Facility Evaluation Report

Licensing Program Analyst (LPA) Rachel Bruce arrived unannounced to conduct the Annual inspection. LPA was granted entrance by Direct Care Giver, Joe Garcia, who reached out to licensee Estellle Dailey who arrived shortly thereafter. LPA explained the purpose of the visit and Licensee conducted tour of facility both inside and outside.

Resident bedrooms were toured and observed to be clean and free of obstruction with adequate lighting. Windows are screened and operational. LPA observed required items in bathrooms with hot water measuring 104.7 and 109.7 degrees F. Resident hygiene supplies were properly stored and available. The kitchen was toured observed in good repair with necessary items and appliances. Sharps/knives were properly stored in locked cabinet in kitchen. LPA observed required food supply and paper products. Overflow of food is stored in second refrigerator in garage. Medications are centrally stored and locked. Facility has designated visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility including outdoors. First aid kit located in the kitchen and contained required items.

Fire Extinguisher located in the kitchen was serviced in 2/4/2024. Smoke and Carbon Monoxide detectors were tested and found to be functioning. LPA conducted resident and staff file reviews. Required documentation was present, and Licensee will ensure that the Needs and Services Plans are appropriately updated. Administrator’s re-certification was confirmed to be in active status.

Backyard was free of obstruction, however the fencing is in need of repair. There is a non-functioning chain link fence located adjacent to the cinder block fence that replaced it. There is also a need to repair several slats of wood which are deteriorated. Citation issued on the attached Deficiency page.

LPA is requesting the following documents be submitted to the Fresno CCL office by 3/1/2025 : Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond .