Routine inspection·October 28, 2024

On 10/28/2024, 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, Marisela Vizcarra. LPA reviewed facility records and observed the following: LPA found that 3 out of 4 client records were observed to be current and complete. LPA did not observe hospice binder for S1. Administrator stated that hospice nurse completed a binder and requested for another agency "drop off" the binder to the facility. Personnel records reviewed. LPA found personnel records to be complete, however staff did not have documentation of annual training on file. Medications reviewed and observed to be administered as prescribed. Emergency disaster plan reviewed. Last fire drill conducted on 09/14/2024. LPA conducted a tour of the facility. Facility appeared clean and at a comfortable temperature. Common areas were furnished with adequate seating and lighting. Fire extinguisher observed to be last serviced on 10/16/2023. LPA toured the facility kitchen. Kitchen appeared clean and safe for food preparation. LPA observed an adequate food supply. Medications observed to be locked and inaccessible in a cabinet in the kitchen. LPA observed the facility bathroom to be operational. Bathroom was equipped with securely fastened grab bars. Hot water measured at 116.4 degrees F. Cleaning supplies observed to be locked an inaccessible in a closet. LPA toured resident bedrooms and observed the bedrooms to have required furnishings. LPA observed an adequate supply of linens. Smoke detector and carbon monoxide detector observed to be operational during today's inspection. Exterior tour conducted. All exits and passage ways were free from obstructions during today's inspection. Deficiencies are being cited 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 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 via fax or mail by 11/11/2024: 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.