Facility Evaluation Report
On 08/6/26 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) Marcos Garcia. LPA was granted entry. 5 clients were present during inspection. Care Coordinator (CC) Luijean De Castor arrived shortly after LPA’s arrival.
LPA toured facility with CC. 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 32 degrees F. Cleaning chemicals was observed stored and locked in garage area. Fire extinguisher was observed with a service date of: 7/17/26. Fire drill last completed on 7/1/26. Clients' 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 range of 110.4 to 112.5 degrees F. in 2 bathrooms. Outside of facility toured. Side gates were self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Samples of medications, and medication logs were reviewed with no errors.
Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ file reviewed to have all the required documents. Samples of staff files were reviewed and observed to have all the required documents.
No deficiencies issued during this inspection.
Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 8/20/26: 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 was distributed to Care Coordinator whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction