Mercie's Home #5

Type of visit: Case Management - Deficiencies

On 09/18/2026, Licensing Program Analyst (LPA) J. Duarte, arrived to the facility unannounced and conducted an annual visit and addressed a Case Management visit for an incident report CCLD received. LPA followed up on an incident report submitted to the Fresno Community Care Licensing (CCL) office on 09/17/2026. It was reported that on 09/15/2026, at approximately 4:55 PM, R1 went AWOL from the facility. staff went looking for R1 and contacted Bakersfield Police Department (BPD). At 5:35 PM, BPD dispatch called staff to advise R1 was located at a house around the corner. Staff picked up R1 at 5:40 PM. Per R1's LIC602, R1 is unable to leave the facility unsupervised. Based on interviews conducted and record review, a deficiency is being cited in accordance to the California Code of Regulations, Title 22, Division 6, Chapter 8, Article 8- Resident Assessments, Fundamental Services Right, see attached LIC 809D. A civil penalty in the amount of $500 is being assessed in accordance to the California Code of Regulations, Title 22, see attached LIC421IM. A plan of correction was developed. An exit interview was conducted and copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Sep 18, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Sep 19, 2026

87464(f)(1) Basic Services (f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on observation, interview, and record review the licensee failed to follow physician orders, when R1 eloped from the facility unsupervised, which poses an immediate Health and Safety risk to the residents.the state’s words, verbatim · CDSS document, Sep 18, 2026

Plan of correction: Staff placed R1 on special monitoring to increase supervision. Facility will provide a statement to CCLD indicating the monitoring and supervision for R1 by POC due date of 09/19/2026.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) J. Duarte arrived at the facility unannounced to conduct an Annual Inspection. Staff were not present at the time LPA arrived. LPA contacted Administrator Adam Tauchen. He stated that all four residents are at day program and no staff are at the home. He advised that Gerald Declaro would arrived shortly after to assist with this visit. LPA conducted a tour inside and outside of facility with staff members Gerald and Lynel. Facility observed to be clean, and at a temperature of 72 degrees F. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, and was clean and safe for food preparation. LPA observed a two day supply of perishable and seven day supply of nonperishable food. Sharps are stored in a locked kitchen cabinet. Medications are also stored in a locked kitchen cabinet. Resident rooms were toured and were observed to have required furnishings. LPA observed an adequate supply of linen. Hot water measured at 110 degrees in the restrooms. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Backyard patio has seating available for residents. Pool is fenced and gated with lock, inaccessible to clients in care. Fire extinguishers were serviced on 09/24/2025. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Per staff records, the last fire drill conducted on 08/24/26. All cleaning supplies are locked in a cabinet in the garage. The garage has an additional refrigerator and freezer with an additional supply of food. The facility has a washer and dryer in the garage and stores detergent in a locked cabinet. Continued in LIC 809C. Medication and MARS were reviewed, which reflect medication is being administered as prescribed. All resident files were reviewed and a sample of staff files were reviewed. P and I balance was reviewed for two residents and balance was reviewed aloing with the cash resource form for balances. Per, R1's LIC602, R1 has a restricted health condition. However, the facility does not have a complete restricted health care plan for R1. A Deficiency is being cited based on LPA observations and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted with the Administrator and a copy of this report along with appeal right was provided to the facility. 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: 09/30/25the state’s words, verbatim · CDSS document, Sep 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Jimmy Duarte arrived at the facility unannounced to conduct an Annual Inspection. Staff were not present at the time LPA arrived. LPA contacted AD via telephone. AD arrived shortly after and LPA was granted entry. All residents were at day program. LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a temperature of 73 degrees F. 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 perishable and nonperishable food.Resident rooms were toured and were observed to have required furnishings. LPA observed an adequate supply of linen. Hot water measured at 107.7 degrees F in the hallway restroom and at 106.3 degrees F in the restroom to bedroom #1. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Backyard patio has seating available for residents. Pool is fenced and gated with lock. Fire extinguisher serviced on 10/10/24. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Facility has a pull station fire alarm. Facility has sprinkler system which was last inspected 12/05/24. Last fire drill conducted on 08/20/25. All cleaning supplies are locked in a cabinet in the laundry room. Knives are locked in a kitchen drawer. Medication and MARS were reviewed, which reflect medication is being administered as prescribed. All resident files were reviewed and a sample of staff files were reviewed. Continued in LIC 809C. Continued from LIC809. No deficiencies cited during this visit. An exit interview was conducted with the Administrator and a copy of this report was provided. 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 in addition to an updated facility sketch to Fresno CCL by: 09/30/25the state’s words, verbatim · CDSS document, Sep 23, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct an Annual Inspection. LPA was granted entry by Supervisor Gerald Declaro. LPA contacted Administrator Adam Tauchen via telephone who gave permission for Staff to assist with the visit and sign this report. 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 109.8 degrees F. Facility was set at 73 F. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Facility has a pool that is gated, locked and inaccessible to residents in care. Fire extinguisher serviced on 10/3/2023. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Facility has a pull station fire alarm. Last fire drill conducted 09/01/2024. All cleaning supplies are locked in a cabinet in the garage. Staff records, resident records and medications were checked. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 14, 2024

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.