Facility Evaluation Report

On 01/19/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and met with Licensee Bonnie Smith. LPA toured facility with Administrator. All three clients were present during the inspection.

Visitor log-in/temperature check was observed upon entry. LPA observed staffs with face covering. Hand sanitizer was readily available to clients and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed COVID-19 related signs and cough etiquette posting in facility.

LPA observed fire extinguisher served date: 11/18/22. Food supply was checked and appeared to be an adequate supply. All client’s room toured and observed to be adequately furnished and lit. LPA observed 3 bedrooms that are single occupant. All bathrooms observed trash bin with lid. LPA observed hand washing posting by all sinks. LPA checked clients’ locked medications and observed a 30-day PPE supplies. Cleaning supplies were stored and locked in hall closet and utility room.

The exterior tour was conducted. Side gate was self-closing and free of debris. LPA observed all clients’ records reviewed to have updated emergency contact information. Staff records were reviewed for good health and infection control training.

No deficiencies issued during this inspection.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 01/31/23. The following updated forms were requested: Lic 308, Lic 309, Lic 400, Lic 500, Lic 610D, and Lic 9282. A copy of this report was provided to Licensee.