Routine inspection·December 23, 2024

On 12/23/2024 Licensing Program Analyst (LPA) K.Kaur arrived at facility unannounced to complete an Annual inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Direct Care Staff, Clinton Arciete. Licensee/ Administrator Shay Ayers was contacted and arrived a short time later. The facility has 5 residents, of which all were present during the inspection. LPA toured the facility with the Administrator. Tour started in the kitchen. Knives were locked in the kitchen cabinet. LPA observed a 7-day supply of non-perishable foods and 2-day supply of perishable foods. Cleaning supplies observed locked in the cabinet under the kitchen sink. The dining room is equipped with a table and chairs, the living room is equipped with adequate sofas and recliners for seating. Medications, first aid kit observed locked in the hallway closet. Residents' bedrooms were observed to be adequately furnished with beds, dresser, and adequate lighting. Mattresses and linen were in good condition. At 12:33 PM LPA observed one of the resident’s window screen frame was bent. The laundry area toured and observed with locks on all cabinets. Extra linen and towels are available in the hallway closet. LPA observed grab bars installed by toilet and non-skid mats in place. Smoke alarm detectors and Carbon monoxide detectors installed and operational. Adequate outside space for rest and recreational. Sufficient seating observed under a covered patio. The fire extinguisher in kitchen was serviced July 22, 2024. Backyard gate is self-closing and self-latching. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report and ID Documentation. Medication reviewed. Staff files were reviewed for good health. At 1:43 PM LPA observed one of the resident’s physician’s report was not signed by a physician. Staff files had health screenings/ TB Clearance. It was verified that current staff on duty are CPR certified. Last Fire Drill conducted in September 2024.. Continued to 809C... Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 12/30/2024: 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 Licensee. Report signed on-site; a copy of this report, 809D with appeal rights was provided via email due to technical difficulties.