Routine inspection (multi-day)·January 11, 2024

On 1/11/2024, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct a Continuation Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff. LPA met with Administrator Esmeralda Coronado LPA conducted facility tour with Administrator. All pathways, entrances and exits were clear from obstruction. At 10:45 AM LPA observed during first annual visit laundry room door was propped open by a hanger and disinfectants, bleach and laundry soap was accessible to residents. Based on staff interview laundry room door was propped open because the door gets jammed/stuck. LPA observed facility common areas which were furnished with sufficient seating. LPA toured several resident rooms which were observed to be furnished with required furniture and adequate lighting. Fire extinguishers observed throughout the facility with service date of October 16, 2023. Bathrooms were properly equipped with non-slip mats and grab bars. Residents observed with several care givers in commons areas playing music and exercising. LPA observed delayed egress doors. Facility observed with a signal system. LPA toured an enclosed patio area with sufficient seating and shade for recreational purposes. Carbon monoxide detector tested and operational in hallways. Memory care dining area toured. At 11:33 AM Memory care shower observed with broken/c hipped tile and black like substance in the areas. Several rooms toured. At 12:10 PM LPA tested hot water temperature between 104 and degrees F and 131 degrees in several resident bathrooms. The tour continued to the facility dining room and facility kitchen. The kitchen was observed clean, in good repair with necessary items and appliances. LPA observed sufficient non-perishable and perishable foods. At 1:29 PM LPA observed the Ice Machine to have brown buildup underneath the door lift area. Continued to next page... Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report. Staff files were reviewed for good health. It was verified that there are at least two staff on duty who are CPR certified. Staff files were reviewed for good health. It was verified that current staff on duty is CPR certified. Deficiencies are being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 1/18/2024: 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, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with Administrator. Civil Penalty assessed for repeat violation. Report signed on-site; a copy of this report, 809D with appeal rights were provided.