Facility Evaluation Report

LPA was met by Licensees, Lupe Martinez and Dale Martinez and stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point, all staff and visitors enter through side entrance.

Facility appeared clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to resident and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. Resident bedrooms toured, resident bedrooms have a minimum of 6 feet between beds.

Fire extinguisher present and has a service date of 06/10/2021. Carbon monoxide detector and smoke detectors present and observed to be operational during today's inspection.

LPA checked residents’ medications and observed a 30-day supply. Food supply was observed to be adequate for residents in care. Cleaning and PPE supplies were checked. Mitigation Plan submitted to Department and approved on 4/23/2021.

Licensee to submit the following documents to Fresno CCL office no later than 9/28/2021: Copy of Administrator Certificate, First Aid card, LIC 500, LIC 610, LIC 9020 and Updated facility sketch.

No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed.