Routine inspection·May 21, 2025

On 05/21/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a Annual visit. LPA introduced self, stated the purpose of the visit, and was greeted by staff Jimmy Flores. Licensee (L1) Olivia Roura was called and arrived shortly. LPA toured facility with L1 toured facility with staff. All six 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 are kept locked in hall closet. LPA audit medications and reviewed MARs. Fire extinguisher was observed with a service date of 04/25/25. Last fire drill completed 04/20/25.An adequate supply of perishable and non-perishable food was observed. Temperature observed refrigerator maintain a 40 degrees F and freezer temperature at -1 degree F. LPA observed cleaning chemicals stored and locked in laundry shelves. LPA toured all resident’s bedrooms. Resident rooms observed to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms were properly equipped, and the hot water temperature was tested at 116.2 degrees F in hall bathroom and 117.3 and 118.1 degrees F shared master bathroom. Outside of facility toured. Side gate was self-closing and self-latching. Adequate outdoor seatings observed available for residents. Carbon monoxide and smoke detectors were tested and observed to be operational. All of resident and sample of staff files were reviewed. A deficiency is being cited on the attached Lic 809D and an immediate Civil Penalty was assessed. See Lic 421IM is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview conducted. LPA received copy of Lic 500, Lic 9020, current Administrator certificate, The following updated forms were requested to be submitted to Fresno CCL by 05/27/25: Lic 308, Lic 610E, control of property, and current liability insurance. A copy of this report and appeal rights was provided to Licensee.