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25 | On 07/19/23, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the
Required Annual Inspection. LPA met with Executive Director (ED) Irma Langston and Memory Care Director (MCD) Dawn Marchel. LPA introduced self and stated the purpose of the visit. LPA conducted tour of facility with ED and MCD. Residents were observed in the common areas.
A sample of residents’ file was reviewed to have updated emergency contact, Admission agreement, Needs and Services Plan and Pre-Appraisal Plan. A sample of staff files were reviewed. Staff files were observed to have current First Aid/CPR, Health screening, and Personnel record.
The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway
obstructions or fire hazards. Fire extinguisher was observed with a service date of:12/14/22. Kitchen was toured. Food supplies are stored at Assisted living building and brought over to Memory Care. LPA toured a sample of resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lightning. Hot water temperature tested measured at between 116.9 degrees F. to 117 degrees F. LPA observed securely fastened grab bars and non-skid mat in all shower areas. Medications were stored in a locked medication room in a medication cart. MARs and medications were
reviewed. Activity room was toured. Courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents.
No deficiencies issued during this inspection.
An exit interview was conducted with the ED. LPA received copy of Lic 9282. The following documents are requested and submitted to Fresno CCL by: 07/25/23. The following updated forms were requested: Lic 400, Lic 610E, updated facility sketch, and current liability insurance. A copy of this report was given to the ED, whose signature on this form confirm receipt of these reports. |