Mercie's Home #3

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) J. Duarte arrived at the facility unannounced to conduct an Annual Inspection. There was no answer at the door. LPA contacted Administrator Adam Tauchen and he advised that staff will arrive shortly. Administrator Patrick Declaro and Adam Tauchen arrived shortly after and LPA was granted entry into the facility. Administrator stated that both residents were at day program. The facility was observed to be at a temperature of 73 degrees F, clean with no passageway obstructions LPA observed the exterior of the house paint is peeling off. The living room has sufficient seating for residents. The kitchen was toured and LPA observed a two-day supply of perishable and seven-day non-perishable food. The facility stores sharps in a locked kitchen cabinet. Medication along with the first aid kit are locked in a kitchen cabinet as well. A fire extinguisher was observed in the kitchen, with a service date of 09/24/2025. LPA observed patch work is needed in the dining room walls and the hallway entrance walls and baseboards. Administrator advised that walls get damaged with walkers. All bedrooms were toured and observed to have the required furniture and adequate lighting. Bathrooms were observed operational, with non-skid strips and grabbed bars observed for the showers and toilets. The ceiling to the bathroom near the entrance of the house has not been completely painted. The hot water to both restrooms measured at 106 degrees F. The facility has a dryer and washer in the utility room. Chemicals and detergent were observed locked in a laundry room cabinet. The kitchen door that leads to the laundry room has another door that leads to the patio. The laundry room door that leads to the patio was observed to have a latch at the top to secure the door closed. The facility has a freezer in the garage with an additional food supply. The sprinkler system was inspected on 12/05/25. Outside of the facility was toured and observed to be free of debris. The facility has a gazebo in the backyard with seating available. LPA observed the gate on the west side of the residence is broken. Continued on LIC 809C. Amended Report. Continued from LIC 809. The carbon monoxide/smoke detector was observed operational during inspection. Medications were reviewed along with MARS and observed to be administered as prescribed. The last fire drill was conducted on 02/05/2026, per staff records. A sample of resident files and staff files were also reviewed and observed to have required documentation. Deficiencies are being cited on the attached LIC 809D page. Plan of corrections was reviewed and discussed. An immediate civil penalty was assessed in the amount of $500 for fire clearance. An exit Interview was conducted. A copy of this report and appeal rights were provided to AD, whose signature on this form confirms receipt of this report. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 03/17/2026.the state’s words, verbatim · CDSS document, Mar 10, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA)'s Shawna Doucette and Jimmy Duarte arrived at the facility unannounced to conduct an Annual Inspection. LPA was granted entry by Administrator Adam Tauchen. LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, and was clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 107.8 degrees F. Facility was set at 72 F. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Fire extinguisher serviced on 10/11/2024. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Facility has a pull station fire alarm. Facility has sprinkler which was last inspected 12/5/24. Last fire drill conducted 03/03/25. All cleaning supplies are locked in a cabinet in the laundry room. Knives are locked in kitchen drawer. An exit interview was conducted with the Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Mar 24, 2025

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced annual inspection visit. LPA Williams met with Staff Marilou Bernardo Pending Administrator, Adam and discussed the purpose of the visits. Four residents were present. LPA Williams toured the facility with Staff. Facility tour began in the front yard. The yard and pathways were clean and free of obstruction. Upon, entrance to the facility, LPA Williams observed required facility postings on the wall. The kitchen was clean and in good repair. Knives and sharps were observed locked and inaccessible to residents.. There were 2 days of perishable and 7 days of non-perishable food supplies. Dining room and living room was clean and had seating available for all residents. Facility temperature reflected 75 degrees Fahrenheit. LPA observed 4 bedrooms. Bedrooms had space for clients and were clean and in good repair. Rooms had mattress, linens, dresser, night stand, and working lights. Room were personalized by clients. Two bathroom for client use, was clean and in good repair. Shower, sink, and toilet all had running water. Tour finished in the backyard. There was seating and shaded area available for client use. Medications and chemicals were observed locked and inaccessible to clients. *Continued on LIC 809C* Smoke detectors, carbon monoxide, and fire extinguishers were present and operational. First aid kit was present and had all required items. LPA reviewed 3 files and 3 employee files. All files employee files had all required documents requested by the LPA. 1 of 4 resident files did not have record of their Tuberculosis screening. Additionally, the LPA did not locate a Pre-Admission appraisal in 4 of 4 resident files. Deficiencies are being cited on the attached LIC 809D page. Plan of correction was reviewed and discussed. An exit interview was conducted and a copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Apr 17, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.