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25 | On 11/19/24 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff Joy Viernes (S1). LPA was granted entry. 3 clients were present during inspection. 1 resident departed for Dr's appointment with Staff (S2) Lorry Naval. Administrator (A1) Gurmit Aulakh arrived shortly after to conduct inspection.
LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -3 degrees F and refrigerator temperature was maintained at 35 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 2/17/24. Fire drill last completed on 10/5/24. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at 112 degrees in both bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed.
Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have all the required documents. Samples of staff files were reviewed and observed to have all the required documents.
No deficiencies issued during this inspection.
Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 12/3/24: Lic 308, Lic 500, Lic 610D, Lic 9020 and Administrator Certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.
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