Routine inspection·March 16, 2022

On 3/16/2022, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Administrator Carol O'Donnell Visitor log-in, masks, and disinfection station were observed upon entry. Facility has one entrance/exit point. Hand washing and other various Covid-19 related signs were observed in the common areas. Facility tour conducted with Administrator. The facility was observed at a comfortable temperature, clean, and in good repair. No obstruction or fire clearance hazards were observed. LPA toured 2 private bedrooms with adequate furnishings for four residents. Bathroom was properly equipped with non-slip mat and grab bar. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. LPA checked residents' medication and observed a 30-day supply, which are kept in a locked closet in the kitchen. Chemicals, cleaning supplies were observed to be locked in the Laundry room. Resident’s files have updated emergency contact information. Staff files were reviewed for good health. No deficiencies were observed. LPA is requesting the following documents be submitted to the Fresno CCL office by 3/23/2022: 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 (LIC610E), Register of Facility Clients/Residents for LIC9020. An exit interview was conducted with Administrator. As a COVID-19 precautionary measure, a copy of this report will be provided via email. Report signed on-site by Administrator.