Facility Evaluation Report
On 07/21/26 Licensing Program Analyst (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) Modesta Paz. LPA was granted entry. 4 residents were present during inspection. Licensee Aurora Rigon (L1) was present at facility upon LPA’s arrival.
LPA toured facility with L1. 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 0 degrees F and refrigerator temperature was maintained at 40 degrees F. Medications were checked and observed kept locked in the kitchen cabinet. Residents’ MARS was reviewed. Fire extinguisher was observed with a purchase date of 2/5/26.
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 to 113 degrees F in 3 bathrooms. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing. Outside was observed with adequate outdoor seatings available for residents. First-aid kit observed with all of the required items. Fire drill conducted on 3/30/26.
All residents and samples of staff files reviewed to have all the required documents.
The following deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6.
Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 8/4/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization LIC 309, Affidavit regarding Client/Resident Cash Resources LIC 400, Liability Insurance-RCFE, Emergency and Disaster Plan LIC 610E, Personnel Report LIC500, Register of Facility Clients/Residents for LIC9020A
A copy of this report with and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction