Routine inspection·February 6, 2023

On 2/6/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with Macecilia “Marie” Pasturan, Caregiver. Licensee Petro Crisostomo was called and arrived shortly and conduct tour with LPA. All five residents were present during the inspection. Upon entry facility staff and visitors was observed with no facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. Social distancing and cough etiquette postings observed. LPA checked residents’ locked medications. Food supply was checked and appeared to be an adequate supply. Cleaning supplies were stored and locked in cabinet in the garage. LPA observed fire extinguisher served date: 01/24 /23. LPA observed 30 days PPE supplies. At 10:48AM, LPA and Licensee observed knives stored in drawers unlocked. At 10-:58AM, LPA and Licensee observed laundry detergent stored in unlocked cabinet in laundry room. At 11:02 AM, LPA and Licensee observed paint cans and bug spray in garage unlocked. All resident’s room toured and observed to be adequately furnished and lit. LPA observed 2 shared residents’ bed to be at least 6 feet apart and 2 single occupant room. All bathrooms are observed with securely fastened grab bars and non-skid mat. All bathrooms observed trash bin with lid. Hand washing posting observed by bathroom sinks. The exterior tour was conducted and observed free of obstruction and debris. Staff records were reviewed for good health and infection control training. All resident records reviewed to have updated emergency contact information. The required infection control practices are found to be in compliance. LPA discussed past due fee with Administrator during today's inspection. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 2/17/23. The following updated forms were requested: Lic 308, Lic 500, and Lic 610E. LPA received a copy of current liability insurance and facility sketch. A copy of this report and appeal rights was provided to Licensee.