Routine inspection·March 27, 2025

On 03/27/2025, Licensing Program Analyst (LPA) M Vega arrived unannounced to conduct an annual inspection. LPA introduced stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Jean Asignacion via telephone. Administrator arrived a short time later. LPA conducted a tour inside and outside of facility. Facility observed to be clean, odor free and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Resident rooms clean and had required furnishings. LPA observed an adequate supply of linen. Resident bathrooms were properly equipped with securely fastened grab bars in toilet and tub/shower areas, non-skid mats were observed. Hot water measured 114.0 degrees F in facility restroom. Kitchen toured, clean, observed a 7-day supply of non-perishable and 2-day supply of perishable food. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Fire extinguisher serviced on 04/21/2024. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. LPA reviewed staff and client records. Medications reviewed and observed to have original labels and be administered as prescribed. First Aid Kit contained the required supplies. Continuation on LIC 809C LPA is requesting the following documents be submitted to the Fresno CCL: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC 308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020A), Surety Bond LIC 400. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Jean Asignacion, whose signature on this form confirms receipt of this document.