Routine inspection·August 2, 2021

On 08/02/2021, Licensing Program Analysts (LPAs) A. Walton and M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPAs introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPAs meet with Administrator, Phoeun Marez. There are currently no residents or staff at the facility. Residents were relocated to another facility in May, 2021 (exact date unknown at this time). LPAs are requesting a plan be submitted to the Fresno CCL Office by 08/06/2021. The plan will include the following: Move out dates for residents, where residents were relocated to, reason why residents were relocated, and when will residents return to the facility. LPAs conducted a facility tour with Administrator. Facility is currently being remodeled. All entrances and exit were clear from obstructions. No fire clearance issues observed. LPAs observed a small amount PPE supplies. Per Administrator, PPE and cleaning supplies are located at a different facility due to the remodel. Facility has a 7-day supply of non-perishable foods, 2-day supply of perishable not observed. LPAs observed signs promoting social distancing, cough/sneeze etiquette, and hand-washing in the facility. Facility has 5 bedrooms, with 1 shared bedroom. No deficiencies issued during this inspection. Exit interview was conducted. Administrator was informed that as COVID-19 precautionary measure, this report will be provided via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.