Routine inspection·March 11, 2024

On 03/11/24, Licensing Program Analysts (LPA) M. Yang and K. Kaur arrived at the facility unannounced to conduct the Annual Inspection. LPA met Administrator (A1) Paul Anderson, Licensed Vocation Nurse (LVN) Palvire Bassia, and Director of Residential Services (DRS) Shellie Whitlock. LPAs conducted tour of facility with A1, LVN, and DRS. Facility consists of Assisted Living (AL) and Memory Care (MC) Unit. LPAs toured a sample of resident bedrooms in Assisted Living and Memory Care. Residents were observed seating in common areas. Facility has sufficient furnishings inside and outside for resident use. The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguisher was observed throughout the facility with a service date of: 09/09/2023. LPAs toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. LPA observed janitor cart and cleaning chemicals stored unlock in janitor and mechanical room. LPA observed medications and cleaning chemicals unlock in residents’ room. Bathrooms hot water temperature was tested and within range between 113.7 to 118.2. LPA observed securely fastened grab bars and non-skid surfaces/mat in shower. Bathrooms was observed operational. LPA observed a hole in under resident’s kitchen sink. LPAs observed exits in Memory Care to have a 30-second delay egress. The outside was toured and observed to be free from debris with outdoor seating available for residents. A sample of resident and staff files were reviewed to have all the required documents. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22,Division 6. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 03/18/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E. A copy of this report and appeal rights was provided to Administrator.