Routine inspection·December 9, 2024

On 12/09/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met with staff John Flores and staff Edward Alfonso. Licensee (L1) Susan Blanza was called and arrived shortly. LPA toured facility with L1. All five 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. At approximately 11:07AM, LPA observed knives stored under medication cabinet unlock. LPA observed over-the-counter medications single packets stored in First Aid kit on the wall near fire extinguisher. Fire extinguisher was observed with purchased date of 08/09/24. F. At approximately 11:18AM, LPA observed chemicals stored under kitchen sink. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature observed maintained at 37 degrees F and freezer temperature maintained at -2 degrees. LPA observed R1 and R2’s medications stored and refrigerated on the bottom of the refrigerator door unlock. Medications were observed unlock in medication shelves. MARS was reviewed and medications were checked. LPA observed chemicals, paint, knives stored in garage cabinet unlock. Paint buckets were observed next to water heater in the garage unlock. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. At approximately 12:45PM, LPA observed R2 and R4 in bedroom with an alcohol bottle next to television on television stand. All bathrooms are toured. All bathrooms were observed operating and functioning during inspection. Non-skid mat and grabbed bars were observed. Cleaning chemicals were observed under hall bathroom sink unlock. Hot water temperature was tested at 106.3 degrees F in hall bathroom. Outside of facility toured. At approximately 1:00PM, a bleach bottle was observed on the floor next to the BBQ grill unlock . Side gate was observed free of debris. Adequate outdoor seating available for residents. A sample of resident and staff’s files were reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. Technical Support Program (TSP) assistance was offered to Interim Administrator and Senior Executive Director. Interim Administrator and Senior Executive Director will make a decision and reach out the department regarding acceptance. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached 809D. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 12/16/24: Lic 308, Lic 500, Lic 610E, current liability insurance, and control of property. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.