Facility Evaluation Report

On 9/23/25 Licensing Program Analysts (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Melba Stoops . LPA was granted entry. 6 residents were present during inspection. Designee Mario Ramos (D1) was called and arrived shortly after LPA’s arrival.

LPA toured facility with S1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -17 degrees F and refrigerator temperature was maintained at 37 degrees F. Samples of medications were checked and observed kept locked in the kitchen cabinet. Residents’ MARS was reviewed. Fire extinguisher was observed with a purchase date of 10/14/24.

Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a temperature range of 107.7 to 114 in 3 bathrooms. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. First-aid kit observed with all of the required items. Fire drill completed on 9/10/25. All residents and a sample of staff files reviewed to have all the required documents.

No deficiencies issued during today's inspection.

Exit interview was conducted.The following documents requested to be updated and submitted to Fresno CCL by 10/7/25: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. A copy of this report was provided to Designee, whose signature on this form confirms receipt of these report.