Facility Evaluation Report

On 01/24/2023, Licensing Program Analyst (LPA) K.Kaur arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and was allowed entry by administrator Vanessa Garduno.

Facility staff was observed with mask on. Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to residents and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. LPA checked PPE supplies and residents’ locked medications and observed a 30-day supply. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. LPA observed fire extinguisher served date: 12/5/2022.

All resident’s room toured and observed to be adequately furnished and lit. LPA observed 3 bedrooms shared resident’s bedroom to be at least 6 feet apart. LPA toured bathrooms and observed Trash bins with lids and hand washing signs. Cleaning supplies were stored and locked in laundry room The exterior tour was conducted. Side gate was self-closing and self-latching. Last fire drill was conducted on 01/1/2023. Staff records were reviewed for good health and infection control training. All residents’ records reviewed to have updated emergency contact information.

LPA is requesting the following documents be submitted to the Fresno CCL office by 1/31/2023: 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.

An exit interview was conducted with administrator. Report signed on-site; printed copy provided.