Routine inspection·April 12, 2024

On 04/12/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met caregiver Jane “Jackie” Corral. LPA toured facility with caregiver. Licensee/Administrator Petro Crisostomo was called and arrived shortly during tour. All five residents were 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. Medications were observed locked in medication cart in the dining area. MARs were reviewed. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 40 degrees F and freezer at 0 degrees F. Fire extinguisher was observed with a service date of: 01/29/24. Cleaning supplies and chemicals stored and locked in garage and laundry room. Dryer observed operational during inspection. 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 range at 108 and 109.4 degrees F in master bathroom and 119.4 degrees F in bathroom. Extra linens were observed. All residents and sample of staff files were observed with the required documents. Outside of facility toured and observed to be free of debris. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 4/18/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, current liability insurance, current Administrator certificate, and control of property. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.