Routine inspection·June 18, 2024

On 06/18/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met House Manager (HM) Heidi Snavely. LPA toured facility with HM. Licensee Marguerite Bruton was called and arrived later during inspection. Four residents were present upon inspection. One resident arrived later during inspection from day program. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Medications were observed locked in kitchen shelves. LPA reviewed MARS and audit medications. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 36 degrees F and freezer at 0 degrees F. Fire extinguisher was observed with purchase date of 06/06/23. Extra linens were observed. Chemicals and sharps observed stored and locked in laundry cabinet. All bedrooms were observed to have the required furnishings and with adequate lightening. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 120 degree F in the shared bedroom and 114.8 degree F in bathroom 1. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Adequate outdoor seatings available for residents. All residents’ and staff files were reviewed to have all the required documents. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. LPA received a copy of Lic 9020. The following documents are requested and submitted to Fresno CCL by: 06/24/24. Forms requested: Lic 308, Lic 500, Lic 610E, Administrator Certificate, and current liability insurance. A copy of this report and appeal rights was provided to the Licensee, whose signature on this form confirms receipt of this report.