checked for 2 clients at random. Both clients were found in compliance.

Staff files reviewed, including but not limited to: background checks, first aid/cpr, health screenings, continuing and initial training logs. staff files are up to date and present at this time.

Administrator files were reviewed: including but not limited to the workers comp insurance, liability insureance, sureety bond, control of the property(via lease agreement, owners of the corperation and the property are the same people), the administrator training(including certification and hiv training). HIV training certification and proof of workers comp insurance should be sent to the LPA: noel.wolfpetersen@dss.ca.gov by 2/25/26.

LPA interviewed 1 client, 1 staff. No other clients were in the facility, away at day program.

no citations issued at the time of the visit, a copy of the report was read and given to the administrator. exit interview was conducted.
NAME OF LICENSING PROGRAM MANAGER: Liza King
NAME OF LICENSING PROGRAM ANALYST: Noel Wolf Petersen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC809 (FAS) - (06/04)
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