Routine inspection·September 17, 2024

On 09/17/2024, 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 requested to meet with the Administrator. Facility staff informed LPA that Administrator was not present in the facility and was granted entry to the facility. Facility staff contacted Assistant Administrator (AA), Elisa Pua, who arrived a short time later. Facility tour conducted with AA. All pathways, entrances and exits were clear from obstructions except Fire Exit 4 per facility sketch. Fire Exit 4 was obstructed which presents a fire clearance issue. 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. LPA observed signs promoting hand washing, social distancing, and cough/sneeze etiquette throughout facility. LPA toured the facility kitchen. LPA observed a 30-day supply of PPE and cleaning supplies. Fire extinguisher was observed with a service date of 09/10/2024 All residents’ bedrooms were observed to be with comfortable temperature. Residents’ bathroom was observed, hand washing signs posted, trash can have lid. Medications observed to be locked in a cabinet in the hallway. LPA reviewed MAR; it appears to be administered properly. Cleaning supplies were observed to be in a locked cabinet in the laundry room. An outdoor seating area was observed for residents in care. LPA reviewed Staff and Resident files. Resident files observed to have update information. Continued on LIC 809C LPA is requesting the following documents be submitted to the Fresno CCL office by 10/01/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC 308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC 500), Register of Facility Clients/Residents for (LIC 9020A) Based on observation, a deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached LIC 809D, AA informed of 24 hour POC for Deficiency, 3 Technical Violations were provided and one Technical Advisory Exit interview conducted and a plan of correction was reviewed and developed with Assistant Administrator. A copy of this report and appeal rights were discussed and provided to Assistant Administrator, Lisa Pua, the report was signed and copy of this report was provided to Assistant Administrator for facility records.