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25 | On 7/20/23 at 9:00 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - other inspection. LPA explained reason for inspection and met with Administrator (ADM) John Noreiga.
During a recent inspection on 7/11/23, LPA observed the facility’s use of rooms in Buildings A and B did not match the facility sketches on file and had changed, including a removal of a wall in Building A. Facility sketches on file need updating to reflect the correct building identifier, as well as correct cleared capacity per building, which would require an updated fire clearance (STD. 850).
LPA is requesting the facility to submit a completed LIC9054 and updated facility sketches (LIC 999, floor plan and yard) to Fresno Regional Office within two weeks. The updated facility sketches (floor plan) are to include for each room: designated use, capacity, dimensions, and number of non-ambulatory clients, if any. Facility sketch (floor plan) must also include a designated sick room [CCR 82087(d)], locations of video surveillance cameras, all utility shut-off locations, and exit routes numbered, to match exit numbering on the facility’s Emergency Disaster Plan. If abbreviations are used, a key must be included on each facility sketch. If the total number of non-ambulatory clients will be different than the current approved capacity, an application for change of capacity will be required.
Facility is to submit updated LIC309 and LIC610D to CCL within two weeks.
Exit interview conducted. A copy of this report was given to Administrator, whose signature confirms receipt of this report.
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