Routine inspection·June 13, 2025

Licensing Program Analyst (LPA) Vadim Gorban arrived unannounced for an Annual Required Inspection. LPA met with Administrator Christina Pelayo, stated the purpose of the visit and was allowed entry. A tour of the facility was conducted. Facility has one entrance/exit point. Facility tour was conducted. Facility appeared clean with no obstruction or fire clearance issues. Fire extinguisher service date on November 14th, 2024. Last fire drill recorded on 5/01/2025 Hand sanitizer was readily available to residents and visitors. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathrooms. Bedrooms were checked. The exterior tour was conducted. Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Refrigerator temperature was maintained at 39.0-degree F. and freezer was maintained at -2-degree F. LPA checked residents’ medication records. Food supply was checked and there appeared to be an adequate supply. Cleaning supplies were checked. Staff records were reviewed for good health and infection control training. Facility staff was observed communicating with resident in polite manner. LPA observed residents after lunch in common area. Resident’s files have updated emergency contact information. Facility operational phone number 209-664-1378 Exit interview was conducted, report signed and provided to administrator for facility records. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms · LIC 308 Designation of Facility Responsibility · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents Please submit the above forms/information to Fresno CCL by: 06/16/2025 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed.