Routine inspection·May 27, 2022

On 05/27/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with Tiffany Loftin, Supervisor. Administrator Renata Puckett was called and arrived shortly and conduct tour with LPA. Upon entry facility staff was observed with no facial covering. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed social distancing and cough etiquette postings. Administrator inquired fingerprinted clearance for supervisor. Administrator confirmed supervisor is not fingerprinted cleared. Residents’ room toured and observed to be adequately furnished and lit. LPA observed 1 shared residents bed to be at least 6 feet apart and 10 single occupant room. All bathrooms are observed with securely fastened grab bars and non-skid mat. All bathrooms observed trash bin with lid. Hand washing posting observed by bathroom sinks. Food supply was checked and appeared to be an adequate supply. LPA observed 30 day PPE supplies. Cleaning supplies were stored in locked storage room. LPA checked residents’ locked medications. A sample of resident records reviewed to have updated emergency contact information. Facility has mitigation plan on file. A deficiency and an immediate Civil Penalty of $500 was assessed. See Lic 421BG is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 6/3/22. The following updated forms were requested: Lic 309, Lic 400, Lic 402, Lic 500, Lic 9020, and current liability insurance. LPA received copy of Lic 308, Lic 610E, and current Administrator certificate. A copy of this report and appeal rights was provided to the Administrator.