Routine inspection·October 10, 2025

On 10/10/25, Licensing Program Analyst (LPA) J. Duarte arrived unannounced to conduct the required Annual inspection. LPA introduced self, stated the purpose of the visit, and met with Direct Care Staff (DCS) Kevin Clemeno and Merlinda Lauffenburger. Staff contacted Administrator (AD) Susan Baal and stated AD will be reporting to the facility to assist with this inspection. AD Susan arrived shortly after with AD Ulysis Baal. LPA toured the facility with DCS Kevin and AD Ulysis. The facility was observed to be at a temperature of 76 degrees F, in good repair, and no passageway obstructions were observed. The living room has adequate seating for residents. The kitchen was toured and LPA observed an adequate supply of perishable and non-perishable food. The facility stores kitchen knives in a locked kitchen cabinet. Medication is also stored in a locked kitchen cabinet. A fire extinguisher was observed in the kitchen, with a service date of 06/05/25. Resident bedrooms were toured and observed to have beds, dressers, chairs, and adequate lighting. Bathrooms were observed operational, with non-skid mats and grabbed bars. The restrooms hot water measured between 118.6 and 119.5 degrees F. The facility has a laundry room, with a washer and dryer. The facility does their own laundry. The garage was toured and LPA observed detergent, chemicals, and hygiene products locked in a cabinet. The facility has a freezer in the garage with an additional supply of frozen food. Outside of the facility toured and observed to be free of debris. The gate on the side was observed to be self closing. The backyard patio provides shaded seating for residents. The carbon monoxide/smoke detectors were observed operational during inspection. A first aid kit is stored in the kitchen. All resident files and a sample of staff files were reviewed and observed to have required documentation. Continued in LIC 809C... Continued from LIC 809. AD Susan stated that R1 is on hospice. Per R1's physician report, resident is receiving hospice care for a terminal illness. However, AD Susan stated that they do not have a hospice care plan for R1. LPA observed the interior window frames had spider webs and dust. The fan in R2 and R3's bedroom had dust accumulated and the dust was building up on the fan blades. The light fixture in the dinning room also had dust accumulated. Deficiencies are being cited on the attached LIC 809D in accordance to California Code of Regulations, Title 22. An exit Interview was conducted. A copy of this report and appeal rights were provided to AD Susan Baal. 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: 10/17/25.