Routine inspection·December 8, 2025

On 12/08/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Staff 1 (S1). Administrator (AD) Stephanie Costa was notified of Licensing visit over the phone and was able to attend the visit. The facility was observed to be at a comfortable temperature, of 74 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 most residents in common area after lunch. Department phone number and infection prevention information signs were posted in facility. LPA toured facility with Administrator outside. LPA observed pool in the back yard, fenced and the pool gate was locked. Outdoor seating area was observed in good repair and available to residents. Fire extinguisher was observed with a service date of 07/16/2025. All 6 residents’ bedrooms were observed to be with comfortable temperature. Kitchen water temperature was tested and recorded reading of 116.7 degrees F. Medications observed to be locked in closet near front entry to facility. LPA reviewed medication records maintained and accurate as of inspection. Cleaning supplies were observed to be in a locked and inaccessible to residents cabinet in garage. 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. Continuation on LIC 809C 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: 12/22/2025 No deficiencies were observed and cited. Exit interview conducted. Report was signed and copy of this report was provided for facility records.