Facility Evaluation Report

On 06/19/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self and was granted entry to the facility by facility staff Emily Knight. Facility staff contacted Administrator, Dana Schrader via telephone. Administrator arrived a short time later.

LPA conducted a tour of the facility with Administrator. During the inspection the facility appeared clean and odor free and at a comfortable temperature. Common areas were furnished and had adequate seating and lighting available. Resident bedrooms appeared clean and had required furnishings and adequate lighting. Residents bathrooms appeared clean, water temperature measured at 118.9 degrees F in the bathroom near the kitchen and and 117.2 degrees F in the bathroom near bedrooms 2 and 3. Facility kitchen appeared to be clean and safe for food preparation. LPA observed 2-day supply of perishable foods and a 7-day supply of non-perishable food.

Exterior tour conducted, all exits open and free of obstructions during today’s visit. Fire extinguisher is current, last serviced on 07/02/2023. Smoke detectors and carbon monoxide detector observed to operational. Last fire drill conducted on 04/15/2024. Cleaning supplies observed to be locked and inaccessible to clients in care. LPA reviewed client and staff files. 4 out of 4 clients did not have a complete medical assessment on record. Medications observed to be locked and administered as prescribed. Interviews revealed that Dana Schrader is the new administrator for the facility. LPA is requesting that the facility submit change of administrator documentation to the Fresno CCL office by 06/26/2024.

LPA is requesting the following documents be submitted to the Fresno CCL office by 07/03/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents for LIC9020, and Surety Bond.

A deficiency is 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, Dana Schrader, whose signature on this form confirms receipt of this document.