Routine inspection·November 29, 2023

On 11/29/2023, 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 was granted entry to the facility, facility staff contacted Administrator via telephone, and Administrator arrived a short time later. LPA met with Administrator, Marisela Vizcarra. LPA conducted a tour inside and outside of facility. Facility observed to be clean, odor free and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Resident bedrooms appeared clean and had required furnishings. LPA observed an adequate supply of linen. Resident bathrooms were equipped grab bars in toilet and tub/shower areas, non-skid mats were observed. Hot water measured at 128.7 degrees F. Kitchen toured, appeared clean, observed a 7-day supply of non-perishable and 2-day supply of perishable food. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Fire extinguisher serviced on 10/16/2023. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted on 07/20/2023. All cleaning supplies are locked in secured closet in the hallway. LPA reviewed staff and client records. Medications reviewed and observed to have original labels and be administered as prescribed. A deficiency is being issued in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted and a plan of correction was reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Marisela Vizcarra, whose signature on this form confirms receipt of this document. LPA is requesting the following documents be submitted to the Fresno CCL office by 12/13/2023: 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.