Routine inspection (multi-day)·October 23, 2025

On 10/23/2025 Licensing Program Analyst (LPA) M. Medina conducted an unannounced Case Management Annual Continuation visit. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by Direct Care Staff. Administrator, Dustina Sherwood contacted by telephone and arrived a short time later to conduct visit. . Annual continuation visit is being conducted to complete items from previous visit on 9/27/2025. Visit was a continuation for staff file review, resident records review, and a completion of the care tool. No deficiencies cited on this report. Administrator to submit the following updated documents to Fresno Regional office no later than 11/07/2025: Copy of Administrator certificate, copy of liability insurance, LIC 308 (Designation of Administrative Responsibility), LIC 500 (Personnel Report), and LIC 9020 (Register of Facility Clients/Residents) Exit interview conducted and facility report signed by Administrator. A copy of report provided for facility records.