Routine inspection·January 4, 2024

Licensing Program Analyst (LPA) Lissett Padgett arrived unannounced to conduct the Annual inspection. LPA met with Assistant Administrator Joanna Tilghman (AD) and explained the purpose of the visit. Facility was toured with AD. Resident rooms contained required furnishings and lighting. LPA observed required items in bathrooms. Resident hygiene supplies were properly stored and available. In building 104 the bathroom water temperature was 144 degrees F. In building 105 the bathroom water temp 119.2 degrees F. In building 106 the bathroom water temperature was 127.1 degrees F. The kitchen was toured observed in good repair with necessary items and appliances. Sharps/knives are stored in drawer, but doors leading to kitchen are kept locked. LPA observed required food supply and paper products. Medications are centrally stored and locked. Facility has designated visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility including outdoors. First aid supplies located in office and found to contain required items. Fire Extinguishers are located throughout the facility and were serviced by Valley Fire on 7/17/2023. Per Facility record there are 30 smoke detectors and they were last checked and batteries changed on 10/5/2023. LPA reviewed Jorgensen & Co. Fire Alarm System Service Report dated 8/14/2023. This Report states this facility did not pass inspection. During this visit AD called Jorgensen and requested service to replace items not in compliance. Sprinklers were last inspected by the Fire Dept. on 8/14/2023. Administrator’s re-certification was confirmed to be in active status. Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D. An exit interview was conducted and a Plan of Correction was developed. A copy of this report and Appeal Rights were discussed and left with AD, whose signature on this form confirms receipt of these documents. LPA is requesting the following documents be submitted to the Fresno CCL office by 1/12/2024 : Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond