Routine inspection·December 19, 2024

On 12/19/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met with staff Sonia Bautista. Licensee/Administrator Leticia Jackson was called and arrived shortly. All five residents were present during inspection. Residents were observed in the common area and in the bedrooms. LPA toured facility with Licensee. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. All residents’ bedroom were toured and observed to have the required furnishings and with adequate lightening. At 10:24AM, medications were observed on side table and television stand in room 1 unlock. At 10:29AM, medications and alcohol bottle were observed in room 2 closet unlock. Alcohol bottle was observed in staff closet in living room unlock. Fire extinguisher was observed with a service date: 01/18/24. LPA toured kitchen and observed cleaning chemical stored under kitchen counter unlock. Discontinued medications were observed stored under kitchen counter next to stove unlock. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 32 degrees F and freezer at -3 degrees F. Washer observed operational during visit. At 10:51AM, LPA observed a large box fill with cleaning bottles stored in the garage unlock. Refrigerated medications were observed in mini refrigerator unlock in the garage next to large chemical box. Knives were observed stored in a metal cabinet in the garage unlock. Paint cans were observed in the garage back wall unlock. The bathrooms were toured. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 114.9 degree F in the bathroom 1 and range at 110.8 and 111.4 degree F in master bathroom. Extra linens were observed. Outside of facility toured and observed to be free of debris. Side exit observed self-closing and self-latching. Adequate outdoor seatings available for residents. Medications were observed locked in cabinet in common area. Residents’ MARs and medications were checked. Sample of residents’ and staff files were reviewed. Carbon monoxide and smoke detector operational during visit. Technical Support Program (TSP) assistance was offered to Licensee. Licensee will make a decision and reach out the department regarding acceptance. 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 requested to be updated and submitted to Fresno CCL by 12/26/24: Lic 308, Lic 500, Lic 610E, Lic 9282, current liability insurance, and Administrator certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.