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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547202472
Report Date: 04/10/2024
Date Signed: 04/10/2024 10:44:28 AM

Document Has Been Signed on 04/10/2024 10:44 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:ZANYK IIFACILITY NUMBER:
547202472
ADMINISTRATOR/
DIRECTOR:
NICHTER, JOSEPHFACILITY TYPE:
735
ADDRESS:421 N. DIVISADEROTELEPHONE:
(559) 627-2630
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 6CENSUS: 3DATE:
04/10/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Administrator, Joseph NichterTIME VISIT/
INSPECTION COMPLETED:
11:01 AM
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On 04/10/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self and was granted entry to the facility. LPA disclosed the purpose of the visit to the House Manager (HM). HM contacted Administrator, Joseph Nichter (AD) via telephone. AD arrived a short time later. LPA met with AD.

LPA conducted a tour of the facility with Administrator. During the inspection the facility appeared clean and odor free and at a comfortable temperature. Common areas were furnished and had adequate seating and lighting available. Resident bedrooms appeared clean and had required furnishings and adequate lighting. Residents bathrooms appeared clean, water temperature measured at 109.5 degrees F. Facility kitchen appeared to be clean and safe for food preparation. LPA observed 2-day supply of perishable foods and a 7-day supply of non-perishable food.

Exterior tour conducted, all exits open and free of obstructions on today’s visit. Fire extinguisher is current with a service date of 06/30/2023. Smoke detectors and carbon monoxide detector observed to be operational. Last fire drill conducted on 04/01/2024. Cleaning supplies observed to be locked in a closet near the entry. LPA reviewed client and staff files. Medications observed to be inaccessible to residents in care and administered as prescribed.

No deficiencies issued during today's inspection.

Exit interview conducted. A copy of this report was discussed and provided to Administrator, Joseph Nichter, whose signature on this form confirms receipt of this document. Due to technical difficulties, a copy of this report was provided via email and a hard copy will be mailed to the facility.

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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