Facility Evaluation Report

On 04/15/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and met with Licensee/ Administrator Socorro “Ann” Telmo. LPA toured facility with A1. All six residents were present during the 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. Medications were observed locked in kitchen shelf. Residents’ MARS and Centrally Stored Medication Records were reviewed. Medications were checked. Fire extinguisher was observed with a service date of: 03/18/25. Chemicals observed locked under kitchen sink. An adequate supply of perishable and non-perishable food was observed. Freezer temperature maintained at -16 degree F and refrigerator temperature maintained at 40 degrees F. Knives observed locked in kitchen drawer . Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested range at 116.3 degrees F in hall bathroom and 117.1 degrees F in master bathroom. Extra linens were observed. Outside of facility toured and observed free of debris. Side gate was self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational. A sample of staff files were reviewed to have all required documents.

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 610D, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.