Facility Evaluation Report

On 12/16/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced at the above facility to conduct an Annual Inspection- Infection Control. LPA was greeted by Linda Burrus, Licensee. LPA introduced self, stated the purpose of the visit and was granted entry. Upon entry staff was observed not wearing facial covering. Visitor log in/temperature check observed upon entry. LPA conduct tour with Licensee. There were two clients were present during the tour.

Facility has one entrance/exit point. Social distancing is maintained in the common and dining areas. LPA observed COVID-19 related signs and cough etiquette posting. Food supply was checked and there appeared to be an adequate supply. LPA observed fire extinguishers with a service date of:11/22/21. LPA observe a 30-day PPE supplies. LPA checked residents’ locked medications.

Trash bin in bathrooms was observed with no lid. LPA observed hand washing posting by bathroom sinks. LPA toured all bedrooms. All 4 bedrooms are single occupant and observed to be adequately furnished and lit. The exterior tour was conducted. The exterior tour was conducted. Side gate was self-closing and self-latching. Staff records were reviewed for good health and infection control training. All residents have updated emergency contact information.

A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit interview was conducted. Please submit the following forms/information to Fresno CCL by: 12/22/22. Requested forms/ information: Lic 308, Lic 500, Lic 610D, Lic 9020, and Lic 9282. A copy of this report and appeal rights was provided to Licensee.