Routine inspection·July 5, 2024

Licensing Program Analyst (LPA) Lissett Padgett arrived unannounced to conduct the Annual inspection. LPA introduced herself and explained the purpose of the visit. Administrator was unavailable to met with LPA. LPA met with and toured the Facility with Wellness Coordinator, Koreena Kirkendall. During this visit, LPA toured the facility and grounds. LPA observed residents participating in activities. This facility has 2 floors with Resident rooms and a basement level floor with activity center, kitchen and dining. Ambient temperature was 72 degrees F. LPA entered 6 resident bedrooms. LPA observed rooms were appropriately furnished. Bathrooms contained grab bars in shower and around toilet, non skid mat in showers, shower chair, trash can with lid. Windows and screens in good condition. Water temperature was observed as follows: Room #120 at 130.3, Room #127 129.4 Room #238 at 129.0, Room #219 at 129.4 Room #208 at 100.6. The kitchen was toured observed in good repair with necessary items and appliances and sharps/knives are stored appropriately. Refrigerator was observed to be at 42 degrees F and Freezer at 0 degrees F. LPA observed 2 day perishable and 7 day non perishable food supply available. No expired food observed. Dining area has daily menu posted. Tables and chairs appeared clean in good condition. Medications are centrally stored in locked room. Med Carts are used by Med Tech when distributing medications. Facility has designated visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility including outdoors. First aid kit found to contain required items. Rear Patio area is well maintained, trees, bushes and yard decorations are in good condition. There is a seating areas with umbrellas or shaded by trees. Patio furniture is clean and ready for use. The exterior walkways are free from obstructions and debris. Maintenance room observed to contained tools and supplies. Fire Extinguishers are located throughout the facility and were serviced in on 5/21/2024. Smoke and Carbon Monoxide detectors observed. Fire inspection completed by Jorgensen on 9/18/2023 and received passing grade. LPA conducted resident and staff file reviews. An exit interview was conducted with Koreena Kirkendall, whose signature on this form confirms receipt of these documents. LPA is requesting the following documents be submitted to the Fresno CCL office by 7/12/24 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 610D) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond, updated facility sketch .