Routine inspection·June 21, 2022

On 06/21/2022, 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. Per facility staff, Administrator, Joycelyn Hopper is not available. Staff contacted Administrator, Amor Alegre, who arrived a short time later. LPA met with Administrator, Amor Alegre. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. LPA observed blinds to be broken and missing in the living room. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. The window screen in the resident bathroom was taped to facility. Resident bedrooms checked. Beds were observed to be at least 6 feet apart. LPA observed blinds to be broken and missing resident bedroom 1. Window screens in the resident bedrooms were stapled to the facility and not secure. LPAs checked residents’ locked medications and observed a 30-day supply. Food supply was checked. LPA did not observe a two day supply of perishable foods. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Facility staff was observed wearing a facial covering. Residents wear masks when away from the community. LPA reviewed 4 out of 4 resident files. LPA is requesting the following documents be submitted to the Fresno CCL office by 07/21/2022: 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), Surety Bond CONTINUED TO 809C Based on observation, deficiencies are being cited in accordance with the California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted. A Plan of Correction was reviewed and developed with Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Amor Alegre, whose signature on this form confirms receipt of this document.