Routine inspection·October 17, 2024

On 10/17/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit, and met with Designee Stacey Smith. Licensee (L1) arrived during inspection. All 13 residents were present during inspection. LPA toured facility with L1. The facility was observed to be at a comfortable temperature. The facility was observed clean, and no passageway obstructions or fire hazards were observed inside or outside. Outside of facility toured and observed to be free of debris. Adequate outside seatings were observed available for residents. A sample of resident and staff files were reviewed to have all the required documents. An adequate supply of perishable and non-perishable food was observed. Walk in refrigerator temperature maintained at 32 degrees F. Cleaning chemicals observed stored and locked under kitchen counter. Washer and dryer was located in detached building. LPA observed washer and dryer operational during inspection. Medications observed kept locked in medication cart in the medication room. Fire extinguisher was observed throughout the facility with a service date of 05/06/24. All bedrooms were observed to have required furnishings with adequate lighting and at comfortable temperature. Carbon monoxide and smoke detectors were tested and observed in each bedroom. Bathrooms observed with grabbed bars and non-skid mat. Toilet observed good repair and operational. Bathroom hot water temperature was tested at 112.6 degrees F in bathroom 1, 110.4 degrees F in bathroom 2, and 116.2 degrees F in bathroom 3. At approximately 1:35PM, LPA and L1 observed a shovel outside room 6 patio unlock. At approximately 1:48PM, LPA and L1 observed a tool set and automatic screwdriver stored in between the kitchen counter unlock. LPA and L1 observed a hole in the wall under kitchen sink. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 10/23/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, current liability, and control of property. A copy of this report and appeal rights was provided to Licensee, .