Routine inspection·September 21, 2021

On 09/21/2021, Licensing Program Analysts (LPA) M. Yang and S. Doucette arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPAs introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPAs met with Administrator Esmeralda Coronado. LPAs conducted a tour with Administrator. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms are observed with trash cans with no lid. LPAs observed no hand washing posting by bathroom sinks. LPAs checked residents’ locked medications and observed a 30-day PPE supplies. Food supply was checked and there appeared to be an adequate supply. Fire extinguisher observed to be last serviced 08/02/2021. Staff records were reviewed for infection control training. Facility staff was observed with mask on. All residents have updated emergency contact information. Staff records were reviewed for infection control training. LIcensee will submit the following requested forms/information to Fresno CCL by: 09/27/21. Due to COVID-19 precautionary measures: 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, updated Liability Insurance, LIC 309 Administrative Organization, LIC 808, and current Administrator certificate and health screening. A deficiency is being cited on the attached LIC 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview was conducted. A plan of correction was developed and reviewed with the administrator. Administrator was informed that as a COVID-19 precautionary measure, this report and appeal rights will be provided via email and an electronic read receipt confirms receiving this document. Report signed on-site.