Royal Gardens IV

Type of visit: Required - 1 Year

On 11/12/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff Joy Viernes (S1). LPA was granted entry. 5 clients were present during inspection. Administrator (A1) Gurmit Aulakh arrived shortly after to conduct inspection. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -16 degrees F and refrigerator temperature was maintained at 40 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Sharp object was observed unlocked and accessible to residents in kitchen area. Fire extinguisher was observed with a service date of: 2/11/25. Fire drill last completed on 11/1/25. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a range of 118.2 and 118.9 degrees in 2 bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have 1 missing document. Samples of staff files were reviewed and observed to have all the required documents. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 11/26/25: Lic 308, Lic 500, Lic 610D, Lic 9020 and Administrator Certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Nov 12, 2025

Type of visit: Required - 1 Year

On 11/19/24 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff Joy Viernes (S1). LPA was granted entry. 3 clients were present during inspection. 1 resident departed for Dr's appointment with Staff (S2) Lorry Naval. Administrator (A1) Gurmit Aulakh arrived shortly after to conduct inspection. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -3 degrees F and refrigerator temperature was maintained at 35 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 2/17/24. Fire drill last completed on 10/5/24. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at 112 degrees in both bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have all the required documents. Samples of staff files were reviewed and observed to have all the required documents. No deficiencies issued during this inspection. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 12/3/24: Lic 308, Lic 500, Lic 610D, Lic 9020 and Administrator Certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Nov 19, 2024

Type of visit: Required - 1 Year

On 01/22/24, Licensing Program Analyst (LPA) K.Kaur arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was allowed entry by Jamaila Keith Andrada. Gurmit Aulakh, Administrator was called and arrived shortly after. Six residents were present during the inspection. LPA toured facility with caregiver. 7-day supply of non-perishable foods and a 2-day supply of perishable foods observed. Knives and cleaning supplies are locked in the kitchen cabinet under the sink. Additional Cleaning and Chemical supplies are kept in locked cabinet in the garage. At 9:36 AM LPA observed Insect Killer spray container unlocked and accessible to residents. Fire extinguisher serviced on 2/13/2023. Residents' bedrooms were observed to be adequately furnished with bed, dresser, and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available. Carbon monoxide and smoke alarm detectors installed and operational. Grab bars installed in showers and by toilets, non-skid mats in place. All pathways, entrances and exits were clear from obstruction. The facility was observed to be at a comfortable temperature, in good repair. Common areas were properly furnished and well-lit throughout. There is one resident on hospice at this time. The dining room is equipped with a table and chairs, living room is equipped with adequate sofas and recliners for six residents, adequate outside space for rest and recreational. LPA toured outside and observed sufficient seating under patio area. Backyard gate is self-closing and self-latching. At 10:06 AM LPA observed a BBQ grill hooked up to gas tank accessible to resident with dementia. Last fire drill conducted on 1/14/2024. At 11:23 PM LPA reviewed resident's medication, MARS, and Centrally Stored Medication and Destruction Record (CSMDR) and observed medication was not logged in the log. LPA reviewed resident records and observed 3 resident’s missing property inventory list. Continued to LIC809C… Resident Admission agreement needs/services plan, and emergency identification complete. Based on observation and interview LPA observed one resident did not have updated physician report based on current physical abilities. Staff files reviewed and complete. Staff verified to have CPR/First aid training. Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 1/29/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with Administrator. Report signed on-site; a copy of this report, 809D with appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 22, 2024