Routine inspection·January 8, 2026

On 01/08/2026, Licensing Program Analyst (LPA) J.Duarte and LPA S. Doucette, arrived unannounced to conduct an annual inspection. LPAs introduced self, stated the purpose of the visit, and were greeted by staff. LPAs were granted entry. Staff contacted Administrator Rodrigo Arrieta and he arrived shortly after. LPAs toured the facility with Administrator Rodrigo and Staff Teresa Reyes. The facility was observed to be at 72 degrees F, clean, in good repair, and no passageway obstructions or fire hazards were observed. The common areas were well lit with adequate seating for residents. The facility had a two-day supply of perishable and seven-day supply non-perishable food. Chemicals and sharps were observed locked in kitchen cabinets. Medications and the first aid kit were also observed in a locked kitchen cabinet. LPAs observed the door from the dining room into the laundry room was locked and the laundry room, leads to the staff office, which is a fire exit (Exit #3 on the sketch). The hot water in the restrooms measured 105.5 and 109.5 degrees F. Resident bedrooms were toured and LPAs observed a second bed in R3's room being utilized to block R3's closet, to keeep R3 from accessing their closet space. The facility conducts their own laundry and has a washer and dryer. Detergent and chemicals were observed stored in the laundry room. A second fridge was observed in the garage. LPAs observed refrigerated medication is stored in a a lock box with no lock in a fridge in the garage. The garage is also kept unlocked. Continued in LIC 809-C. Continued from LIC 809. Resident’s medications were reviewed along with the MARs. LPAs observed the start date for R1's Losartan medication was on 12/18/25. Started with 30 pills, has eight pills left. Medication Hydrochlorothiazide has the same start date of 12/18/25 and started with 30 pills; however, has nine pills left. Both medications are administered in the morning according to the MARs log. Medication Hydrochlorothiazide has one extra pill that was not administered. Facility staff did not log on the centrally stored log, R1's medication of Doxazosinmesylate.S4 stated that they ran out of R1's Doxazosin Mesylate which was supposed to be administered at 5 PM. Facility has not received medication, causing a medication error. R3 and R4 do not have hospice care plan in their files. R1 has a hospice care plan which indicates facility staff are to take R1's blood pressure; however, there is no log indicating care is being provided. Care plan states facility supposed to seek medical attention if blood pressure is high; however, facility does not have a guide to instruct staff on when to seek medical attention. A fire extinguisher was observed with a service date of 09/17/2024. The last fire drill was completed on 10/22/25, per staff records. Smoke and carbon monoxide detectors were tested and observed to be operational. Staff files were observed to be complete with criminal record statement and health screening. Resident files were observed to be complete with physician reports. A deficiency is being cited on, see LIC 809D. A Repeat civil penalty was assessed and issued for fire clearance. A repeat civil penalty was assessed and issued for not locking centrally stored medications. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 01/15/2025. An exit interview was conducted and a plan of corrections was developed with the administrator. A copy of this report and appeal rights were provided to the administrator.