Facility Evaluation Report
On 07/15/2024, Licensing Program Analysts (LPAs) Walton and Leffall arrived unannounced to conduct an annual inspection. LPAs introduced themselves, stated the purpose of the visit and requested to meet with the Administrator. LPAs met with Administrator, Victoria Green.
LPAs toured inside and outside of the facility. No fire hazards or passageway obstructions were observed. LPAs observed sufficient seating and adequate lighting throughout the facility. LPAs observed 5 chairs and 1 couch in need of repair. LPAs toured the client restrooms which appeared clean and operational. Hot water measured at 95 degrees F. The faucets in kitchen 1 and kitchen 2 did not have a water faucet aerator. Clients provide their own meals. Medications are stored on site in a locked cabinet in the kitchen. Fire extinguishers were last serviced on 03/01/2024.
Outside of facility was toured. There are no bodies of water on the premises. Facility records reviewed. LPAs reviewed a sample of client records and found that 5 out of 10 clients did not have an updated IPP on file. LPAs also found that 5 out of 10 clients did not have physician report (medical assessment) on file. LPAs reviewed a sample of personnel records.
Deficiencies are being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D.
Exit interview conducted and a plan of correction was reviewed and developed with Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Victoria Green, whose signature on this form confirms receipt of this document.
LPAs are requesting the following documents be submitted to the Fresno CCL office by 07/29/2024:
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction