Routine inspection·May 18, 2026

On 05/18/2026, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Julie Estrelado, certification number 6052504740 and expiration date 6/13/2025. LPA conducted tour inside and out of facility with AD. Residents observed at the facility during lunch time. The facility, kitchen observed with walk in freezer , temperature recorded at -3 degrees F, and refrigerator with 38 degrees F. Facility receive food by Cisco twice a week on Mondays and Thursdays. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Residents occupy all three stories of the building : back part of the main floor / section occupied by memory care residents with census of 17 residents during the visit. Assisted living takes most of the building; all three levels. Dinning room, kitchen, common area and theater located on the main level. The facility has a barber shop and pool on the lower level. Pool and barber shop locked and accessible only when requested. Only staff has access keys to either rooms. Both rooms posted schedule when open and staff present during open hours. LPA toured resident rooms that were observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Rooms and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 108 degrees F. LPA observed securely fastened grab bar and non-skid floor mats with floor non-slip lining in shower area. Fire extinguisher was observed with a service date of 01/28/2026. Last Fire drill date recorded on April 15, 2026. Report continues on attached LIC809-C Medications were stored in a locked in both medication rooms: memory care and assisted living. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room and observed chemicals were stored and locked for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. A count of residents’ and staff files were reviewed to have updated required information. 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 &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · LIC 309 Administrative Organization Please submit the above forms/information to Fresno CCL by: 05/25/2026 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. An exit interview was conducted with the ED. Issues deficiencies attached on LIC809-D A copy of this report was given to the AD, whose signature on this form confirm receipt of these reports.