Facility Evaluation Report

On 5/30/2024, Licensing Program Analyst LPA K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff. Staff contacted Administrator Maria Alicia Ortiz, who was not available. Medical Lead/LVN Bridgette Yanez arrived a short while later with staff files. LPA conducted tour with Staff. The facility was observed to be at a comfortable temperature, clean, in good repair, with no passageway obstructions or fire hazards. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 08/10/2023 and was fully charged. All common areas were properly furnished and well-lit throughout. Medications, First Aid, and Sharp items locked in the Staff office closet. Smoke Alarm and Carbon Monoxide detector tested and operational. LPA toured 4 resident rooms and an office. All client bedrooms toured and observed to be adequately furnished. Extra linens observed in the cabinet storage next to the laundry room. LPA toured laundry area which appeared clean. Cleaning supplies and chemicals observed locked in cabinet next to laundry. The exterior tour was conducted. The backyard was observed to have sufficient seating and space for rest and recreational under a covered patio. Medication was reviewed. Staff records were reviewed for good health and training, all clients’ records reviewed to have Admission Agreement, Physician’s Report and emergency contact information. Last fire drill completed on 5/7/2024.

No deficiencies issued during this visit.

LPA is requesting the following documents be submitted to the Fresno CCL office by 6/6/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan (LIC610D), Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020.

An exit interview was conducted with staff. Report signed on-site, a copy will be emailed due to technical difficulties.