Routine inspection·July 24, 2024

On 07/24/2024 Licensing Program Analysts (LPAs) K. Kaur and M. Vega arrived at facility unannounced to complete an annual inspection. LPAs introduced self, stated the purpose of the visit, and was granted entry to the facility by Licensee/ Administrator, Marine Voskanyan. The facility has 1 resident, who was present during the inspection. LPAs toured the facility with the administrator. Facility is maintained at a comfortable temperature, clean and in good repair. LPA observed Facility required postings on entry wall. Living room is equipped with adequate sofas and recliners for seating. LPAs toured 5 resident rooms and 1 staff room. Residents' bedrooms were observed to be adequately furnished with bed, dresser, chair and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available in the hallway closet. LPAs observed grab bars installed by toilet and shower, non-skid mats in place. At 1:43 pm LPAs did not observe "No Smoking-Oxygen" signage on residence bedroom door. Fire extinguisher was observed to be serviced on 6/6/2024. Tour continued to kitchen, a 7-day supply of non-perishable foods and 2-day supply of perishable foods was observed. The dining room is equipped with table and chairs. At 2:12 PM LPAs observed staff medication on the kitchen counter. 2:03 PM LPAs observed unlocked chemicals and cleaning supplies in laundry room cabinet. LPAs toured garage and observed stored equipment. LPAs observed Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) in dining area. LPAs observed fencing around pool. Backyard gate is self-closing and self-latching. Covered patio and seating observed with adequate outside space for rest and recreational. Smoke alarm and Carbon monoxide detectors installed and operational. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report and ID Documentation. At 3:30 PM during Medication review LPAs observed Licensee did not complete the Centrally Stored Medication and destruction record. Staff files were reviewed for good health. Staff files had health screenings/ TB Clearance. It was verified that current staff on duty are CPR certified. Last Fire Drill conducted on 1/03/2024. Continued to 809C... Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 7/31/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with Licensee. Report signed on-site; a copy of this report, 809D with appeal rights was provided via email due to technical difficulties.