Routine inspection·September 17, 2024

On 09/17/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit, requested to meet with the Administrator, and was granted entry to the facility. LPA met with Administrator, Shailesh Patel. LPA reviewed resident and personnel records. LPA found that 2 out of 2 residents receiving hospice services do not have hospice care plan on file. Upon review of personnel files, LPA found that S1 did not have a file on site and S2 did not have a health screen on file. LPA conducted a tour of the facility with Administrator. LPA toured the facility kitchen. The kitchen appeared to be clean and safe for food preparation. LPA observed an adequate food supply. Knives are kept locked and inaccessible to clients in care, in a cabinet above the stove. The fire extinguisher was observed and was last serviced on 04/10/2023. Resident bedrooms were toured and observed to have the required furnishings. Resident bathrooms were toured and found to be operational during the inspection. Hot water measured at 122.7 degrees F. Common areas were observed to be furnished with adequate seating and lighting. All passageways were clear from obstructions. The facility appeared to be clean and odor free. Smoke detector and carbon monoxide detector observed to be operational. Exterior tour conducted. LPA did not observe any fire clearance issues during today's inspection. Side gate was observed to be self-latching. 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. A copy of this report was discussed and provided to Administrator, Shailesh Patel, whose signature on this form confirms receipt of this document. LPA is requesting the following documents be submitted to the Fresno CCL office by 10/01/2024: 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