Routine inspection·May 25, 2022

On 05/25/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with Marilyn Gregorio, Caregiver. Licensee Camalah Kopacz was called and arrived shortly and conduct tour with LPA. Four residents were present during the inspection. Upon entry facility staff was observed with no facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed social distancing and cough etiquette postings. LPA and Licensee observed at 04:00 p.m. stove top knobs on stove top range. LPA checked residents’ locked medications. Food supply was checked and appeared to be an adequate supply. LPA observed 30 days PPE supplies. All resident’s room toured and observed to be adequately furnished and lit. LPA observed 2 shared residents’ bed to be at least 6 feet apart, one single occupant room and one vacant room. All bathrooms are observed with securely fastened grab bars and non-skid mat. All bathrooms observed trash bin with lid. LPA observed hand washing posting by bathroom sinks. The exterior tour was conducted. Side gate was self-closing and self-latching. Staff records were reviewed for good health and infection control training. All resident records reviewed to have updated emergency contact information. Cleaning supplies were stored and locked in cabinet in the garage. LPA observed fire extinguisher served date: 05/29/21. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 5/31/22. The following updated forms were requested: Lic 308, Lic 309, Lic 500, Lic 610E, Lic 808, Lic 9020, and current liability insurance. LPA received copy of current Administrator certificate. Licensee was provided a copy of this report and appeal rights.