Routine inspection·May 1, 2023

On 05/01/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA arrived and was greeted by caregiver George Milarion. LPA introduced self, stated the purpose of the visit, and was granted entry. LPA requested to meet with Administrator. Licensee/Administrator Amy Dhillon was called and arrived shortly. LPA conducted tour with Licensee. All four residents were present during inspection. The tour started in the kitchen into the common areas to the resident's rooms. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. LPA observed COVID-19 related signs. Fire extinguisher was observed with a service date of: 02/27/23. Medications were checked and observed kept locked in laundry room cabinet. Residents’ MARS was reviewed. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 40 degrees F and freezer temperature at 0-degree F. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. LPA observed 1 shared residents’ bed to be at least 6 feet apart, 2 single occupant rooms, and 1 vacant bedroom. Bathrooms were properly equipped, and the hot water temperature was tested 106.5 degrees F. Hand washing postings was observed. Carbon monoxide and smoke detectors were tested and observed to be operational. Outside of facility toured. Side gate was self-closing and free of debris. All clients’ file reviewed to have update Emergency contacts, Admission agreement, Pre-Appraisal form, and physician report. All staff's files were also reviewed to have current First Aid/CPR, Personnel Record, Criminal record Statement, and Health Screening. 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: 5/08/23. The following updated forms were requested: Lic 308, Lic 500, Lic 610D, Lic 808, Lic 9282, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.