Fresno Guest Home #36

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: JENNIFER FOWLER, ANGELICA KUTNERIAN Interview Method: Telephone interview On July 30, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jul 30, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Daiquiri Boyd arrived at the facility to conduct a Pre-Licensing Inspection. LPA met with Administrator (AD) Teresa Long. LPAs began the tour by entering through the front door of the 6 bedroom - 4 1/2 bathroom - single story home, with one bedroom for the staff. Common areas have adequate furniture and lighting. Flooring is new and intact throughout. Smoke and Carbon Monoxide detectors were tested and found to be in working order. The Fire Extinguisher was purchased 03/14/2025. LPAs observed a supply of extra bed linens and towels in the hallway closet. Personal hygiene and grooming products in the laundry room closet. Resident rooms are found to be in good repair and contained new furnishings and adequate lighting. The resident bathrooms are clean, in good repair with faucets delivering hot water as required at 111.1 F. The kitchen was observed to have a supply of new dishes, plates, utensils and cooking items. Food storage areas are clear and appropriate for food preparation. Cleaning supplies, chemicals, and sharps/knives are all locked as required. Appliances were found to be in working order. LPA observed the required food supply. Resident medications will be stored in a designated locked closet in the kitchen area. The First aid kit contains all the required items. Doors and passageways are unobstructed throughout the inside of the home. Outside of the facility was toured. There is a covered seating area and a self-releasing gate found to be working properly. Required postings are placed as required. (Continued on next page) Emergency Disaster and Infection Control Plans were reviewed and COMP III was conducted during this visit with AD. The applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. An exit interview was conducted and a copy of this report was left with AD, whose signature confirms receipt of these documents. Pre-Licensing is complete and this facility has no deficiencies.the state’s words, verbatim · CDSS document, Jul 28, 2025