Facility Evaluation Report

On 12/18/2023, 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 Administrator Vanessa Garduno.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed. Facility has 2 levels with common areas downstairs and bedrooms upstairs. LPA and Administrator began the tour at the Living room and continued at the facility kitchen. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Chemicals, cleaning supplies, and sharps were observed locked closet next to kitchen. Fire extinguisher in dining area was last serviced on 12/14/2023 and was fully charged. Tour continued to the den which has sufficient seating. Carbon monoxide and smoke alarm detectors installed and operational. LPA toured 4 single occupancy rooms and one shared bedroom which were observed to be furnished with required furniture and adequate lighting. LPA viewed live in staff bedroom. Linen supply is kept in the hallway cabinets upstairs next to Laundry room. LPA observed sufficient seating under covered patio area in the back of the facility. Medications are kept in the closet under the stairs. LPA reviewed resident’s medication with the MARs and centrally stored list. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report. Staff files were reviewed for good health. Staff files had First Aid training.

LPA is requesting the following documents be submitted to the Fresno CCL office by 12/25/2023: 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.

Exit interview was conducted with administrator. Report signed on-site; printed copy of report provided.