Routine inspection·November 21, 2024

On 11/21/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met with staff Kobi Walker (S1). Administrator Camalah Kopacz was called and unable to attend meeting. Administrator authorized and stated designee able to sign report. One resident was present upon LPA arrival in the common area. 9 residents arrived later during inspection. LPA toured facility with S1. The facility was observed to be at a comfortable temperature and no passageway obstructions or fire hazards were observed inside or outside. Video camera with audio was observed in the living room and dining room. Fire extinguisher was observed with a service date: 12/03/23. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 30 degrees F and freezer at -4 degrees F. Cleaning supplies and chemicals stored and unlocked in laundry room. Dryer was operational during visit. Extra linens were observed in hall closet. All bedrooms were observed to have the required furnishings and with adequate lighting. All bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 105.3 degrees F in bathroom 1, 105.8 degrees F in bathroom 2, and 106.2 degree F in bathroom 3. Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for residents. Medications were observed locked in cabinet in dining room. Sample of residents’ and staff files were reviewed. Smoke detectors and carbon monoxide were observed operational during visit. A deficiency is being cited on the attached 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: 12/02/24. The following updated forms were requested: Lic 308, Lic 400, Lic 402, Lic 500, Lic 610E, current liability insurance, and current Administrator certificate. Designee signed report. A copy of this report and appeal rights was provided to Administrator via email as requested.