Routine inspection·February 17, 2022

On 02/17/2022, Licensing Program Analyst (LPA) Walton arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Administrator is not present in the facility at this time. Facility staff contacted Administrator. LPA met with Assistant Administrator, Patricia Hernandez who arrived a short time later. COVID-19 guidelines are in place. Facility has one central entrance and exit. Facility has implemented a sign-in policy for visitors. 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. Bathrooms have trash cans with lids. Hand washing posters were observed by the bathroom sink. 4 bedrooms are single occupant and 1 bedroom is shared. Beds in the shared bedroom appeared to be at least 6 feet apart. LPA checked residents’ locked medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Facility staff was observed with mask on. Residents wear masks when away from the community. 4 of 6 Resident’s files have updated emergency contact information. CONTINUED TO LIC809C LPA is requesting the following documents be submitted to the Fresno CCL office by 03/03/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), 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, Surety Bond*. No deficiencies issued during today's inspection. Exit interview conducted. A copy of this report will be provided via email due to COVID-19 precautionary measures. Report signed on site by Facility Representative.