Routine inspection·July 2, 2024

On 07/02/24, Licensing Program Analysts (LPAs) L. Salazar and M. Medina arrived to the facility unannounced to conduct the required annual inspection visit. LPAs were greeted by Administrator, stated the purpose of the visit and were allowed entry into the facility. Administrator on record is Marietta Parangalan Certificate #6040535740, Exp. 07/29/2024. LPAs toured the facility inside and out and observed 5 resident in the home at the time of visit. No residents are receiving Hospice services or Home Health care services. The facility temperature read at 76 degrees F. Resident bedrooms were observed to have the required lighting/furnishings and are free from odor and passageway obstruction/fire hazards. Carpets in bedrooms need to be cleaned. Bathrooms were observed to have operational lights, running water, and non- slip floors. Hot water temperature tested at 105 degrees F. Kitchen needs deep cleaning to include the stove, cabinets, refrigerator and microwave. Air filter vent in kitchen needs to be cleaned. Cleaning supplies were observed to be locked cabinet located in the garage. LPA toured the kitchen observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Carbon monoxide detectors were observed to be operational. A fire extinguisher was observed with a service date of 06/12/24. First aid kits were observed to contain all required items. Medications were observed to be locked cabinet located in the hallway. Required postings were observed. A sample of resident and staff files were reviewed and documented on a separate report by LPA Medina, and were observed to not have the proper documentation to support annual training for staff. Disaster Plan was observed to be complete. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 809-D. A plan of correction was developed by licensee and reviewed with LPA. An exit interview was conducted with Licensee. A copy of this report and appeal rights were discussed and provided at the time of visit. LPA is requesting the following documents be submitted to the Fresno CCL office by 07/19/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Personnel Report (LIC500), Register of Facility Clients/Residents (LIC9020A),