Facility Evaluation Report

On 07/19/2021, Licensing Program Analyst (LPA) K.Kaur arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was allowed entry by Licensee Zoria French.

Visitor log-in, masks, and disinfection station was observed upon entry. LPA did not observe temperature screening at entry. Facility has one entrance/exit point. Hand sanitizer was readily available to residents and visitors. Hand washing and other various Covid-19 related signs were observed in the common areas. LPA observed a two-day supply of perishable food and seven-day supply of non-perishable food. Cleaning supplies were observed behind a locked laundry room door. LPA observed the following personal protective equipment in a storage cabinet in laundry room: gloves, and masks and hand sanitizer. Facility needs gowns and N95 masks. Fire extinguisher in kitchen last serviced on 3/14/2022 and was fully charged. Staff records were reviewed for infection control training. LPA observed all facility staff wearing masks. Resident’s files have updated emergency contact information.

No deficiencies issued during this inspection.

LPA is requesting the following documents be submitted to the Fresno CCL office by 7/26/2022: 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 Licensee. Report signed on-site by Licensee and printed copy provided.