Routine inspection·January 9, 2024

On 1/09/2024, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff John Trinos. Licensee /Administrator was unavailable. Care Coordinator Luijean De Castro Abragan arrived a short while later. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions were observed inside or outside. Common areas were properly furnished and well-lit throughout. LPA toured the facility with the staff. Residents' bedrooms were observed to be adequately furnished with bed, dresser, and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available in hallway closet. Hot water temperature measured at 113.5 degrees F. LPA observed grab bars installed by toilet and non-skid mats in place. At 10:45 AM LPA observed no Carbon monoxide detector at the facility. Smoke alarm detectors installed and operational. The dining room is equipped with a table and chairs, the living room is equipped with adequate sofas and recliners for seating. At 11:13 PM LPA observed insufficient non-perishable foods. LPA observed a 2-day supply of perishable foods observed. Knives were locked in the kitchen cabinet. Cleaning supplies observed locked in the cabinet under the kitchen sink. Medications observed locked in the upper kitchen cabinets. The fire extinguisher in kitchen was serviced 1/20/2023. Adequate outside space for rest and recreational seating observed under covered patio. The backyard gate is self-closing and self-latching. At 12:10 PM LPA observed current Resident’s Cash resources form to be unavailable as well as the funds. LPA observed one resident's (R1) file to be missing a TB Test. LPA observed all other resident documents on file. LPA reviewed residents’ medication, MARS and Centrally Stored Medication list (CSMDR) and observed Continued on LIC809C... one of resident’s medication was not logged. Staff files were reviewed for good health and first aid/CPR. It was verified that there are at least one staff on duty who is CPR certified. Staff files reviewed and complete. Deficiencies are being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 1/16/2023: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with staff. Report signed on-site; a copy of this report, 809D with appeal rights was provided.