Routine inspection·December 20, 2025

On 12/20/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduce self to Staff 1 (S1), stated the purpose of the visit, and was granted entry to the facility, Administrator was called over the phone and arrived few minutes later. LPA toured the facility with Administrator (AD) - Shay Ayers. The facility was observed to be at a comfortable temperature, of 69 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in dining area after during breakfast, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility. LPA inspected outside the facility and there are no bodies of water outside the facility. There was shaded seating for residents as well and in good repair. No obstructions to fire exits. LPA observed rooms for residents were properly furnished, Clean and in good repair. All 5 residents’ bedrooms were observed to be with comfortable temperature. Inspecting kitchen LPA observed the required 7 day supply of non-perishable food and 2 day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. extinguisher was observed with a service date of 07/16/2025. Bathroom temperature read 106.8 Degrees. Continuation on LIC 809C Medications observed to be locked in a closet area near entry to facility. LPA reviewed medication records to be accurate at the time of inspection. Cleaning supplies were observed to be in a locked cabinet in the laundry room. LPA reviewed Staff and Resident files. Resident files observed to have updated information. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 01/02/2026 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. No deficiencies issued during this inspection. An exit interview was conducted with the AD A copy of this report was given to AD whose signature on this form confirm receipt of these reports.