Routine inspection·October 11, 2021

On 10/11/2021, Licensing Program Analyst (LPA) Mai Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA was met by Caregiver Fernando Cabidog and Larissa Tolentino. Robert Sheakalee, Administrator was called and authorized Mario (Daniel) Ramos, Assistant to conduct tour and receive report from LPA. Assistant arrived shortly. Three residents were present during the inspection. LPA conducted tour with Assistant. Facility staffs was observed with mask on. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Social distancing and cough etiquette postings observed in facility. LPA observed residents’ 30-day medication supplies in locked cabinet in kitchen. LPA observed a 30-day PPE supplies. Food supply was checked and appeared to be an adequate supply. LPA observed fire extinguisher served date: 03/11/21. All resident’s room toured and observed to be adequately furnished and lit. LPA observed 1 vacant shared resident bedroom to be at least 6 feet apart and toured 4 bedrooms that are single occupant. Cleaning supplies were stored and locked in hall cabinet. All bathrooms are observed with trash cans with lid and securely fastened grab bars. Bathrooms have non-skid mat. LPA observed hand washing posting by all sinks. The exterior tour was conducted. Side gate was self-closing and self-latching. LPA did not observe daily temperature log and COVID-19 symptom check for staff and residents. Staff records were reviewed for good health and infection control training. All residents’ records reviewed to have updated emergency contact information. LPA observed LIC 808 COVID-19 Mitigation Plan including Infection control procedures to be in placed. Copy of completed LIC 808 to be submitted to CCL by 10/17/21. No deficiencies issued during this inspection. Exit Interview conducted. The following updated forms were requested: LIC 610E, LIC 9020, and updated Administrator Certificate. Please submit the above forms to Fresno CCL by: 10/17/21. Due to COVID-19 precautionary measures, a copy of this report will be provided via email. Report signed on-site.