Routine inspection·December 13, 2022

On 12/13/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection - infection control. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Marc Barcelona. LPA conducted a facility tour with Administrator. COVID-19 guidelines are in place. Facility appeared cleaned. Hand sanitizer was readily available to residents and visitors at facility entrance. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lids. Hand washing posters were observed by the bathroom sink. Bedrooms are single occupant. LPA observed the bed in room 3 to be blocking the fire exit. LPA checked residents’ locked medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility staff was observed with mask on. Resident’s files had updated emergency contact information. LPA is requesting the following documents be submitted to the Fresno CCL office by 01/03/2023: 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 A deficiency is being issued in accordance to California Code of Regulations, Title 22, Division 6 for fire clearance. Exit interview conducted and a plan of correction was reviewed and developed with Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Marc Barcelona, whose signature on this form confirms receipt of this document.