Routine inspection·July 28, 2022

On 07/28/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Erik Schuk. Facility has one central entry and exit and has implemented a sign in policy/symptom screening for visitors. Facility tour conducted. Facility did not have obstructions blocking pathways, entrances, and exits. No fire clearance issues observed during this inspection. Staff observed to be wearing facial coverings. Residents encouraged to wear facial coverings in common areas and when out of the facility. High traffic areas are sanitized at least once a day. LPA observed signs promoting cough sneeze etiquette, hand-washing, and social distancing. LPA observed hand-sanitizer dispensers at the front entrance and elevator. LPA observed hand-washing signs in facility bathrooms. LPA toured the following resident rooms: 105, 112, 117, 120, 134, 224, A3, B4, B8, E1, E8, and F8. Bedrooms at this facility are single occupant. In room 134, LPA observed medications and knives to be accessible in the apartment. LPA observed a 30 day supply of medications. LPA observed a supply of PPE and cleaning supplies. Staff records reviewed for good health. Residents files observed to have updated emergency contact information. LPA is requesting the following documents be submitted to the Fresno CCL office by 08/11/2022: 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) and Surety Bond CONTINUED TO 809C Deficiencies are being cited in accordance to California Code of Regulations, Title 22, Division 6, on the attached 809D. An exit interview was 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, Erik Schuk, whose signature on this form confirm receipt of this document.