Facility Evaluation Report

On 02/05/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct visit for an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with staff (S1) Yolanda De Avila. Administrator (A1) Terrence Hardge and stated unavailable to attend meeting. A1 authorized staff to sign report. LPA toured facility with S1. One client 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 and outside. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature observed maintained at 40 degrees F and freezer at -2 degrees F. Sharps and knives observed locked under kitchen counter. Last fire drill was completed on 01/05/26. Fire extinguisher was observed with a service date of: 10/28/25.

All clients’ rooms toured and observed to be adequately furnished and lit. Bathrooms were toured and observed operational during inspection. Hot water was tested to be at 118 and 118.8 degrees F in hall bathroom and tested to be at 118.5 and 118.7 degrees F in master bathroom. LPA observed medications locked in hall cabinet. Clients P & I records reviewed. Outside was toured and observed free of debris. Outdoor seating is available for clients. All clients’ and staff files were reviewed to have all the required documents.

A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. LPA discussed POC with A1 via telephone. The following documents are requested and submitted to Fresno CCL by: 02/11/26. The following updated forms were requested: Lic 308, Lic 400, Lic 500, Lic 610D, Lic 9020, and current Administrator certificate. A copy of this report and appeal rights was provided to Administrator via email.