Facility Evaluation Report

On 09/23/25, Licensing Program Analyst, LPA L. Salazar arrived at the facility unannounced to conduct the required annual inspection. LPA was greeted by Staff S1, stated the purpose of the visit and was allowed entry into the facility. S1 contacted Administrator, Renee Arreguin Rodriguez who arrived to the facility shortly after LPAs arrival. Administrator Certificate #7033849740 Exp. 02/20/27.

LPA toured the facility inside and out. LPA observed 1 resident in care at the time of visit. 3 residents were attending day program. Facility is a 4 bedroom / 2 bathroom house. Resident bedrooms were observed to have the required furnishings and are free from odor and passageway obstruction/fire hazards. Bathrooms were observed to have operational lights, running water, and non- slip floors. Hot water temperature tested at 113 degrees F.

Required postings were observed. Cleaning supplies were observed to be locked in the laundry room. LPA toured the kitchen observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Carbon monoxide detector was observed. Fire Extinguisher was observed with a service date of 08/14/25. First aid kit was observed to contain all required items. LPA reviewed resident and staff files and observed the files to have the required documents and training. Medications were observed to be locked in a closet located at the entry of the facility. Quarterly Emergency Disaster Drill logs were observed for staff.

LPA is requesting the following documents be submitted to the Fresno CCL office by 10/06/25: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents (LIC9020A), Surety Bond.

An exit interview was conducted with Administrator. A copy of this report was discussed and provided at the time of visit. No deficiencies cited on today's visit.