Routine inspection·July 25, 2022

On 07/25/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Juli Hergenroeder. Facility tour conducted with Administrator. Facility appeared clean. LPA observed a sofa blocking 1 of 2 fire exits in the living room. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sink. Bathrooms are stocked with liquid soap, paper towels are provided to residents when needed. Shared bedrooms checked and beds are six feet apart, remaining rooms are single occupant. LPA checked residents’ locked medications. Food supply was checked. Cleaning and PPE supplies were checked. Facility has an adequate supplies of required PPE. Staff records were reviewed for good health. Facility staff was observed with mask on. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. LPA will return at a later date to address fire clearance if needed. LPA is requesting the following documents be submitted to the Fresno CCL office by 08/08/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), 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) and Surety Bond No deficiencies issued during today's inspection. An exit interview was conducted with Administrator. A copy of this report was discussed and provided to Administrator, Juli Hergenroeder, whose signature on this form confirms receipt of this document.