Routine inspection·March 4, 2024

On 03/04/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with staff Roderick “Erick” Buan. Licensee(L1) Maria Emma Pangilinan was called and arrived shortly. LPA toured facility with L1. All five residents were present during the 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. Sharps observed locked under kitchen counter. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 40 degrees F and freezer maintained at -4 degree F. Fire extinguisher was observed with a service date of: 12/27/23. Medications were checked and observed kept locked living room closet and kitchen cabinet. Residents’ MARS were reviewed. Cleaning chemicals observed locked in laundry room. Washer and dryer observed operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested 114.4 degrees F. in bathroom 1 and range between 117.1 and 118.5 degrees F in master bathroom. Outside of facility toured and observed free of debris. Side gate was self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational. All resident and reviewed to have all the required documents. Four staff files reviewed to have current 1 st Aid/CPR, medical training, fingerprinted cleared and associated. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 03/11/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.