Routine inspection·April 8, 2025

Licensing Program Analysts(LPA) Rachel Bruce and Jimmy Duarte arrived unannounced to conduct the Annual inspection. LPAs met with Administrator Carol O'Donnell (AD) and explained the purpose of the visit. Facility was toured with AD. At the time of the visit, LPAs observed that all three residents were present. LPAs toured the facility with AD and observed the following: The Kitchen had working lights and well maintained appliances. The knives were kept in a locked in the laundry room. LPAs observed two trash bins with the lid. LPAs observed that refrigerator was well maintained and clean. LPAs observed a two day perishable food supply and seven day nonperishable supply. The kitchen pantry was clean, organized, and held the facility emergency supply of food. No expired food was observed. LPAs observed the dining room and living room were well lit and free of clutter and/or obstructions. Laundry room is kept locked, along with the washer and dryer there is also a locked cabinet. LPAs observed the storage cabinet to contain laundry detergents and cleaning products. Medications are stored in a separate section of this storage cabinet. First aid kit was observed and contained all required items. LPAs observed that the garage is kept locked and AD explained that residents do not have access to this room. Garage contains upright freezer for food storage. The garage is also utilized to store household chemicals. Although these chemicals were in a cabinet that can be locked away, the lock was not engaged/ AD locked it in LPAs presence. LPAs observed three cats and a cat tree and other cat items in the garage. Litter boxes were maintained and free of any odors. There is a lot of material in the garage, but accessible to access needed items. - Continued to LIC809-C Continued from LIC 809. Inspection of the living room revealed a Fireplace that was observed with glass cover. The television was observed to be in a secure place, there is also a piano and a bird cage. The living room floor was in good condition. LPAs observed one sofa and two recliners in good condition. The living room has a sliding glass door that is kept clean and is not obstructed. LPAs observed the hallway that leads to the bedrooms and observed night lights. A fire extinguisher is mounted on the wall in the hallway and one was mounted in the kitchen. Both fire extinguishers were inspected on 12/02/2024. The smoke alarm and carbon monoxide detectors were tested and are functioning appropriately. LPAs inspected the hallway bathroom with AD and observed that the bathroom is well maintained, well lit, has paper towels, toilet paper, hand soap, and a small trash bin with lid on the counter. Water temperature measured at 110.4 degrees F. The bathroom was observed to have non-skid surface, grab bars in the shower, grip bars around toilet, and a faucet. LPAs observed the linen closet to have adequate supply of clean towels, linens. Bedrooms were observed to meet regulations and were equipped with a lamp, a chair, a bed, and night stand. Closets provided appropriate storage and windows were operable with a screen in good condition. LPAs with AD inspected the backyard. LPAs, observed that the backyard is portioned off. Behind a locked gate is a koi pond and turtle pond. Patio table and bench is clean and ready for use. LPAs observed large bird cage with 10-11 birds. LPAs observed a section of the yard fenced off and locked. On the other side of the yard is the side gate which was self-closing and self-latching. However, recent weather caused the wood to swell and AD will address to ensure it remains self-latching. The side walkway that leads to the gate, has three city trash cans that partially obstruct the walkway. AD will address this as well. LPAs conducted resident and staff file reviews and found both to be in compliance. An exit interview was conducted. A copy of this report was discussed and left with AD whose signature on this form confirms receipt of these documents. Due to printer issues, the report will be emailed. LPAs are requesting the following documents be submitted to the Fresno CCL office by 04/21/2025. Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), updated facility yard sketch, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), LIC 9052