Routine inspection·August 23, 2024

On 08/23/24 Licensing Program Analysts (LPA) J. Leffall and L. Xiong arrived unannounced to conduct an Annual Inspection. LPAs introduced selves, stated the purpose of the visit, and was greeted by Staff (S1) T. Brownwebb. LPAs was granted entry. 5 clients were present during inspection. Licensee (L1) Camalah Kopacz (L1) arrived shortly after LPA’s arrival. LPAs toured facility with L1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at 0 degrees F and refrigerator temperature was maintained at 37 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 5/21/24. Fire drill last completed on 08/6/24. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested 105 degrees F. in all 3 bathrooms. Outside of facility toured. Side gates were self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Based on observation Medication 1 (M1) should have 52 tablets. LPA counted 48 tablets. Tablets were 4 short which poses an immediate health, safety or personal rights risk to persons in care. Also, Medication 2 (M2). Medication count should be 89 tablets. LPA’s counted 76 tablets. Tablets were 13 short which poses an immediate health, safety or personal rights risk to persons in care. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ file reviewed to have all the required documents. A sample of staff files and all clients’ files were reviewed and observed to have all the required documents. The following deficiency is in violation of Title 22 CCR. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 09/6/24: Lic 308, Lic 500, Lic 610D, and Lic 9020. LPA received a copy of current Licensee certificate. A copy of this report was provided to Licensee and Executive, whose signature on this form confirms receipt of these report.