Routine inspection·September 29, 2023

On 9/29/2023, Licensing Program Analysts (LPAs) K. Kaur and L. Padgett arrived unannounced at the above facility to conduct an Annual Inspection. LPAs introduced selves, stated the purpose of the visit, and were allowed entry by staff Modesta Paz. Staff contacted Designee /Administrator Aurora Rigon, who arrived shortly after. LPAs conducted facility tour with staff. All pathways, entrances and exits were clear from obstruction. Fire extinguisher in Living Room room was purchased 1/25/2023. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions were observed inside or outside. At 9:06 AM LPA(s) observed unlocked medication in a cabinet in the office accessible to residents. The kitchen was observed to be clean, in good repair with necessary items and appliances. 7-day supply of non-perishable foods and a 2-day supply of perishable foods observed. At 9:10 AM LPA(s) observed unlocked disinfecting spray, Dish soap observed under kitchen sink. LPA(s) toured laundry area, and garage and observed from 9:11 AM to 9:14 AM Antiseptic Alcohol in unlocked cabinet above washing machine in laundry room and laundry detergent, bleach, and used syringes in unlocked garage. Used insulin sharps are kept in emptied laundry detergent/softener container, and were not labeled as Biohazardous Waste or Sharps Waste. Common areas were properly furnished and well-lit throughout. Facility has 3 residents who are at a day program. The dining room is equipped with a table and chairs, the living room is equipped with adequate sofas and chairs for seating. LPAs observed grab bars installed by toilet and in shower and non-skid mats in place. Residents' bedrooms were observed to be adequately furnished with bed, dresser, chair, and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available in the hallway closet. Continued to Next page... At 10:53am LPA(s) tested water: 116.7F in hallway, 114.4F in bedroom 4. Carbon monoxide and smoke alarm detectors installed and operational. Adequate outside space for rest and recreational. The backyard gate is self-closing and self-latching. At 12:23 PM LPA(s) did not observe forms available at the facility for Licensee except for Administrator License. Staff files were reviewed for good health and first aid/CPR. Resident's records contained signed Admission Agreement, Physicians Report, and I.D Emergency Information. At 1:46 PM LPAs reviewed medication, Centrally Stored List and MAR(s) for Resident 1 (R1) which showed two extra pills in package which should have already been administered per MAR(s) that were not. 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 10/06/2023: 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 Administrator. Report signed on-site; a copy of this report, 809D with appeal rights was provided.