Facility Evaluation Report
On 04/28/2023, Licensing Program Analyst (LPA) arrived unannounced to conduct a case management visit. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. LPA met with Operations Manager, Alexis Rutledge and Administrative Social Worker, Macy Varner.
There are 3 out of 3 residents present during today's visit. Residents observed to be engaged in activities. LPA conducted a facility tour. Facility appeared clean, at a comfortable temperature and odor free. Food supply was checked. Facility has an adequate food supply. No fire clearance issues observed during today's inspection.
LPA is requesting the following documents be submitted to the Fresno CCL office by noon Monday 05/01/2023: resident roster, personnel roster, emergency/ID sheet for R1, admission agreement for R1, physician's report for R1, Needs / Services plan for R1, the job application and job description for S1, medical assessment for S1, criminal record clearance for S1, and any relevant documentation for S1.
No deficiencies issued during today's visit.
Exit interview conducted. A copy of this report was discussed and provided to operations manager, Alexis Rutledge, whose signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction