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25 | On 07/18/2024, Licensing Program Analysts (LPAs) Walton and Leffall arrived unannounced to conduct a case management inspection. LPAs introduced themselves, stated the purpose of the visit and requested to meet with Administrator. Facility staff contacted Licensee, Aurora Rigon, who was unable to attend this visit. LPAs met with facility staff, Rudy Rigon, who arrived a short time later.
The purpose of this visit is to follow up on information that was disclosed to the Fresno CCL office. During today's inspection, LPAs conducted a facility tour and reviewed client records. During the facility tour LPAs observed discolored bread and milk that was expired in the refrigerator. LPAs found food that had been improperly stored evidenced by multiple cereals layered in the same container. Bedrooms were toured. LPAs found the fan in bedroom 1 to be in disrepair and in need of replacement and multiple holes were observed in client bedding. Bathrooms toured. Bathroom appeared clean and operational. Hot water measured at 96.8 degrees F. LPAs found that the bathroom faucet is in need of repair.
Exterior tour conducted. LPAs observed the rain gutters to be in disrepair. The light fixture on the back patio needs a light cover. The door knob on a the back door was missing. The garage doors need to be repainted and a large hole in the garage door in need of repair. LPAs also observed multiple broken items that needs to be removed/disposed of.
A sample of client records were reviewed. During a previous visit on 02/13/2024, an interview with Administrator, Aurora Rigon, revealed that the Administrator "is not here as often as she should". Interviews conducted today with facility clients confirmed that the administrator is not present in the facility for the amount of hours needed to properly manage the facility.
Deficiencies are being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D. A civil penalty in the amount of $250 is also being assessed for repeat violation. Exit interview conducted and a plan of correction was reviewed and developed with facility staff. A copy of this report was discussed and provided to facility staff, Rudy Rigon, whose signature on this form confirms receipt of this document. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
08/16/2024
Section Cited
CCR
80087(a)
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7 | (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors...This requirement is not met as evidenced by: | 1
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7 | Licensee agrees to make the needed repairs and/or replace items listed. LPA will return once the POC due has passed to confirm that the items have been replaced and/or repaired. |
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14 | Based on observation, the licensee did not comply with the section cited above when the following items need to be repaired or replaced: facility rain gutters, door knob on the back door, garage door needs to be repainted, the hole in the garage door needs repair, light fixture on back patio, fan in bedroom 1, and client bedding | 8
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Type B
07/25/2024
Section Cited
CCR85064(e)
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7 | 85064 Adminstrator Qualifications and Duties: (e) The administrator shall be on the premises the number of hours necessary to manage and administer the facility in compliance with applicable law and regulation... this requirement was not met as evidenced by: | 1
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7 | Licensee agrees to update and submit the LIC 500, including the time frame when the Administrator will be on the premises, to the Fresno CCL office by the POC due date. |
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14 | Based on interviews, the licensee did not comply with section 85064 when it was found that the administrator is not on the premises the number of hours necessary to manage the facility | 8
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
07/25/2024
Section Cited
CCR
80088(e)
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7 | 80088 Furniture, Fixtures, Equipment, and Supplies: (e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water... this requirement was not met as evidenced by: | 1
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7 | Licensee agrees to adjust water temperature to be in compliance with the section 80088. LPA will return once the POC due has passed to confirm that the water temperature is in compliance with Title 22. |
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14 | Based on observation, the Licensee did not comply with section 80088 when hot water measured at 96.8 degrees F, which is potential health and safety risk to persons in care. | 8
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14 | Hot water should measure between 105-120 degrees F. |
Type B
07/25/2024
Section Cited
CCR80076(a)(18)
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7 | (a) In facilities providing meals to clients, the following shall apply: (18) All food shall be protected against contamination. Contaminated food shall be discarded immediately... this requirement was not met as evidenced by: | 1
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7 | Licensee agrees to dispose of contaminated food and review section 80076. LPA will return at a later date to confirm if the corrections have been made. |
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14 | Based on observation, Licensee did not comply with section 80076 when food was stored past the expiration date and when multiple cereal were observed to layered in one container... which is a potential health and safety risk to clients | 8
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