Facility Evaluation Report

On 05/26/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with staff Evelyn Salas. Administrator Jared Sandoval was called and unable to attend inspection. Administrator authorized staff to received report. LPA conducted a facility tour with staff. There are three clients present during tour.

Upon entry facility staff was observed with no facial covering. Visitor log-in/temperature check was not observed upon entry. Hand sanitizer was readily available to clients and visitors. Facility has one entrance/exit point. Facility appeared cleaned with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. LPA observed social distancing and cough etiquette postings in facility. LPA checked clients’ locked medications. 30 day PPE supplies was not observed. Food supply was checked and appeared to be adequate supply. At 2:58 p.m., LPA and staff observed fire extinguisher served date: 05/22/2020.

All clients’ room toured and observed to be adequately furnished and lit. LPA observed two bedrooms that are single occupant and one shared client’s bed to be at least 6 feet apart. All bathrooms observed trash bin with no lid. LPA observed hand washing posting by one of three sinks. Cleaning supplies were stored and unlocked in laundry room. At 3:26 p.m., LPA and staff observed garden tools and tools in garage unlocked. The exterior tour was conducted. Side gate was self-closing and self-latching. All clients’ records reviewed to have updated emergency contact information.

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

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 06/03/22. The following updated forms were requested: Lic 308, Lic 309, Lic 400, Lic 402, Lic 500, Lic 610D, Lic 9020, and current Administrator certificate. Copy of this report and appeal rights was provided to staff and Administrator via email.