Facility Evaluation Report

On 02/19/26 Licensing Program Analyst (LPA) K.Kaur arrived unannounced for an annual inspection visit. LPA was allowed entry by staff Maryann Castillo. LPA introduced self, explained reason for visit. Administrator Jasmine Oganyan was contacted and arrived a short while later.

LPA conducted tour with Staff. The facility was observed to be at a comfortable temperature, in good repair, with no passageway obstructions or fire hazards. Residents observed in common areas and in rooms. There was 1 resident on hospice. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 01/21/2026 and was fully charged. All common areas were properly furnished and well-lit throughout. LPA toured laundry area which appeared clean. Medications and first aid are kept locked in a closet next to laundry. Chemicals and cleaning supplies are locked in hallway closet and laundry room. Smoke Alarm and Carbon Monoxide detector tested and operational. All client bedrooms toured and observed to be adequately furnished. LPA observed one bedroom that is shared room and four with single occupancy. The exterior tour was conducted. Pool was observed gated and locked. The backyard was observed to have sufficient seating under covered Patio. Medication was reviewed. LPA observed PRN records missing orders. Staff records were reviewed for good health and training, all clients’ records reviewed to have Admission Agreement, Physician’s Report and emergency contact information.

Deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6.

LPA is requesting the following documents be submitted to the Fresno CCL office by 2/26/2026: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan (LIC610D), Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020.

Exit interview conducted with Licensee. A copy of this report was discussed and provided to Licensee, whose signature on this form confirms receipt of this document.