Routine inspection·April 9, 2025

Licensing Program Analyst (LPA) Daiquiri Boyd made an unannouced annual visit to the facility and met with Administrator (AD) Ramiz Alchi and House Manager (HM) Darlene Rojas. LPA stated the purpose of the visit and was accompanied by HM while conducting the inspection of the facility. At the time of the visit, LPA observed 2 residents in the facility. LPA observed that the kitchen was well maintained. The knives were kept in a locked cabinet. The kitchen counters and sink are free from debris. LPA observed that refrigerator was well maintained and clean. LPA observed a 2 day perishable food supply. The kitchen pantry was clean, organized, and had 7 days of non-perishable food. No expired food was observed. A fire extinguisher is mounted on the wall and inspected on 12/03/2024 with the correct pressure gauge as indicated on the meter. LPA observed the dining room is well lit. Dining table has seating for 4. Activity calendar is displayed on the refrigerator. LPA observed that the garage is well maintained, free from obstructions, and debris. The garage has storage cabinets for extra linens and incontinence supplies. HM unlocked and opened the storage cabinets in garage which contained cleaning supplies. In Laundry room LPA observed washer and dryer, Medications are kept in locked cabinet off the kitchen. AD opened the medication cabinet for inspection. Resident medication bins are individually labeled and organized. LPA reviewed medications and medication binder. First aid kit was inspected and found to contain the required items. LPA observed the living room has non-operational fireplace. Television was observed to be in a secure place. LPA observed 2 sofas and 1 recliner. The living room can accommodate at least 6 people. The living room has a sliding glass door that was clean and not obstructed. The furniture was clean and in good condition. In the hallway that leads to the bedrooms, LPA observed smoke/ carbon monoxide detector installed. The smoke alarm and carbon monoxide detectors were tested by the HM and are functioning. Detectors are interconnected and sounded from rooms.. LPA inspected the hallway bathroom and observed that the bathroom is well maintained, well lit, toilet paper, hand soap, a trash bin with lid. Water temperature measured at 113.8 degrees F. The bathroom was observed to have grab bars in shower, grip bar next to toilet, shower, bench. The toilet was flushed and is functioning. LPA observed the linen closet next to the bathroom have clean towels and linens. Towels are color coded for each resident and organized. LPA inspected the 4 resident bedrooms with AD. LPA observed bedrooms are not shared. The bedrooms are well lit, the furniture is in good condition, the linens are in good condition. Windows open and screens are in good condition. Bedroom 2 has a private bathroom with covered trash bin, shelves for toiletries, grab bars, non-skid floor and a shower bench. LPA with HM inspected the backyard. LPA, observed that the backyard is well maintained, trees, bushes and grass in good condition. Two patio tables and 9 chairs are under a covered patio, furniture is clean and ready for use. The exterior walkways are free from obstructions and debris. LPA reviewed residents and staff records with AD and found that all documents are in order and up to date. An exit interview was conducted with AD. LPA is requesting the following documents be submitted to the Fresno CCL office by 04/18/2025: 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 .