Facility Evaluation Report

On 05/16/25, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPAs introduce self, stated the purpose of the visit and request to meet with Administrator. LPA met with caregiver Charisma Baclig. Licensee (L1) Sarah Mazibuko was called and arrived shortly. LPA toured facility with L1. All three resident was present during inspection.

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. All residents’ and sample of staff files were reviewed to have all the required records. Medications observed kept locked in hall closet. MARs were reviewed and medications were checked. Fire extinguisher was observed with a purchased date of: 04/27/25. Last fire drill completed on 04/01/25.

Temperature maintained for refrigerator at 30 degrees F and freezer at -6 degrees F. An adequate supply of perishable and non-perishable food was observed. Cleaning supplies observed locked under kitchen sink and garage cabinet. All bedrooms were observed to have required furnishings and with adequate lightening. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested at 106.3 degrees F in bathroom 1 and range at 109 degrees F in shared bathroom. Outside of facility toured and observed to be free of debris with adequate outdoor seatings available for residents. Side gate observed self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational.

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: 05/22/25. Forms 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 the Licensee, whose signature on this form confirms receipt of this report.