Routine inspection·June 3, 2022

On 6/3/2022, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Maria Brasil . Permission was received via phone from Administrator Christina Pelayo to have Maria sign report. Visitor log-in/temperature check, masks, and disinfection station were observed upon entry. Facility has one entrance/exit point. Facility staff observed with facial coverings. Facility appeared cleaned with no obstruction or fire clearance issues. Fire extinguisher in kitchen was last serviced on 12/3/2021 and was fully charged. Hand sanitizer was readily available to residents and visitors. Bathrooms have trash cans with lids. Bedrooms were checked and beds are six feet apart or have head-to-toe orientation. LPA checked residents’ medications and observed a 30-day supply which is kept locked in the hallway closet with cleaning supplies and knives. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Resident’s files have updated emergency contact information. No deficiencies were observed. LPA is requesting the following documents be submitted to the Fresno CCL office by 6/17/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan (LIC610E), Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020. An exit interview was conducted with Staff. Report signed on-site by staff and printed copy provided.