Routine inspection·March 9, 2023

On 3/9/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA was greeted by Licensee and granted entry. LPA introduced self and stated the purpose of the visit. LPA conduct tour with Licensee. All three residents were present during the inspection. The tour started in the common areas into the kitchen to resident's rooms and bathroom. LPA observed COVID-19 related signs. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards. Medications are kept locked medication kitchen shelf. Cleaning chemicals and sharps are kept in locked under kitchen sink and in laundry cabinet. Refrigerator temperature maintained at 40 degrees F and freezer temperature at 0-degree F. An adequate supply of perishable and non-perishable food was observed to be properly stored. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lightning. Bathrooms were properly equipped, and the hot water temperature was tested at 114.4-degree F. Trash can with lid and hand washing postings was observed. Fire extinguisher was observed with a service date of: 05/14/21. First aid kit was observed and contained all required items. The exterior tour was conducted. LPA and Licensee observed by siding door a table saw covered and an electrical tool unlock . Side gate was self-closing and self-latching. All residents’ file reviewed to have update emergency contacts, Admission agreement, and physician report. A sample of staff files were also reviewed. Staff files were observed to have current First Aid/CPR. Staff are fingerprinted clear and associated to the facility. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 3/15/23. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, Lic 808, Lic 9282, current liability insurance, and current Administrator certificate. LPA received a copy of facility sketch. A copy of this report and appeal rights was provided to the Licensee.