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 Licensee, Rosalie Del Mundo. Two clients were present during this inspection. LPA conducted interviews with staff and client.

The tour started in the living room, to the client's bedrooms, bathroom and kitchen area. 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 laundry room. Medications and sharps observed and kept locked in the kitchen area. All four bedrooms were observed to have required furnishings and with adequate lightening. LPA observed four single rooms. Bathrooms were properly equipped, and the hot water temperature was tested at 119.3 degrees F. Fire extinguisher was observed with a service date of 07/26/23. Fire drill last completed on 09/02/23. 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 and submitted by 10/19/23. A copy of this report was provided to the Licensee, whose signature on this form confirms receipt of this report.