Routine inspection·June 17, 2024

On 06/17/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met Administrator Shikha Patterson and Licensed Vocational Nurse Teresa Gonzalez. LPA toured facility with Administrator. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Fire extinguisher was observed with a service date of: 03/08/24. All bedrooms were observed to have the required furnishings and with adequate lightening. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. An adequate supply of perishable and non-perishable food was observed. Freezer temperature maintained at 0 degree F and refrigerator temperature maintained at 20 degrees F. Medications were observed locked in medication cart in medication room. MARs and medications were reviewed. Adequate outdoor seatings available for residents. A sample of resident and staff files were reviewed. Refrigerator temperature is maintained at 40 degrees F and freezer at 0 degrees F. Food delivery once a week and kitchen is shared with skill nursing facility. A deficiency and an immediate Civil Penalty of $500 was assessed. See Lic 421BG is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 06/24/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, Administrator certificate, and current liability insurance. LPA copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.