Routine inspection·October 27, 2023

On 10/27/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met caregiver Leizel “Liz” Jugal. LPA toured facility with caregiver. Licensee/Administrator David Murchison was called and arrived shortly during tour. All six residents were present during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. The temperature is maintained for refrigerator at 40 degrees F and freezer at -2 degrees F. Fire extinguisher was observed with a service date of: 02/09/23. Fire drill last completed:10/06/23. LPA and Licensee observed medications that were ordered to be destroyed with former resident’s medication bottles were observed unlocked under kitchen counter. MARs were reviewed . Cleaning supplies and chemicals stored and locked in garage and laundry room. Washer and dryer observed operational during inspection. All bedrooms were observed to have the required furnishings and with adequate lightening. The bathrooms were toured. Bathrooms were observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 115.5 degree F in the bathroom 1, 115 degree F in bathroom 2, and 114.3 degree F in bathroom 3. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Adequate outdoor seatings available for residents. Carbon monoxide and smoke detectors were tested and observed to be operational. All residents’ files were reviewed to have all the required documents. Staff are fingerprinted clear and associated to the facility. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 11/02/23. Forms requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.