Facility Evaluation Report

On 9/8/2025, Licensing Program Analyst (LPA) J. Leffall 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 staff. LPA met with Administrator Trevin Willis and Health and Wellness Director Crystal Alaniz.

LPA conducted a tour of the facility with Health & Wellness Director, Crystal Alaniz LVN and Administrator Trevin Willis.

Tour was completed of the main two story building, the Enhanced assisted living building and the Independent cottages. The facility was free of passageway obstructions inside and outside. Common areas observed clean with sufficient seating. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was measured at a range of 109.9.4 F to 117.3 F in 5 apartments.

Kitchen toured, 2-day perishable and 7-day nonperishable food observed. Medications were stored in a locked Medication cart. Laundry room and maintenance rooms were toured that contained locked with chemicals. LPA observed housekeeping carts had chemicals that was locked. Smoke detectors and carbon monoxide detectors were checked and operating. Facility has a sprinkler system with fire alarm. Staff files were reviewed to have First aid/CPR certification and required training.

LPA reviewed resident files. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report and ID Documentation. Medical Assessments are current with TB Clearance. LPA conducted a medication audit and no issues were observed.

No deficiencies issued during today's inspection.

LPA is requesting the following documents be submitted to the Fresno CCL office by 9/22/2025: 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 (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020.

An exit interview was conducted. A copy of this report was issued to Administrator whose signature confirms receipt of this report.