Routine inspection·February 20, 2025

On 02/20/25, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and request to meet with Administrator. LPA met with staff Alejandra Gaitan. Licensee Lorena Rodriguez was called and arrived shortly. Three resident was present during inspection. 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. Outside observed free of debris. Fire extinguisher was observed with a service date of: 12/27/24. Temperature maintained for refrigerator at 34 degrees F and freezer maintained at 0 degrees F. An adequate supply of perishable and non-perishable food was observed. Medications observed kept locked in laundry room. MARs were reviewed. Cleaning supplies and chemicals stored and locked in laundry room. All bedrooms were observed to have required furnishings and with adequate lighting. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested 105 hall bathroom, room 3 and room 4 tested at 110.5 and 110.8 degrees in shared bathroom, and room 4 and room 5 110.3 and 110.4 degrees F in shared bathroom. Outdoor seatings observed available for residents. Smoke detectors were tested and observed to be operational. All residents’ and a sample of staff files were reviewed to have all required documents. A deficiency is being cited on the attached Lic 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: 02/26/25. Forms requested: Lic 308, Lic 500, Lic 610E, Lic 9020, current liability insurance, control of property, and current Administrator Certificate. A copy of this report and appeal rights was provided to the Licensee, whose signature on this form confirms receipt of this report.