Routine inspection·October 28, 2024

On 10/28/24 at 11:30am Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection LPA was greeted by Staff Renaldo Yabut (S1). LPA introduced self, stated the purpose of the visit and Administrator (A1) Elisa Pua was present during inspection. LPA was granted entry. 5 residents were present during inspection. LPA toured facility with A1. 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 -10 degrees F and refrigerator temperature was maintained at 44 degrees F. Fire extinguisher was observed with a purchase date of: 5/16/24. Fire drill last completed on 10/13/24. Washer and dryer observed operational during visit. Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' 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 at a temperature of 112.6 degrees in bathroom 1 and 110 degrees F. in bathroom 2. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. A sample of medications were checked and observed kept locked in the hall closet. Residents’ MARS was reviewed. Based on record review LPA observed 1 out of 1 residents medication count was under the required amount. First aide kit observed with all of the required items. All residents and samples of staff files reviewed to have all the required documents. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22,Division 6. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 11/12/24: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. A copy of this report and appeal rights were provided to Administrator, whose signature on this form confirms receipt of these reports.