Routine inspection·September 24, 2025

On 9/24/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Kobi Walker. LPA was granted entry. 1 clients was present during inspection. The other 7 clients were attending Day Program. Administrator Camalah Kopacz (A1) was called but was not able to arrive for visit. LPAs toured facility with S1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at 0 degrees F and refrigerator temperature was maintained at 37 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 7/1/25. Fire drill last completed on 07/28/25. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature tested at a range of 109.4 to 1116.7 degrees F. in 2 bathrooms. Outside of facility toured. Side gates were self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. LPA observed a resident’s pill/tablet on the floor of the kitchen and accessible to residents. Clients’ MARS was reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. Samples clients’ file reviewed and was missing some required documents. All of the staff files were reviewed and observed to have all the required documents. The following deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 10/8/25: Lic 308, Lic 500, Lic 610D, and Lic 9020. LPA received a copy of current Administrator certificate. A copy of this report with appeal rights was provided to Staff, whose signature on this form confirms receipt of these report.