Routine inspection·October 29, 2021

On 10/29/2021, Licensing Program Analyst (LPA) Mai Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA was met by caregivers Marcos Teoanen and Josefina (Josie) Teonen. Maria Sheakalee, Administrator was called and state unable to attend meeting. Authorized Marcos Teoanen and Josefina (Josie) Teonen to conduct tour. All five residents were present during the inspection. LPA conducted tour with caregivers. Facility staffs was observed with mask on. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Social distancing postings observed in facility. Cough etiquettes posting not observed in facility. All resident’s room toured and observed to be adequately furnished and lit. LPA observed 1 shared resident’s bedroom to be at least 6 feet apart, 3 bedrooms that are single occupant, and 1 vacant bedroom that is single occupant. All bathrooms are observed with trash cans with lid and securely fastened grab bars. Bathrooms have non-skid mat. LPA observed hand washing posting by all sinks. Cleaning supplies were stored and locked in laundry cabinet. The exterior tour was conducted. Side gate was self-closing and self-latching. LPA observed residents’ 30-day medication supplies in locked cabinet in kitchen. Food supply was checked and appeared to be an adequate supply. Staff records were reviewed for good health and infection control training. All residents’ records reviewed to have updated emergency contact information. LPA observed a 30-day PPE supplies. LPA observed fire extinguisher served date: 03/11/21. No deficiencies issued during this inspection. Exit Interview conducted. The following updated forms/document were requested: Lic 610E, Lic 808, and updated Administrator Certificate. Please submit the above forms to Fresno CCL by: 11/04/21. Administrator and caregivers were informed that as COVID-19 precautionary measure, this report will be provided via email. Report signed on-site.