Facility Evaluation Report

On 04/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with caregiver Guadalupe Pena. Administrator Diana Diaz was called and arrived shortly. All three residents were present during visit.

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 were observed inside or outside . Fire extinguisher was observed with a service date: 06/10/24. Last fire drill completed on 03/07/25.

An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 39 degrees F and freezer at -5 degrees F. Washer and dryer observed operational and functional during visit. Cleaning supplies and chemicals stored and locked under kitchen sink. Knives stored and locked in kitchen drawer. Extra linens were observed in hall closet. Medications were observed locked in hall closet. MARs were reviewed and medications were checked. All bedrooms were observed to have the required furnishings and with adequate lighting. All bathrooms were toured and observed operational during inspection. Non-skid strips and grabbed bars were observed. Hot water temperature was tested at 118.7 degrees F in bathroom and 118. 6 degrees F in master bathroom. Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for residents. All residents’ and a sample of staff files were reviewed. Smoke detectors and carbon monoxide were observed operational during visit.

A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 04/21/25. 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 confirms received of this report.