Facility Evaluation Report

Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Infection visit on this date. LPA allowed entrance by Licensee, Lupe Martinez Jr. and Dale Martinez stated purpose of visit.

Six (6) residents present during today's visit. Residents observed to be interacting with staff one another in a positive setting.

Facility appears clean, odor free, and at a comfortable temperature. Sufficient lighting and seating in all common areas. Resident bedrooms have all required furnishings. Linen is sufficient and in good repair. Perishable and non-perishable food supply is sufficient to meet client's needs. Resident bathrooms toured, all fixtures observed operational. LPA observed hot water temperature measured at 119 degrees F. Knives are stored and secured an inaccessible to residents. All medication observed to locked and stored in medication room.Carbon monoxide and smoke detectors observed operational during today's inspection. Fire extinguisher is present and has a service date of 6/10/2021. All chemicals are locked and secured in laundry room.

Outside of facility toured, all fire exits open freely and observed to free of obstruction. No hazards observed.

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

Through LPA’s observations, documentation and record review, the required infection control practices are found to be in compliance. No deficiencies cited during today’s inspection. No deficiencies cited during visit.