Valley Christian Home II

Type of visit: POC

On 09/27/2023, Licensing Program Analysts (LPAs) Walton and Padgett arrived unannounced to conduct a POC visit. LPAs introduced themselves, stated the purpose of the visit and requested to meet with the Administrator. Facility staff contacted Administrator, Honora Gamueda via telephone. LPAs received verbal permission to meet with facility staff, Nancy Mariano. Administrator, Honora Gamueda arrived a short time later. During today's visit, LPAs measured the hot water in bathroom 1 and bathroom 2 and reviewed records. Hot water measured at 108.5 degrees F in bathroom 1 and 107.3 degrees F in bathroom 2. No deficiencies issued during today's inspection. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Honora Gamueda, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Sep 27, 2023

Type of visit: Required - 1 Year

On 08/29/2023, Licensing Program Analyst (LPA) Walton arrived at the facility unannounced to conduct an Annual Required Inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. LPA met with Administrator, Honora Gamueda. 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 appeared clean and 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. Hot water measured at 99.5 degrees F in bathroom 1, 99.1 degrees F in bathroom 2, and 97.5 degrees F in bathroom 3. Kitchen toured, appeared clean, observed a 7-day supply of non-perishable and 2-day supply of perishable food. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Fire extinguisher serviced on 08/25/2022. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted on 07/05/2023. All cleaning supplies are locked and inaccessible. LPA reviewed staff and resident records. LPA did not observe a Needs and Services Plan for 5 out of 5 residents in care. Medications reviewed. Record review revealed that R2 has been receiving an over the counter medication that has not been prescribed by a physician. Medication records were incomplete. LPA observed that resident prescription labels were altered and medication had been transferred between containers. First Aid Kit contained the required supplies CONTINUED TO 809C Based on today's inspection, deficiencies were cited in the areas evaluated and listed on the 809-D according to California Code of Regulations, Title 22, Division 6. Exit interview was conducted and a plan of correction was reviewed and developed. A copy of this report and appeal rights were discussed and provided to Administrator, Honora Gamueda, whose signature on this form confirms receipt of this document LPA is requesting the following documents be submitted to the Fresno CCL office by 09/12/2023: 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), Surety Bond.the state’s words, verbatim · CDSS document, Aug 29, 2023

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 8/25/22 at 8:55 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. LPA met with Licensee Honora Gamueda. One staff and five residents were present during the inspection. LPA toured inside and outside of the facility. Facility observed without any obstructions or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sinks. Bedrooms were checked and no residents share a room. LPA checked residents’ medications and observed the month's supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Administrator certificate is valid. The following deficiencies were observed: 1. Fire extinguisher last purchased 10/8/2020. 2. LPA observed black mold in east hall bathroom bathtub caulking, in caulking of tiles around bathtub spout, and soap scum on tile wall surround; black mold in grout lines of tile wall surround in west hall bathroom; and east hall bathroom shower head observed with brown residue. 3. Hot water in east hall bathroom measured at 100.9 degrees F The following forms are to be submitted to CCL within two weeks: LIC500, LIC610E Deficiencies are being cited based on LPA observation in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted and Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with Licensee Honora Gamueda, whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, Aug 25, 2022

Type of visit: Required - 1 Year

On 7/27/21 at 11:45 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA was greeted by Licensee/Administrator Honora "Nora" Gamueda and granted entry. Five residents were present. Facility was observed clean and without any obstructions or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sinks. Bedrooms were checked and no residents share a room. LPA checked residents’ medications and observed the month's supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Residents files have updated emergency contact information. Administrator certification is pending renewal. Recertification application mailed 4/5/21 and is awaiting for renewed administrator certificate. No deficiencies cited during inspection. Exit interview was conducted. A copy of this report was emailed to Licensee Honora Gamueda at nora.gamueda@gmail.com with read receipt to confirm receipt of this report.the state’s words, verbatim · CDSS document, Jul 27, 2021

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.