Public Record
Hand in Hand Care Home
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About this facility
Operating details and county context
Operating details
- Capacity
- 6 residents
- Phone
- (559) 389-0315
- Address
- 4361 W. Fremont Ave
- Licensed since
Fresno County context
292*CCLD
Total facilities
3.9*CCLD
Avg citations
7.6*CCLD
Avg visits
2.0*CCLD
Avg complaint visits
*CCLD: California Community Care Licensing Division. Updated weekly. Last refresh .
Citations
9 citations on record
Every regulation cited on a CCLD inspection of this facility, sourced from the public record. Each row links to the visit’s inspector narrative.
What does Type A vs Type B mean?
Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.
Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.
2026
- 87468.1(a)(6)Type B
Freedom to leave and not be locked in
Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed the self releasing gates to be locked resulting in the residents not being able to leave the facility.
- 87465(h)(5)Type B
Keep prescriptions in original containers
Based on observation and interview, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed resident medications had been removed from pharmacy individualized daily packaging and placed in small containers to be given to residents at schduled medication times. This poses a potential health and safety risk to persons in care.
2025
- 87465(a)(4)Type A
Assist residents with self-administered medication
Based on observation and record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. R1’s Prodaxa has been given but not documented on the MAR 4/1-4/3/25 and the medication count of pills is wrong. Additionally, R1 has been given Magnesium 500mg, the MAR and order on file state 400mg. Facility needs to obtain clarified orders for both medications.
- 87465(h)(4)Type B
Label and preserve medicine compliance standards
Based on observation and record review, the licensee did not comply with the section cited abovewhich poses/posed a potential health, safety or personal rights risk to persons in care. R1 takes Blood Pressure medication in the morning and evening. The RX label states hold if less than 100 systolic. The updated order is hold if less than 80 – the label is not correct. The facility does not have complete BP monitoring ordrs.
2023
- 1569.695(c)Type B
Based on interview, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87465(d)(3)Type B
Record dose details and resident medication response
Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 4 resident MAR record reviews, which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87705(c)(3)Type B
Based on record review, the licensee did not comply with the section cited above for 2 of 2 employees, which poses/posed a potential health, safety or personal rights risk to persons in care.
- 87411(d)(4)Type A
87411 Personnel Requirements – General (d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following… (4) Knowledge required to safely assist with prescribed medications which are self-administered. This requirement was not met as evidenced by:Licensee did not ensure that S1 had appropriate job training for assistance with resident medication. LPA observed the medication closet left unlocked as well as a cup with medications left with R2. S1 did not observe R2 taking medications. This poses an immediate health and safety risk to residents in care.
- 87412(a)Type B
Maintain required personnel records for staff
Based on Interview and record review, the licensee did not comply with the section cited above in 2 of 2 staff personnel records, which poses/posed a potential health, safety or personal rights risk to persons in care.
Inspection record
7 visits on record since 2022. Most recent on 2026-04-17.
4 routine inspections.
- Inspection2 Type BRead inspector’s narrative
- Inspection1 Type A · 1 Type BRead inspector’s narrative
- InspectionNo citationsRead inspector’s narrative
- Other1 Type ARead inspector’s narrative
- Inspection4 Type BRead inspector’s narrative
- OtherNo citationsRead inspector’s narrative
- OtherNo citationsRead inspector’s narrative
9 citations across the record on file
Nearby
Other licensed assisted living facilities in Fresno
FAQ
Common questions about this facility
Is Hand in Hand Care Home licensed in California?
Yes, Hand in Hand Care Home is currently licensed in California. It has been licensed since 2022.
How many citations does Hand in Hand Care Home have?
Hand in Hand Care Home has 9 citations on record: 2 Type A (more serious) and 7 Type B citations. It has received 7 visits (4 inspections, 3 other visits).
When was Hand in Hand Care Home last inspected?
Hand in Hand Care Home was last inspected on April 17, 2026 (6 weeks ago). California inspects licensed assisted living facilities (RCFEs) on a periodic basis or following a complaint.
What type of assisted living facility is Hand in Hand Care Home?
Hand in Hand Care Home is a Residential Care Facility for the Elderly (RCFE), which is a licensed assisted living facility serving older adults with a licensed capacity of 6 residents. It is located in Fresno, Fresno County, California.
How does Hand in Hand Care Home compare to other assisted living facilities in Fresno County?
Hand in Hand Care Home has 9 citations. The county average is 3.9 citations per facility. There are 292 assisted living facilities in Fresno County.
Does Hand in Hand Care Home have any serious violations?
Hand in Hand Care Home has 2 Type A citations on record. Type A citations indicate conditions that pose an immediate health or safety risk to residents. Review the inspection timeline above for details on each citation.
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