Routine inspection·July 8, 2025

On 07/08/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Julie Huynh. LPA conducted tour inside and out of facility with AD. Residents observed at the facility after lunch time. The facility, two story building with 28 rooms, was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 06/23/2025 Last fire drill recorded 5/21/2025 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. Food is delivered by Performance Foods twice a week on Mondays and Thursdays. Refrigerator temperature was maintained at 36.0-degree F. and freezer was maintained at -2-degree F. Residents' double occupancy rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested and within regulation requirements. LPA observed securely fastened grab bar and non-skid mat in shower area. Medications were stored in a locked in medication cart. Medication room located on upper level. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. The facility laundry room with stored and locked chemicals for staff use and is accessible to facility staff only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. The facility operational telephone number is 831-643-9069 Report continues on attached LIC809-C Residents and staff files were requested and reviewed. LPA observed the facility Plan of Operations, Emergency Disaster Plan, and Infection Control Plan is accessible when asked. 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 · 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: 07/12/2025 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. No deficiencies issued during this inspection. An exit interview was conducted with the AD. A copy of this report was given to the AD, whose signature on this form confirm receipt of these reports.