Routine inspection·June 9, 2025

On 6/09/25, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection. LPA Medina was allowed entrance by Direct Care Staff. Licensee/Administrator Liza Pinono contacted by telephone and arrived a short time later to conduct visit. Currently, six (6) residents in care. All residents were present at time of inspection. Facility tour began in resident bedrooms, all bedrooms observed to have required accommodations. LPA observed the closet in master bedroom (Room #4) to have a bed with linen as well as other mattresses being stored, there were no personal belongings of residents in closet. In Bedroom 3 (Room #3), resident 1 (R1) and Bedroom 2 (Room#2) resident 2 (R2) both observed to have half bed rails. Residents bathrooms observed to be clean, and fixtures observed operational. LPA observed base board in hallway bathroom to be in need of repair and/or replacement. Bath/tub are have skid resistant mats, shower chairs, and grab bars. Hot water tested in both bathrooms with a water temperature of 111 degrees F. Dining room and living room have adequate seating and lighting for all residents in care. Kitchen toured, LPA observed adequate food supply for the residents in care. Medications observed to be locked and secured. Medication observed to have original labels and to be administered as prescribed. Smoke Alarms and carbon monoxide detectors observed to be operational at time of visit. Fire extinguisher has a service date of 12/9/24. All cleaning supplies observed to be locked in secured in laundry room, garage and under kitchen sink. Staff and resident files reviewed. All facility staff who require caregiver background checks have received criminal record index clearance or exemptions. Outside area toured. Exit door from kitchen has a security door in place which was observed to be rusted and in need of painting or replacement. LPA observed designated fire exit gate from backyard to front yard to be locked making fire exit inaccessible. Licensee/Administrator to submit current copy of Liability insurance, LIC 500, LIC 610E, and LIC 9020 to Fresno Regional Office no later than Friday, June 27, 2025. All deficiencies observed are being cited on the attached 809-D. Immediate Civil Penalty Assessed. Exit interview conducted with Licensee/Administrator, Liza Pinono. A plan of correction was developed by Licensee and discussed with LPA. A copy of this report and appeal rights were provided to Licensee for facility records.