Routine inspection·December 18, 2023

On 12/18/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Facility staff granted LPA entry to the facility and contact the Administrator via telephone. Administrator, Marc Barcelona, arrived a short time later. LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Resident rooms appeared clean and had required furnishings. LPA observed an adequate supply of linen. Resident bathrooms were properly equipped with securely fastened grab bars in toilet and tub/shower areas, non-skid mats were observed. LPA observed that the tub faucet was leaking, facility placed a large bucket under the faucet. Hot water measured at 122.7 degrees F. Kitchen toured, appeared clean, observed a 7-day supply of non-perishable and 2-day supply of perishable food. LPA observed Clorox wipes accessible to residents in care and the stove knobs were not removed when the stove was not in operation. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Fire extinguisher serviced on 03/20/2023. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted on 10/25/2023. LPA reviewed staff and client records. Medications reviewed and observed to have original labels and be administered as prescribed. Medications were observed to be accessible to residents in care due to the lock on the cabinet needing to be repaired. LPA observed multiple pills/tablets in a zip lock bag in the medication cabinet as well as 3 prescription bottles that contained discontinued medication. Administrator stated that medications are in the cabinet due to needing to be destroyed. 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 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. LPA is requesting the following documents be submitted to the Fresno CCL office by 01/08/2024: 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*