Facility Evaluation Report

On 06/17/25, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the

Required Annual Inspection. LPA introduce self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal and Licensed Vocational Nurse Diane Cramer. LPA toured facility with Administrator.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards. Last fire drill completed on 3/25/25. Fire extinguisher was observed throughout facility with a service date of: 06/13/25. Medications were stored in medication carts. MARs, Centrally Stored Medication List were reviewed, and medications were checked. LPA toured a sample of residents’ room were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Bathroom was toured and observed with securely fastened grab bars and non-skid mat. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored. Temperature was maintained at 31 degree F. in refrigerator and freezer temperature was maintained at -7.4 degree F. Chemicals was stored and locked in housekeeping closet. Washer and dryer observed operational and functioning. Extra linens observed. The outside was toured and observed to be free from debris. There was outdoor seating available for the residents in courtyard. Fire alarm systems observed throughout facility.

A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. A

civil penalty is being assessed see attached Lic 421IM.

An exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 06/23/25. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, current Administrator certificate, and current liability insurance. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirm receipt of these reports.