Routine inspection·April 13, 2023

On 04/13/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. Facility staff contacted Administrator, Susan McCarty who arrived a short time later. LPA met with Administrator. Facility tour conducted with Administrator. Facility was at a comfortable temperature, odor free, and pathways were clear from obstructions. Common areas were furnished with adequate seating a lighting available. LPA toured resident rooms. Bedrooms are single occupant. Bedrooms observed to have the required furnishings and had adequate lighting. Resident bathrooms toured. Bathrooms were equipped with securely fastened grab bars and non-skid mats. Hot water measured at 116.8 degrees F. Facility kitchen toured. Knives/Shaps observed locked and inaccessible in a box in the cabinet. Cleaning supplies observed to be inaccessible under the kitchen sink. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Facility exterior toured. Facility pool observed to have a locked gate around the perimeter. No fire clearance issues observed during this visit. Smoke detector and carbon monoxide observed to be operational during this inspection. Last fire drill was conducted in February 2023. Fire extinguisher was observed to be purchased on 06/11/2022. Resident and staff records reviewed. LPA reviewed resident medications. Upon review of medications, LPA observed a medication for R1 was not listed on the MAR. First-Aid kit observed to have required items. A deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D. LPA is requesting the following documents be submitted to the Fresno CCL office by 04/27/2023: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond Exit interview conducted and a plan of correction was reviewed and developed with Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Susan McCarty, whose signature on this form confirms receipt of this document.