Routine inspection·August 26, 2025

On 8/26/2025, Licensing Program Analyst (LPA) J. Leffall arrived unannounced at the above facility to conduct a Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff. LPA met with Administrator (A1) Esmeralda Coronado LPA conducted facility tour with A1. All pathways, entrances and exits were clear from obstruction. LPA observed facility common areas which were furnished with sufficient seating. 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 7-day nonperishable and 2-day perishable foods. 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 3, 2024. Bathrooms were properly equipped with non-slip mats and grab bars. Residents observed in theater room watching television. Carbon monoxide detector tested and operational in hallways. No record of fire drill found on file for review. Memory care dining area toured. 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. Resident's records reviewed to have 1 missing document. 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 reviewed to have 1 missing document. Continued to 809-C Samples of resident’s medications were observed locked in Med-Tech room. Clients’ MARS was reviewed with samples of resident’s medications. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 9/9/2025: 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. Report signed on-site; a copy of this report, 809D with appeal rights were provided.