Routine inspection·June 1, 2023

On 06/01/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. There are 6 residents present during today's inspection. LPA met with Qualified Intellectual Disability Professional, Nancy McDonald (QIDP). LPA reviewed resident records. Medications reviewed and observed to have original labels and be administered as prescribed. First Aid Kit observed. LPA will return at a later date to review staff records. LPA conducted a tour inside and outside of facility. Facility observed to be clean, odor free and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Resident rooms appeared clean and had required furnishings. LPA observed 3 out of 6 beds to be equipped with full bed rails. LPA confirmed with QIDP that the facility does not have an exception in place for the bed rails. LPA observed an adequate supply of linen. Resident bathrooms were properly equipped with securely fastened grab bars in toilet and tub/shower areas, non-skid mats were observed. Hot water measured at 111.1 degrees F. Kitchen toured, appeared clean and safe for food preparation. LPA observed a 7-day supply of non-perishable and 2-day supply of perishable food. Exterior tour conducted, all exits open and free of obstructions. Side gates was observed to be self-latching. Fire extinguisher serviced on 03/13/2023. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted on 05/31/2023. All cleaning supplies are locked and inaccessible to residents in care. CONTINUED TO 809C A deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted and a plan of correction was reviewed and developed with QIDP. A copy of this report and appeal rights were discussed and provided to QIDP, Anna McDonald, whose signature on this form confirms receipt of this document. LPA is requesting the following documents be submitted to the Fresno CCL office by 06/15/2023: · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed.