Palm Village Retirement Community

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Allegation investigated: Staff is not providing meals that meet resident's special dietary needs

On 07/10/2026 Licensing Program Analyst (LPA) M. Garza arrived at the facility for an unannounced complaint visit to deliver findings. LPA met with Administrator, Karely Alcantar, explained reason for visit and was permitted entry into the facility. During complaint LPA completed interviews, requested and reviewed documenation and toured the facility inside and out. Review of records disclosed that R1's admission agreement stated independent living residents could purchase meals for an additional cost. Review of R1's medical assessment dated 03/30/26 indicated that R1 has a need for a special diet. Previous medical assessment dated 06/18/2009 did not specify this need. During the period of 06/2009 through 03/2026, R1 was instructed by staff to provide an updated medical assessment for the special diet accommodation. Interviews conducted indicated that the facility provides accommodations for special diets to those with medically documented conditions. Although the allegation may or may not have occurred, it does not meet the prepondance of eviidence standard per California Code of Regulations, Title 22. The allegation listed above is UNSUBSTANTIATED. Nothe state’s words, verbatim · CDSS document, Jul 10, 2026 · control 24-AS-20260413104328

Type of visit: Required - 1 Year

On 2/26/2026 Licensing Program Analyst (LPA) J. Leffall arrived unannounced for an annual inspection visit. LPA was met by Administrator, Karley Alcantar. LPA introduced self, explained reason for visit and was permitted entry into the facility. Facility has sufficient furnishings inside and outside for resident use. The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. LPA toured a sample of resident bedrooms in Assisted Living and Memory Care. Also, LPA observed 1 independent resident’s apartment. LPA toured facility library, activity room, and moving room. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lightning. Residents were observed seating in common areas and dining areas. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguisher was observed throughout the facility with a service date of: 3/5/25. LPA toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Temperature for refrigerator observed maintained at 38 degrees F and freezer maintained at -4 degrees F. LPA observed washer and dryer operational in laundry room. Bathrooms hot water temperature was tested and within range between 109.5 to 117.1 degrees F. LPA observed securely fastened grab bars and non-skid surfaces in shower. Outside was toured and observed adequate outdoor seatings available for residents. A sample of resident and staff files were reviewed to have all the required documents. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. First Aide kit observed to have all of the required items. Continued on page 809-C................... No deficiencies issued during this inspection. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 3/12/26. LPA received a copy of Lic 500. The following updated forms were requested: Lic 308, Lic 309, Lic 610E, current liability insurance, and Administrator Certificate. A copy of this report was provided to Administrator, whose signature confirm receipt of this report.the state’s words, verbatim · CDSS document, Feb 26, 2026

Allegation investigated: Facility staff are not properly addressing roaches in the facility

On 1/26/26 Licensing Program Analyst (LPA) M. Garza completed an unannounced initial complaint visit. LPA met with Administrator, Karly Alcantar explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. Residents observed in common areas and in their rooms. During the complaint visit LPA requested and reviewed documentation (staff and resident rosters, pest control receipts, housekeeping, dining and maintenance logs, cleaning schedule, staff schedule, community room schedule and completed interviews. Although the allegation may or may not have occurred, the preponderance of evidence standard has not been met per California Code of Regulations, Title 22. Nothe state’s words, verbatim · CDSS document, Jan 26, 2026 · control 24-AS-20260120094627

Type of visit: Case Management - Deficiencies

On 2/11/25 Licensing Program Analyst (LPA) M. Garza completed an unannounced case management visit. This case managment visit is being conducted to clear deficiencies previously cited during an annual visit made on 1/30/25. LPA met with Administrator, Karly Alcantar and explained reason for visit. LPA completed a health and safety check on residents in care. The following issues were cited during visit conducted on 1/30/25: Facility sketch did not include meeting location for Disaster Preparedness. Snack area was observed with cabinet full of debris in need of cleaning and a hole needing repair under sink. Beverage servers/ice dispenser in snack area and kitchen galley observed dirty, in need of cleaning. Tools/items posing a danger observed outside off kitchen unlocked and accessible. Kitchen doorway observed with broken tile/laminate in need of repair/replacement. Facility sketch was updated to include meeting locations. A copy was provided to CCL. Snack area was observed with cabinet cleaned and hole repaired. Beverage servers/ice dispenser in snack area and kitchen galley observed to be clean. Training was completed. A copy of the in-service sign in sheet and training material was provided to CCL. Tools/items posing a danger were picked up and disposed of making inaccessible. Kitchen tile/laminate was repaired. The following issues were provide TV's during visit conducted on 1/30/25: Food in freezer inside snack area not properly stored. Food in kitchen refrigerator observed not properly stored and in need of disposal. White sputum observed in hallway in need of cleaning/disinfecting. Trash cans off kitchen observed overflowing and in need of disposal. These items were corrected during visit conducted on 1/30/25. Deficiencies cleared. Exit interview completed with Administrator, Karly. A copy of this report and proof of correction letters provided.the state’s words, verbatim · CDSS document, Feb 11, 2025

Type of visit: Case Management - Annual Continuation

On 2/11/2025 Licensing Program Analyst (LPA) M. Garza completed an unannounced annual continuation visit. LPA met with Administrator, Karly Alcantar, explained reason and was permitted entry. LPA completed a health and safety check on residents in care. Visit was a continuation for resident records review, hospice care plans, staff file reviews, incidental medical/ dental, medications and a completion of the care tool. During visit the following items were observed: water temperature measured at 123.0 degrees F in restroom off common area. Deficiency cited per Title 22. Exit interview completed with Administrator, Karly. A copy of this report, deficiency and appeal rights provided.the state’s words, verbatim · CDSS document, Feb 11, 2025

Type of visit: Required - 1 Year

On 1/30/2025 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Administrator, Karley Alcantar. LPA introduced self, explained reason for visit and was permitted entry into the facility. LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. Sample resident rooms were observed. There was 5 resident on hospice at the time of the inspection. Pathways and doors were clear and free from obstruction. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operate on a system. Smoke/carbon monoxide detectors present and operational in independent living. Fire extinguishers last serviced 3/14/2024. Last fire drill on 12/20/2025. Resident rooms observed to have the required furnishings and with adequate lighting. Linen supplies are kept in linen closets. LPA observed sufficient seating under covered patio areas. The following issues were observed during todays visit: Trash can in restrooms not covered. Food in freezer inside snack area not properly stored. Snack area was observed with cabinet full of debris in need of cleaning and a hole needing repair under sink. Beverage servers/ice dispenser in snack area and kitchen galley observed dirty, in need of cleaning. White sputum observed in hallway in need of cleaning/disinfecting. Trash can observed in kitchen galley observed without lid. Food in kitchen refrigerator observed not properly stored and in need of disposal. Kitchen doorway observed with broken tile/laminate in need of repair/replacement. Tools/items posing a danger observed outside off kitchen unlocked and accessible. Trash cans off kitchen observed overflowing and in need of disposal. CONT... CONT... LPA requested the following documents to be submitted to CCL by 2/7/25: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Due to facility size and time frames, LPA will return for an annual continuation visit. Exit interview completed with Administrator, Karely. A copy of this report, deficiencies and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 30, 2025

Type of visit: Required - 1 Year

On 1/22/24 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Receptionist, Janet Tena. LPA introduced self, explained reason for visit and was permitted entry into the facility. Chief Executive Officer, Jim Higbee and Administrator, Karley Alcantar were contacted and arrived a short time later. LPA was informed that the facility has positive COVID. LPA will return at a later date for an annual continuation. LPA requested the following documents to be submitted to CCL by 2/2/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. No deficiencies were cited during the inspection. Exit interview completed with Chief Executive Officer, Jim Higbee. A copy of this report was given.the state’s words, verbatim · CDSS document, Jan 22, 2024