Routine inspection·August 29, 2023

On 8/29/2023, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff Norma Moral. Licensee/Administrator Aurora Rigon was contacted and arrived a short while later. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions were observed inside or outside. Common areas were properly furnished and well-lit throughout. Facility has 4 residents of which 3 are at day program, one was at the facility and left a short while later. The dining room is equipped with a table and chairs, living room is equipped with adequate sofas and recliners for seating. 7-day supply of non-perishable foods and a 2-day supply of perishable foods observed. At 9:23 AM LPA observed several expired canned food items. Knives were locked in the kitchen cabinet. At 9:45 AM, unlocked Bleach and Chemical supplies were observed in the cabinet under the kitchen sink. Medications observed locked in the kitchen cabinets next to garage. LPA observed additional bleach, cleaning solutions, and disinfectants unlocked in the garage. Fire extinguisher in kitchen was purchased 1/25/2023. At 10:23 AM LPA observed shower to be without grab bars. LPA observed grab bars installed by toilet and non-skid mats in place. 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 in hallway closet. Hot water temperature measured at 113.5 degrees F. Carbon monoxide and smoke alarm detectors installed and operational. Adequate outside space for rest and recreational. Backyard gate is self-closing and self-latching. Continued on LIC809C... At 12:10 PM LPA observed Resident’s (R1) file to be missing Physicians Report (LIC602). LPA observed two resident's (R1) and (R2) file to be missing a TB Test. LPA observed all other resident documents on file. LPA reviewed residents’ medication, MARS and Centrally Stored Medication list (CSMDR) and observed one resident’s medication was not logged. Staff files were reviewed for good health and first aid/CPR. It was verified that there are at least one staff on duty who is CPR certified. 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 9/12/2023: 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.