Facility Evaluation Report
On 3/18/2026, Licensing Program Analyst LPA K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA conducted tour with Administrator Gladys Hernandez. The facility was observed to be at a comfortable temperature, clean, in good repair, with no passageway obstructions or fire hazards. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 11/10/2024 and was fully charged. All common areas were properly furnished and well-lit throughout. Medications observed locked in hallway cabinets. First Aid, Resident/Staff files in facility office. Sharps locked in kitchen cabinet. Chemicals locked under kitchen sink. Dual Smoke Alarm and Carbon monoxide detectors tested and operational.
LPA toured four resident rooms and three bathrooms. All resident bedrooms toured and observed to be adequately furnished. Extra linens observed in the hallway closet. LPA toured laundry area which appeared clean in the garage. The exterior tour was conducted. Backyard observed to have sufficient seating under covered enclosed patio. Gate observed to open and latch with no issue. Medication review conducted. Staff records were reviewed for good health and training, all clients’ records were reviewed to have Admission Agreement, Physician’s Report and emergency contact information. Last fire drill completed on 2/10/2026.
No deficiencies issued during this inspection.
LPA is requesting the following documents be submitted to the Fresno CCL office by 3/25/2026: 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 conducted with Administrator. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this document.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction