Routine inspection·August 23, 2024

On 08/23/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a Required Annual inspection. LPA introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met with Administrator Laura Dobson, RCFE Liasion Collen Alavarez, and Director of Operations Darci Nieton. All six resident was present during inspection. The facility has 6 single occupancy rooms located in the 300 wing of the Hoffmann Hospice Home. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed. Chemicals are stored in locked housekeeping closet, inaccessible to residents. A supply of extra linen and towels are stored inside front hall closet. Medications were observed in medication cart in locked medication room in the facility. LPA checked medications and reviewed MARs. Facility kitchen is shared with Hoffmann Hospice Home. Food supply was checked and appeared to have an adequate supply in facility pantry, walk in refrigerator, and walk in freezer. Temperature maintained for refrigerator at 40 degrees F and freezer temperature at -2 degrees F. Fire extinguisher was observed throughout facility with a service date of: 09/14/23. Common areas were observed to be spacious with adequate seating. All 6 rooms are fully furnished with adequate lighting according to regulation and are free from odor and debris. Bathrooms were observed with securely fastened grab bars and non-skid flooring. Bathroom hot water temperature was tested at 120 degrees F in room 302, 118.9 degrees F in room 303, 112.5 degrees F in room 304, 113.9 degrees F in room 305, 115.5 degrees F in room 306, and 115.3 degrees F in room 307. Carbon monoxide was observed functional during inspection. LPA observed a hard wired smoke detector system that signals directly to the fire department in case of emergency. Emergency lighting is observed throughout the building and flashlights are charged and readily available. Outside was observed to be free of debris with adequate outside seatings available for residents. Sample of resident and staff files were reviewed. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 08/30/23. Forms requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.