Routine inspection·September 2, 2022

On 09/02/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with Maris Fehr, Staff 1 (S1) . Licensee Josh McWealth was called and unable to attend meeting. LPA conducted tour with S1. Dolores Lagow, Staff 2 (S2) arrived later after tour. After tour S1 shift was over and left the facility. Seven residents were present during the inspection. LPA called and spoke with Licensee John McWealth via telephone and discuss report and inspection. Upon entry facility staff was observed with no facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. Social distancing and cough etiquette postings observed. At 09:19 AM, LPA and S1 observed five knives on kitchen counter unlocked. At 09:29 AM, LPA and S1 observed tools unlocked in the keys and batteries drawer in the kitchen. Food supply was checked and appeared to be an adequate supply. LPA checked residents’ locked medications. LPA observed fire extinguisher served date: 05/13/21. LPA observed 30 days PPE supplies. Cleaning supplies were stored and locked in laundry room. All resident’s room toured and observed to be adequately furnished and lit. LPA observed 1 shared residents’ bed to be at least 6 feet apart and six single occupant room. At 09:42 AM, LPA and S1 observed in master bathroom a tool unlocked on bathroom counter. All bathrooms are observed with securely fastened grab bars and non-skid mat. All bathrooms observed trash bin with lid. Hand washing posting observed by bathroom sinks.The exterior tour was conducted. Outside free o obstruction and debris. All resident records reviewed to have updated emergency contact information. 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: 9/8/22. The following updated forms were requested: Lic 308, Lic 309, Lic 500, Lic 610E, Lic 9282, Administrator Certificate and current liability insurance. Licensee was informed that as COVID-19 precautionary measure, this report and appeal rights will be provided via email. Signed report on file.