Routine inspection·April 8, 2024

On 04/08/24, Licensing Program Analyst (LPA) K.Kaur arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was allowed entry by Administrator Arreguin Renee. Inspection conducted with Administrator and Licensee Irene Hatton-Burnitzki. One resident was present during the inspection the rest were at day program. LPA observed 7-day supply of non-perishable foods and a 2-day supply of perishable foods observed. At 11:25 AM LPA observed Knives and cleaning supplies unlocked in the kitchen cabinet and under the sink. Additional cleaning and Chemical supplies are kept in locked cabinet in the garage. At 12:20 PM LPA observed Fire extinguisher was expired with a service date of 3/21/2023. Residents' bedrooms were observed to be adequately furnished with bed, dresser, and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available. Carbon monoxide and smoke alarm detectors installed and operational. Grab bars installed in showers and by toilets, non-skid mats in place. All pathways, entrances and exits were clear from obstruction. The facility was observed to be at a comfortable temperature, in good repair. Common areas were properly furnished and well-lit throughout. The dining room is equipped with a table and chairs, living room is equipped with adequate sofas and recliners for residents, adequate outside space for rest and recreational. LPA toured outside and observed sufficient seating under patio area. Pool observed with a fence and a locked gate. Backyard gate is self-closing and self-latching. Last fire drill conducted on 3/24/2023. At 11:23 PM LPA reviewed resident's medication, MARS, and Centrally Stored Medication and Destruction Record (CSMDR) and observed medication was not logged in the log. Continued to LIC809C… Resident Admission agreement needs/services plan, and emergency identification is up to date. Staff files reviewed and complete. Staff verified to have CPR/First aid training. Deficiency is 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 4/15/2024: 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. Report signed on-site; a copy of this report, 809D with appeal rights were provided.