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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700570
Report Date: 11/20/2025
Date Signed: 11/20/2025 03:30:06 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/17/2025 and conducted by Evaluator Cynthia Tamayo
COMPLAINT CONTROL NUMBER: 27-AS-20251117142427
FACILITY NAME:SEN'S CAREGIVINGFACILITY NUMBER:
342700570
ADMINISTRATOR:PRASAD, INDRA SENFACILITY TYPE:
740
ADDRESS:5250 SHORTWAY DRTELEPHONE:
(916) 222-3199
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:6CENSUS: 5DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH: Ekshay SenTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Licensee does not maintain an adequate amount of food supply to provide residents in care.
INVESTIGATION FINDINGS:
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On 11/20/2025, Licensing Program Analysts (LPA) Cynthia Tamayo made an unannounced inspection to the Sen’s Care giving to open and conclude the investigation of the above allegation and to deliver the findings. LPA Tamayo met with Administrator, Prasad Indra Sen (S1) and Ekshay Sen (S2) Sen, and Parmila Prasad (S3) and together discussed the complaint details.

The census was four residents in care and four staff. One resident was out for a doctor’s visit.

It was alleged that Licensee does not maintain an adequate amount of food supply to provide residents in care. The investigation consisted of staff interviews and LPA observations.

Four out of four staff present stated groceries are purchased for the facility once, sometimes twice per week based on need. S2 stated they do not over buy food inventory in order to prevent food from going bad.
CONTINUED ON 9099-D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Cynthia Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 27-AS-20251117142427
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SEN'S CAREGIVING
FACILITY NUMBER: 342700570
VISIT DATE: 11/20/2025
NARRATIVE
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S2 stated they are the responsible staff member to complete grocery shopping and they were going to go food shopping today. S1 and S3 stated one residents receives nothing by mouth (NPO) via G-tube three times per day. LPA observed there were nine boxes of “compleat” peptide in which one box contains 24 peptides. The residents family assists with replenishing peptide inventory every other week. Additionally, one resident receives pureed meals following their physicians orders.

S1-S3 assisted LPA with a tour of the refrigerator, pantry, and supplemental food supply that is kept in the garage. LPA observed there is not sufficient food inventory to accommodate for seven-day non-perishable and two day perishable food supplies for four residents in care; which would consist on a minimum of 84 non perishable meals and 24 perishable meals plus snacks available at the facility at all times. Based on the interview statements and observations obtained during the investigation process, the allegations are substantiated.

The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of the home is not often maintained with an adequate supply of food. The deficiency is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Cynthia Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
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Control Number 27-AS-20251117142427
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SEN'S CAREGIVING
FACILITY NUMBER: 342700570
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2025
Section Cited
CCR
87555(b)(26)
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87555 General Food Service Requirements (b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirment was not met, as evidenced by
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By POC due date, the licensee shall ensure that there is a sufficient amount of food supply at all times. Licensee stated a food shopping will be completed for the facility by 11/21/25. A copy of the food receipt as well as a photo of food supply shall be sent to the LPA by11/20/25
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interviews and observations in which it was leared the facility did not have one week and perishable foods for a minimum of two days for four residents maintained on the premises this poses a potential/ immediate health risk to residents in care.
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Licesee also agreed to submit a statement of review and undestandin of regualtion 87555 and a plan to ensure there is a minimum of two days for four residents
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Cynthia Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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