Facility Evaluation Report

Licensing Program Analyst (LPA) Daiquiri Boyd made a visit to the facility to complete the Annual Inspection. Care Coordinator (CC) Luijean De Castro Abragan met with LPA to complete the inspection.

LPA reviewed medication room and medication logs.

First Aid kit was observed in medication room and found to be complete.

LPA and CC De Castro Abragan discussed the Administrator Certificates for the facility. There is currently only one Active Certificate holder, Ravi Stephen, for this Licensee. CC De Castro Abragan looked up her own Administrator Certificate in the online portal and it was found to be in the Pending List. Upon further inquiry, it was found that there was a message for CC in the Genesis portal, stating she had submitted incorrect information and is currently calling Sacramento to find out what is needed to complete the process. The other staff that is in pending status is the currently listed Administrator Sundari Susan Kendakur.

Citations were issued on this day. Technical Violations were issued on this day.

LPA is requesting the following documents be submitted to the Fresno CCL office by 5/07/2025 : Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610D) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond .