Routine inspection·May 22, 2025

On 05/22/25, Licensing Program Analysts (LPAs) M. Vega and L. Salazar arrived to the facility unannounced to conduct the required annual inspection, LPAs were greeted by Administrator, stated the purpose of the visit and were allowed entry into the facility. LPAs toured the facility inside and out with Administrator. LPAs observed the facility to be 2 stories with 63 rooms in Assisted Living and 13 rooms in the Memory Care unit named “Journey”. Memory Care unit was observed to have a 15 second delayed egress system with a keypad. LPAs observed a hydro therapeutic tub located on the first floor. Bedrooms were observed to have the required lighting and furnishings and were free from odor and any passageway obstruction / fire hazards. Facility temperatures throughout the were observed to be in the low to mid 70’s. Cleaning supplies were observed to be locked in a janitorial closet located next to laundry room. LPA toured the kitchen observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Menus for the facility were observed. LPA toured the kitchen and dining area where residents were having lunch. LPAs observed a daily special and weekly menus to posted at the entrance of the dining area. Facility has an Executive chef and a e-menu system that tracks daily meals and special diets for each resident in care. Continued on LIC 809C Carbon monoxide detectors were observed throughout the facility. Fire Extinguishers throughout the facility were observed with a service date of 04/04/25. First aid kits were observed to contain all required items. Medications were observed to be locked in Med cart located in a Wellness room. A sample medication audit was completed. Facility has an Emergency Disaster plan on file. Emergency Disaster and Fire Drill logs were observed. A sample of Resident were reviewed and observed to have the required documentation and forms. Needs and service plans and physician’s reports were current. Home Health and Hospice care plans were also observed in resident files with physician’s orders. LPA is requesting the following documents be submitted to the Fresno CCL office by 05/30/2025: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC 308), Administrator Organization (LIC 309), Certificate of Liability Insurance Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020A). An exit interview was conducted with Administrator. A copy of this report was discussed and provided at the time of visit. No deficiencies cited on today's visit.