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Type of visit: Case Management - Annual Continuation

On 8/27/26 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 (S1) Don Danan. LPA was granted entry. 2 residents were present during inspection and the other 2 attended Day Program. Licensee L1 Diane Receno arrived shortly LPA’s arrival. LPAs toured facility with L1. 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 -5 degrees F and refrigerator temperature was maintained at 35 degrees F. Fire extinguisher was observed with a purchase date of: 4/9/26. Fire drill last completed on 8/1/26. Washer and dryer observed operational during visit. Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' 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 temperature range of 119.3 and 119.4 degrees F. in 2 bathrooms. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. All medications were checked and observed kept locked in the hall closet. Residents’ MARS was reviewed. First aide kit observed with all of the required items. All residents and a sample of staff files reviewed to have all the required documents. No deficiencies issued during this inspection. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 9/10/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization LIC 309, Affidavit regarding Client/Resident Cash Resources LIC 400, Liability Insurance-RCFE, Emergency and Disaster Plan LIC 610E, Personnel Report LIC500, Register of Facility Clients/Residents for LIC9020A A copy of this report was distributed to Licensee whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Aug 27, 2026

Type of visit: Required - 1 Year

On 9/3/25 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 (S1) Don Danan. LPA was granted entry. 2 residents were present during inspection and the other 2 attended Day Program. Licensee L1 Diane Receno arrived shortly LPA’s arrival. LPAs toured facility with L1. 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 0 degrees F and refrigerator temperature was maintained at 25 degrees F. Fire extinguisher was observed with a purchase date of: 4/16/25. Fire drill last completed on 8/1/25. Washer and dryer observed operational during visit. Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' 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 temperature of 07.7 in bathroom 1 and 105 degrees F. in bathroom 2. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. All medications were checked and observed kept locked in the hall closet. Residents’ MARS was reviewed. First aide kit observed with all of the required items. All residents and a sample of staff files reviewed 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 09/17/25: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. A copy of this report was provided to Licensee, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Sep 3, 2025

Type of visit: Required - 1 Year

On 9/6/24 Licensing Program Analysts (LPA) J. Leffall and R. Bruce arrived unannounced to conduct an Annual Inspection. LPAs introduced selves, stated the purpose of the visit, and were greeted by Staff (S1) William Lacambra. LPAs was granted entry. 1 resident was present during inspection and the other 3 attended Day Program. Licensee L1 Diane Receno arrived shortly LPA's arrival. LPAs toured facility with L1. 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 0 degrees F and refrigerator temperature was maintained at 40 degrees F. Fire extinguisher was observed with a purchase date of: 3/6/24. Fire drill last completed on 9/3/24. Centrally cooling system is currently under repair, however, there are adequate amount of portable air conditioning units placed around the facility. Each resident has a portable air conditioning unit in each room. Washer and dryer observed operational during visit. Carbon monoxide and smoke detectors were tested and observed to be operational. Residents' 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 temperature of 113 in bathroom 1 and 115 degrees F. in bathroom 2. Non-skid mat and grab bars observed in bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents. All medications were checked and observed kept locked in kitchen cabinet. Residents’ MARS was reviewed. First aide kit observed with all of the required items. All residents and a sample of staff files reviewed 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 09/20/24: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Licensee's certificate. A copy of this report was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Sep 6, 2024

Allegation investigated: Resident sustained unexplained bruising while in care

On 04/17/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced myself and met with Administrator, Sara Gloria. The purpose of the vist was disclosed to Administrator. Review of resident records and interviews with Administrator revealed that on 04/10/2024, R1 had an appointment to have blood drawn. During the appointment the Lab technician made three attempts to draw blood from R1 resulting in bruising to R1's right arm. This agency has investigated the allegation: Resident sustained unexplained bruising while in care. We have found that the complaint is unfounded, meaning that the allegation was false, could not have happened and/or without a reasonable basis. An exit interview was conducted Administrator. A copy of this report was discussed and left with Administrator, Sara Gloria, whose signature on this form confirms receipt of the document. Unfoundedthe state’s words, verbatim · CDSS document, Apr 17, 2024 · control 24-AS-20240415152512