Routine inspection·February 19, 2026

On 02/19/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduced self, stated the purpose of the visit and met with staff Diana Fernandez. Licensee/Administrator Leticia Jackson was called and arrived shortly. All six residents were present during inspection. 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. A sample of residents’ and all staff files were reviewed. All residents’ bedroom were toured and observed to have the required furnishings and with adequate lightning. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 34 degrees F. Fire extinguisher was observed with a service date: 01/12/26. Last fire drill was completed on 01/15/26. First aid kit observed with required items. LPA toured kitchen and observed cleaning chemical stored and locked in laundry closet. The bathrooms were toured. Room 4 bedroom sliding door exit was observed blocked by a metal stick . Non-skid mats and grabbed bars were observed in hall bathroom. Non-skid mats were not observed in master bathroom shower. Hot water temperature was tested at 106.4 degree F in the master bathroom and maintained at 106 degree F in hall bathroom. Extra linens and towels were observed. Medications observed locked under television in television stand. Outside of facility toured. Adequate outdoor seatings available for residents. Carbon monoxide and smoke detector operational during visit. A civil penalty is being cited, per California Code of Regulations, Title 22, Division 6, see attached 421IM. 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 02/25/26: Lic 308, Lic 500, Lic 610E, 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 this report.