New Horizons Fresno

Type of visit: Required - 1 Year

On 11/17/2025 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced. to conduct an annual inspection. LPA was greeted and allowed entrance into the facility by staff Nick Federico. LPA spoke with Administrator Antonio, who was not able to come to the facility at this time. Program Director Amber Rubio arrived and assisted with the annual inspection Facility is licensed for 4 residents with a current census of 4. The facility has 3 bedrooms and 2 bathrooms. 2 residents share the master bedroom, and the other 2 individuals have their own bedrooms. LPA observed the facility to be clean, odor free, and clutter free. LPA did not observe any pests or insects in the facility. Emergency exits were clear and free from obstruction. Fire extinguisher was last serviced 02/26/2025 and has current charge. Smoke & carbon monoxide detectors were tested and are in working conditions. Water temperature was checked in the common bathroom which read at 106.7 degrees Fahrenheit. LPA observed resident bedrooms which are properly furnished and have adequate lighting. LPA reviewed a sample of resident files and staff files which are current and up to date. LPA observed 2-days worth of perishable food items and 7-days worth of non-perishable food items. Facility has a pool which was properly locked and inaccessible to residents. LPA observed the following deficiencies: LPA observed disinfectants and cleaning supplies accessible to residents in care inside a cabinet above the toilet in a common bathroom. LPA also observed a small shed outside of the office/garage in the backyard to have poisonous substances. LPA reviewed centrally stored medication log for R1 which was not completed correctly. Future start dates were entered and incorrect fill dates were entered. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Program Director Amber Rubio.the state’s words, verbatim · CDSS document, Nov 17, 2025

Type of visit: Case Management - Other

On 11/26/2024 Licensing Program Analyst (LPA) Rachel Bruce returned to the facility and met with Program Director, Amber Rubio. The purpose of the visit is to complete the Required Annual Inspection that was initiated on 11/25/2024. To complete the Annual Inspection, Personnel files were made available for review. LPA reviewed 5 staff files and found all required documentation to be present. Training and medical records were current and met regulation requirements. This will conclude the annual inspection and no deficiencies issued.the state’s words, verbatim · CDSS document, Nov 26, 2024

Type of visit: Case Management - Other

On 11/25/2024, Licensing Program Analyst (LPA) Rachel Bruce arrived unannounced at the facility for the purpose of conducting an annual inspection. LPA was met by Administrator Jose Antonio DeLaCueva and Amber Rubio, Program Director(PD). LPA explained the purpose of the visit and PD had no questions. AD left the facility to conduct business off site and the rest of the inspection and information was provided by PD. LPA toured both the interior and exterior of the home. The home has 3 bedrooms, 2.5 bathrooms, laundry room, garage being utilized for storage, stocked secondary refrigerator and freezer. Locked chemicals are stored in garage cabinet. There is a desk for staff located in the garage as well as locked medication (Seconday storage for extra bubble packs). There is adequate living space and currently there are 4 residents, all ambulatory. LPA observed the bedrooms to be clean and orderly and all had appropriate furnishings meeting regulatory requirements. One bedroom is shared the rest are private. No residents were present at the time of the visit as they all participate in day programs, and all are CVRC clients. In the resident bathrooms LPA tested water temperature which was found to be within regulations however in the master bathroom, the water pressure was weak and LPA was unable to test. Resident hygiene supplies were properly stored and secured in the laundry room. Tour of the outside revealed no issues. Grounds are clean, self latching gate is functioning and there are no obstructions throughout the facility including outdoors. The pool has appropriate security gate. There were places to recreate and appropriate lawn toys were available and in good working order. The kitchen was toured and observed to be in good repair with necessary items and appliances. Dishware and utensils sufficient for 4 residents observed. Sharps and knives were properly stored and were locked and inaccessible. LPA observed food supply and found that there was sufficient perishable items meeting the 2 day requirement and 7 days of non-perishable food available. Menu was current and developed with the clients input. Medication records were reviewed and found to be accurate and updated. Pill count was conducted and no errors found. Medications are centrally stored and locked in a cabinet located in the kitchen with secondary (overflow) stored in a locked cabinet located in the garage. First aid kit located in kitchen and found to contain required items. Two fire extinguishers were present in the home, one in the kitchen (serviced in May 2024) and the second in the living room (serviced in February 2024). Smoke and carbon monoxide detectors tested and found to be operational. LPA conducted review of 2 resident files. LPA found the files contained required documentation. Accounting for P&I funds was appropriate and up to date. Medical documentation appropriately filed and up to date. Required documentation was present including physician assessment and current Needs and Services plan. LPA was unable to review staff files as Administrator left the premises with the key to the locked cabinet. LPA will return to complete Staff file review. No citations were issued at this visit. The following documents or information are to be mailed or faxed to licensing by December 15, 2024. 1.) Current Facility Staff Roster / Work Schedule form LIC500 2.) Current Register of Facility Clients/Residents form LIC9020 3.) Copy of current Administrator Certificate 4.) Copy of current LIC610E Emergency Disaster Plan for Residential Care Facilities for the Elderly NOTE: LPA utilized LIC809 to record inspection. LPA was unable to utilize the Care Tools Program due to recording an attempted visit back 10/10/2024. Exit interview was conducted and a copy of the signed report provided to Amber Rubio.the state’s words, verbatim · CDSS document, Nov 25, 2024

Type of visit: Required - 1 Year

On October 10, 2024, Licensing Program Analyst (LPA) R. Bruce arrived unannounced and attempted to conduct a Required Annual Inspection . LPA knocked on the door however no response was received. LPA called and left a message for the Administrator, waited 15 minutes but did not get a call back. LPA will return at a later date to conduct the Annual Inspection.the state’s words, verbatim · CDSS document, Oct 10, 2024