Facility Evaluation Report

On 9/19/2022, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection -Infection Control. LPA met with staff Elaine Sanced and stated the purpose of the visit. Administrator was contacted via telephone and would be arriving shortly.

Visitor log-in/temperature check, masks, and disinfection station were observed upon entry. Facility has one

entrance/exit point. Facility staff observed with facial coverings. Facility appeared clean with no obstruction or

fire clearance issues. Hand sanitizer was readily available to residents and visitors. Hand washing and other

various Covid-19 related signs were observed in the common areas.

Sharp items and cleaning supplies were secured in a locked cabinet in laundry room. Medications were secured in a locked closet next to laundry room. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the laundry was last serviced on 9/13/2022 and was fully charged. Cleaning and PPE supplies were locked in the garage. Bathrooms have trash cans with lids. Hand washing posters were observed in the bathrooms by the sink. Pool was secured with a lock.

Staff records were reviewed for good health, infection control training. Residents wear masks when away from

the community. Resident’s files have updated emergency contact information.

LPA is requesting the following documents be submitted to the Fresno CCL office by 9/26/2022: Current copy

of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC

309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster (LIC610E)

An exit interview was conducted with Licensee. Report signed on-site and printed copy provided.