Facility Evaluation Report
Licensing Program Analyst (LPA) M. Flores arrived unannounced to conduct an annual visit. LPA introduced self, stated the purpose of the visit and was greeted by designated representative, P. Nauk. LPA toured facility with designated representative. LPA completed the inspection with Administrator Rosalind Ward and Area Director, Troy Rice. One client was present during inspection. LPA conducted interviews with staff and client.
The tour started in the kitchen into the common areas, to the client's bedrooms, and bathrooms. The facility was observed to be at a comfortable temperature of degrees 72 degrees F, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Cleaning supplies and chemicals stored and locked in the garage. Medications observed kept locked in hall closet next to the kitchen area. All bedrooms were observed to have required furnishings and with adequate lightening. LPA observed 2 single occupant rooms and 2 vacant bedroom rooms. Bathrooms were properly equipped, and the hot water temperature was tested at 108 degrees F. Fire extinguisher was observed with a service date of 06/26/23. Fire drill last completed on 08/22/23 and disaster evacuation drill dated on 9/14/23. Outside of facility toured and observed to be free of debris. Carbon monoxide and smoke detectors were tested and observed to be operational. Staff and client’s files were reviewed. First Aid checked and fully stocked.
No deficiencies issued during this inspection. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by Administrator. Forms requested: LIC308, LIC 309, LIC 400, LIC 402, LIC 500, LIC 610D, LIC 9282, LIC 503, LIC 9052, and control of property. A copy of this report was provided to administrator, whose signature on this form confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction