Routine inspection·November 7, 2022

On 11/07/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA met with Lenette Otero-Gross, Administrator and Crystal Alaniz, Resident Care Coordinator. LPA conducted a tour with Administrator and Resident Care Coordinator. Later during tour Samantha Torres,Health and Wellness Director arrived. Visitor log-in/temperature check was observed upon entry. Facility staff was observed with mask on. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer available for visitors and residents. LPA observed residents in various areas of the facility and physically distanced 6 feet apart. COVID-19 related signs and cough etiquette postings was observed. Fire extinguisher observed to be last serviced 11/08/21. Food supply was checked and there appeared to be an adequate supply. Hand washing posting was observed in bathroom sinks. LPA observed a 30-day PPE supplies. All residents' room are single occupant. LPA toured residents’ rooms to be adequately lit and furnished. All bathrooms are observed with securely fastened grab bars. Bathrooms are observed with trash cans with no lid. LPA and Administrator observed cleaning chemical bottles stored and unlocked under resident’s bathroom sink. LPA and Administrator observed resident’s medications stored in bathroom shelve and under resident’s bathroom unlocked. LPA checked residents’ locked medications. A sample of resident records reviewed to have updated emergency contact information. Staff records were reviewed for good health and current CPR first aid. A deficiency is being cited on the attached 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. A copy of this report and appeal rights was provided to the Administrator. Licensee will submit the following requested forms/information to Fresno CCL by: 11/14/22: Lic 308, Lic 500, Lic 610E and updated Liability Insurance.