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Inspection visit

Routine inspection

NAN'S TLC HOMELicense 1072010387 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

On 08/08/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a required Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Licensee/Administrator Luz Newell-Parangalan. Two residents were present during inspection. LPA toured facility with Licensee. Residents were observed in the common area. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Last fire drill was completed on 03/02/25. Fire extinguisher was observed with a serviced date of 02/21/25. Medications were observed kept locked in hall closet. Residents’ MARS was reviewed, and medications were checked. An adequate supply of perishable and non-perishable food was observed. Cleaning chemicals were observed locked in the garage. Extra linens observed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms were toured and observed functional. Non-skid mats and grabbed bars were observed. Hot water temperature was tested range at 106.9 and 197.6 degree F in master bathroom and 106.3 and 105.4 degree F in bathroom. Outside of facility toured. Side gate was self-closing and self-latching. Adequate outdoor seatings available for residents. Carbon monoxide and smoke detectors was operational during inspection. All residents’ and sample of staff files were reviewed. Technical Support Program (TSP) assistance was offered. Licensee and will make a decision and reach out the department regarding acceptance. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 08/14/25. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.

Citations

7 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87608(a)(5)(B)Type B

    Based on interview conducted, observation, records reviewed, R2 is not receiving hospice care, was observed lying bed using a hospital bed with full rail with doctor’s order, which poses/posed a potential health and safety and personal risk to the resident in care.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation, LPA and L1 observed a knife unlock in kitchen drawer unlock accessible to the residents, which poses/posed an immediate health and safety risk for the person in care.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    Based on observation and records reviewed, Medication was checked. LPA and Licensee observed R1 and R2’s medications were not administered as directed by physician, which poses/posed an immediate health and safety risk for the person in care.

  • 87465(d)(3)Type B

    Record dose details and resident medication response

    Based on records reviewed and interview conducted with Licensee, all residents medications were administered daily. MAR is not recorded when medications administered, which poses/ posed a potential health and safety risk for the person in care.

  • 87465(h)(6)Type B

    Record centrally stored prescriptions and refill data

    Based on observation and records reviewed, R1’s medication Folic Acid 1 mg and Clotrimazole. R2’s medication Folic Acid 1 mg, Glipizide 10mg, and Levothyroxine 0.025mg, and R3’s medication Azelastine 0.1% were not record in Centrally Stored Medication (Lic 622) record, poses/posed a potential health and safety and personal rights risk to theresident in care.

  • 87506(b)(1)(17)Type B

    Based on records reviewed, all the residents was not observed with a needs and services plan on file, which poses/posed a potential health and safety and personal risk to the resident in care.

  • 87608(a)(3)Type B

    Maintain physician order documentation in resident record

    Based on interview conducted, observation, records reviewed, R1 has an electric hospital bed with no doctor’s order and R3 has a half rail bed with no doctor’s order, which poses/posed a potential health and safety and personal risk to the resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 8, 2025 inspection of NAN'S TLC HOME?

This was an inspection of NAN'S TLC HOME on August 8, 2025. 7 citations were issued: 2 Type A (serious) and 5 Type B.

Were any citations issued to NAN'S TLC HOME on August 8, 2025?

Yes, 7 citations were issued (2 Type A, 5 Type B). The first citation was for: "Based on interview conducted, observation, records reviewed, R2 is not receiving hospice care, was observed lying bed us..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.