Routine inspection·March 10, 2026

Licensing Program Analyst (LPA) J. Duarte arrived at the facility unannounced to conduct an Annual Inspection. There was no answer at the door. LPA contacted Administrator Adam Tauchen and he advised that staff will arrive shortly. Administrator Patrick Declaro and Adam Tauchen arrived shortly after and LPA was granted entry into the facility. Administrator stated that both residents were at day program. The facility was observed to be at a temperature of 73 degrees F, clean with no passageway obstructions LPA observed the exterior of the house paint is peeling off . The living room has sufficient seating for residents. The kitchen was toured and LPA observed a two-day supply of perishable and seven-day non-perishable food. The facility stores sharps in a locked kitchen cabinet. Medication along with the first aid kit are locked in a kitchen cabinet as well. A fire extinguisher was observed in the kitchen, with a service date of 09/24/2025. LPA observed patch work is needed in the dining room walls and the hallway entrance walls and baseboards. Administrator advised that walls get damaged with walkers. All bedrooms were toured and observed to have the required furniture and adequate lighting. Bathrooms were observed operational, with non-skid strips and grabbed bars observed for the showers and toilets. The ceiling to the bathroom near the entrance of the house has not been completely painted. The hot water to both restrooms measured at 106 degrees F. The facility has a dryer and washer in the utility room. Chemicals and detergent were observed locked in a laundry room cabinet. The kitchen door that leads to the laundry room has another door that leads to the patio. The laundry room door that leads to the patio was observed to have a latch at the top to secure the door closed. The facility has a freezer in the garage with an additional food supply. The sprinkler system was inspected on 12/05/25. Outside of the facility was toured and observed to be free of debris. The facility has a gazebo in the backyard with seating available. LPA observed the gate on the west side of the residence is broken. Continued on LIC 809C. Amended Report. Continued from LIC 809. The carbon monoxide/smoke detector was observed operational during inspection. Medications were reviewed along with MARS and observed to be administered as prescribed. The last fire drill was conducted on 02/05/2026, per staff records. A sample of resident files and staff files were also reviewed and observed to have required documentation. Deficiencies are being cited on the attached LIC 809D page. Plan of corrections was reviewed and discussed. An immediate civil penalty was assessed in the amount of $500 for fire clearance. An exit Interview was conducted. A copy of this report and appeal rights were provided to AD, whose signature on this form confirms receipt of this report. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 03/17/2026.