Routine inspection·November 1, 2022

On 11/01/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with caregiver Anna Marie Manabat and granted entry. LPA met with caregiver Karen Viernes-Jimenez. Administrator Lorik Sheakalee was called and was unable to attend meeting. Authorized to conduct tour with caregiver. LPA conducted tour of facility with caregiver. Designee Mario Daniel” Ramos later during tour. All six residents were present during the inspection. Upon entry facility staff was observed with no facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. COVID-19 related and cough etiquette postings observed. LPA observed fire extinguisher served date: 09/22/22. LPA checked residents’ locked medications. Food supply was checked and appeared to be an adequate supply. LPA observed refrigerated medications stored unlock in refrigerator. LPA observed chemicals stored and unlock in laundry room. All resident’s room toured and observed to be adequately furnished and lit. LPA observed 6 single occupant room. All bathrooms are observed with securely fastened grab bars and non-skid mat. All bathrooms observed trash bin with lid. Hand washing posting observed by bathroom sinks. The exterior tour was conducted. Side gate was self-closing and self-latching. Staff records were reviewed for good health and infection control training. All resident records reviewed to have updated emergency contact information. LPA observed small amount of PPE supplies in facility. A deficiency is being cited on the attached Lic 809D and an immediate Civil Penalty of $500 was assessed. See Lic 421BG is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. Administrator Lorik Sheakalee was called via telephone to discuss Plan of Correction and report. The following documents are requested and submitted to Fresno CCL by: 11/7/22. The following updated forms were requested: Lic 308, Lic 309, Lic 500, Lic 610E, Lic 9282, control of property, and current liability insurance. LPA received a copy of the current Administrator certificate. A copy of this report and appeal rights will be provided via email to Administrator and Designee.