St. Anthony Home

Type of visit: Office

On 09/10/2026, an informal office visit was held at the Fresno Regional Office. The purpose of the informal meeting was to discuss recently identified issues/concerns associated with the operation of the facility. The informal meeting process was explained during this meeting. The following were in attendance at this meeting: Administrator, Jean Asignacion Licensing Program Manager I, See Moua Licensing Program Analyst, Melinda Medina During this meeting the following topics were discussed: - Administrator Qualifications - Past Due Fees - General Licensing Regulations The Licensee and Administrator were informed that continued non-compliance may necessitate the Department to seek Administrative Actions. The Administrator was notified that the hospice wavier for the facility has been reduced to two (2) residents due to non-compliance. Deficiencies observed during facility inspection on 8/12/2026 are being cited on the attached 809D. Technical Support Program was offered to Administrator during office meeting. Administrator will make contact with LPA Medina if facility will accept. Exit interview conducted with Administrator and a copy of report provided for facility records.the state’s words, verbatim · CDSS document, Sep 10, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Sep 10, 2026

Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. **This was not met as evidenced by LPA observation during visit on 8/12/2026. LPA observed lotion, mouthwash and miscellaneous items on bathroom counters in both bathrooms. Knives observed to be stored under the kitchen sink, however lock to not be working properly.the state’s words, verbatim · CDSS document, Sep 10, 2026

Plan of correction: All items secured were secured and lock was repaired at time of inspection.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87555(a) · Plan of correction due date: Sep 10, 2026

The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. **This was not met as evidenced by LPA observation during visit on 8/12/2026. LPA observed food items in both the refrigerator and freezer without dates and not properly stored. LPA also observed molded cheese slices in the refrigerator.the state’s words, verbatim · CDSS document, Sep 10, 2026

Plan of correction: Administrator provided pictures during office visit to document that corrections have been completed.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Sep 18, 2026

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. ***This was not met as evidenced by LPA observation during visit on 8/12/2026. LPA observed backyard patio in need of cleaning and decluttering, electrical outlet in need of repair near back patio door.the state’s words, verbatim · CDSS document, Sep 10, 2026

Plan of correction: Administrator to submit proof or correction to Fresno Regional office by due date.

Type of visit: Required - 1 Year

On 8/12/2026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection. LPA arrived, introduced self, and allowed entrance by direct care staff. Administrator Jean Asignacion was at a medical appointment with a resident and arrived a short time later to conduct facility inspection with LPA LPA conducted facility tour with Staff 1 (S1) while awaiting Administrator to arrive. LPA observed all doors to have auditory alarms in place and operational at time of inspection. Currently, there are 4 residents residing in facility, there is 1 shared room, and 2 private room. LPA conducted facility tour with Administrator. Facility toured resident bedrooms and observed bedrooms to have required furnishings. Resident bathroom toured, LPA observed fixtures operational, there are grab bars, and skid resistant mats in the shower for residents. LPA observed lotions, mouthwash and miscellaneous items on bathroom counters in both shared bedroom and in hallway bathroom. Water temperature measured at 107.2 degrees F. All common areas have adequate seating available for residents. Kitchen toured, LPA observed some food items in both the refrigerator and freezer without dates and not be properly stored. LPA observed molded cheese slices in the refrigerator at time on inspection tour. LPA observed pantry with canned goods in need of cleaning and organization, there were items observed without expiration dates. LPA observed knives to be stored under kitchen sink however, lock to not be working properly. Fire extinguisher present with a purchase date of 4/10/26. Smoke detectors and carbon monoxide detectors observed operational during inspection. LPA reviewed resident and staff files during visit. Medications observed to be locked and secured in kitchen cabinet. LPA observed medications for R1 and R2 to be in medication bin but not logged on Medication Administration Record but said to be administered. LPA received current doctor's orders for medications during visit. Outside of facility toured. LPA observed several gardening tools in the backyard unsecured and several items on the patio in need of storage or removal if not in use. LPA observed electrical outlet on back patio without a cover. Designated fire exit free of obstruction, gate observed to be self-latching. Deficiencies observed will be cited during office meeting to be held at Fresno Regional Office at future date. All immediate health & safety observations were secured at time of inspection visit. Exit interview conducted with Administrator and a copy of this report provided for facility records.the state’s words, verbatim · CDSS document, Aug 12, 2026

Type of visit: Case Management - Annual Continuation

On 4/29/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Continuation visit to facility. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by Administrator, Jean Asignacion. All residents present during today's inspection. Facility observed to be clean, well lit, and a comfortable temperature. Resident bedrooms toured, resident's room observed to have required furnishings available. Resident bathroom toured, fixtures observed operational, tub/shower observed to have grab bars, skid resistant mat and shower chair available. All common areas of facility have adequate seating available for residents. Kitchen toured, LPA observed facility to have a 7-day supply of non-perishable food available and a 2-day supply of perishable food. Medications observed to be locked and secured in kitchen cabinet. All medications observed to original labels and to be administered as prescribed. Staff and resident files reviewed. Inspection tool completed. During interview with Administrator it was stated that R1 had been hospitalized due to fall, however LPA was told that an incident report had not been submitted to Department Outside of facility toured. No hazards observed. LPA received copies of Administrator Certificate, Liability insurance and Infection Control Plan during inspection. Deficiency cited on the attached 809-D. . Exit interview conducted. A copy of report provided to staff for facility records.the state’s words, verbatim · CDSS document, Apr 29, 2025

Type of visit: Required - 1 Year

On 4/25/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required inspection. LPA arrived, introduced self, and allowed entrance by direct care staff. Administrator Jean Asignacion contacted by telephone and arrived a short time later to conduct facility inspection. Upon arrival, LPA heard the sound of locks being undone prior to door being open. At entrance, LPA observed a chain lock and a barrel bolt latch on the interior of front door. When LPA inquired, Staff 1 (S1) stated they were used to keep Resident 1 (R1) from exiting facility. Currently, there are 3 residents residing in facility, there is 1 shared room, and 1 private room. LPA conducted facility tour with Administrator. Facility toured resident bedrooms and observed bedrooms to have required furnishings. Resident bathroom toured, LPA observed fixtures operational, there are grab bars, and skid resistant mats in the shower for residents. Water temperature measured at 111 degrees F. All common areas have adequate seating available for residents. Kitchen toured, LPA observed adequate food supply for the residents in care. LPA observed knives to be stored under kitchen sink, LPA observed knives to be stored under kitchen sink, cabinet door was unlocked and lock was observed to not be working properly. Fire extinguisher present with a purchase date of 4/01/25. Smoke detectors and carbon monoxide detectors observed operational during inspection. Outside of facility toured. Designated fire exit free of obstruction, and gate observed to not be self-latching. Due to time constraints LPA will return to complete inspection. Deficiencies cited on the attached 809-D. Immediate Civil Penalty Assessed. Exit interview conducted and a copy of this report, immediate civil penalty, and appeals rights provided to Administrator for facility records.the state’s words, verbatim · CDSS document, Apr 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Jean Asignacion. During this visit, AD’s pending Administrator recertification was verified to be in process. Administrator Certification #6005541740. Current census: 6 (3 residents on Hospice) During this visit, LPA toured the facility inside & out Resident rooms are found to be in good repair and contained required furnishings and lighting. The resident bathroom was clean and in good repair with faucets delivering hot water within required limits, grab bars and non-skid mats. LPA observed required hygiene items, towels, extra bedding, and linens were stored and available for use. The kitchen was clean, with necessary items and appliances. LPA observed required food supply and paper product storage. Cleaning/disinfecting supplies, knives and sharps are locked and stored separate from food. Medications are locked and centrally stored in a kitchen cabinet. The First aid kit contained required items and hot water temperature read 109 degrees. There are visitation areas available inside and out including a designated smoking area with proper signage posted. Doors and passageways are unobstructed throughout the facility. The Fire extinguishers were purchased 4/1/24. LPA conducted resident and staff file reviews. Emergency Disaster Plan and Infection Control Plans were reviewed during this visit. There were no citations during this inspection. An exit interview was conducted, and a copy of this report was provided to AD, whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 5/20/2024: Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Emergency Disaster Plan (LIC610E (2019), Client Roster (LIC 9020), Proof of current Liability Coverage. *Updated Infection Control Plan to be submitted upon completionthe state’s words, verbatim · CDSS document, Apr 29, 2024

The state marks this report as 7 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.