Routine inspection·January 22, 2024

On 01/22/24, Licensing Program Analyst (LPA) K.Kaur arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was allowed entry by Jamaila Keith Andrada. Gurmit Aulakh, Administrator was called and arrived shortly after. Six residents were present during the inspection. LPA toured facility with caregiver. 7-day supply of non-perishable foods and a 2-day supply of perishable foods observed. Knives and cleaning supplies are locked in the kitchen cabinet under the sink. Additional Cleaning and Chemical supplies are kept in locked cabinet in the garage. At 9:36 AM LPA observed Insect Killer spray container unlocked and accessible to residents. Fire extinguisher serviced on 2/13/2023. 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. Carbon monoxide and smoke alarm detectors installed and operational. Grab bars installed in showers and by toilets, non-skid mats in place. All pathways, entrances and exits were clear from obstruction. The facility was observed to be at a comfortable temperature, in good repair. Common areas were properly furnished and well-lit throughout. There is one resident on hospice at this time. The dining room is equipped with a table and chairs, living room is equipped with adequate sofas and recliners for six residents, adequate outside space for rest and recreational. LPA toured outside and observed sufficient seating under patio area. Backyard gate is self-closing and self-latching. At 10:06 AM LPA observed a BBQ grill hooked up to gas tank accessible to resident with dementia. Last fire drill conducted on 1/14/2024. At 11:23 PM LPA reviewed resident's medication, MARS, and Centrally Stored Medication and Destruction Record (CSMDR) and observed medication was not logged in the log. LPA reviewed resident records and observed 3 resident’s missing property inventory list. Continued to LIC809C… Resident Admission agreement needs/services plan, and emergency identification complete. Based on observation and interview LPA observed one resident did not have updated physician report based on current physical abilities. Staff files reviewed and complete. Staff verified to have CPR/First aid training. Deficiency is 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 1/29/2024: 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 Administrator. Report signed on-site; a copy of this report, 809D with appeal rights were provided.