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25 | On 01/28/2025, Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced to conduct an Annual Required Inspection. LPA introduced self, stated the purpose of the visit and was allowed entry to the facility. LPA requested to meet with the Administrator. LPA met with Administrator, Stephanie Haro.
LPA conducted a tour inside and outside of facility. Facility observed to be clean, odor free and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Resident rooms had required furnishings. LPA observed an adequate supply of linen. Resident bathrooms were properly equipped with securely fastened grab bars in toilet and tub/shower areas, non-skid mats were observed. Kitchen toured. LPA observed 7-day supply of non-perishable and 2-day supply of perishable food. Exterior tour conducted, all exits open and free of obstructions.
Fire extinguisher serviced on 09/18/2024. Smoke alarm detectors and Carbon monoxide detectors installed and operational. Last fire drill conducted on 12/1/2024. All cleaning supplies were observed to be locked and inaccessible to residents in care in the garage and locked laundry room. LPA reviewed staff and client records. Resident's records contained signed Admission Agreement, Personal Rights, and current Physician's Report and ID Documentation. Staff files were reviewed for good health. Staff files had health screenings/ TB Clearance. It was verified that current staff on duty are CPR certified. No deficiencies observed during today’s inspection.
LPA is requesting the following documents be submitted to the Fresno CCL office by 02/04/2025: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A).
An exit interview was conducted with Administrator, Stephanie Haro. A copy of this report will be emailed, whose signature on this form confirms receipt of this document.
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