Routine inspection·October 5, 2022

On 10/05/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Scott Richards. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point LPA conducted a facility tour. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have a trash cans with lid. Hand washing posters were observed by the bathrooms. Bedrooms are single occupant. LPA checked residents’ locked medications. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked and there appeared to be an adequate supply. Facility staff was observed with mask on. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. LPA is requesting the following documents be submitted to the Fresno CCL office by 10/19/2022: 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 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond No deficiencies issued during this inspection. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document.