Precious Life Residences

Allegation investigated: Staff financially abused resident. Staff did not ensure that resident vision care needs are met.

On 05/28/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Licensee/ Administrator Susan Blanza. During the course of the investigation, the Department conducted interviews, obtained copies of records, and toured the facility. R1 confirmed R1 have prescribed glasses and refused to wear the prescribed glasses. R1 confirms the facility has no involvement in R1’s finances and not alleging the facility of financial abuse. Therefore, based on interviews conducted, the preponderance of evidence standard has not been met. The above allegations are found to be UNSUBTANTIATED. Exit interview conducted. A copy of this report was provided to Licensee. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 28, 2026 · control 24-AS-20260425212355

Allegation investigated: Facility not in good repair Facility has fire hazard in garage Staff unable to met residents care needs

On 05/28/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint investigation. LPA met with Licensee/Administrator Susan Blanza and stated the purpose of the visit. LPA discuss complaint findings with Licensee. During the course of the investigation, interviews were conducted with staff and residents. The facility was toured inside and outside. The facility was observed to be at a comfortable temperature, clean, in good repair, and with no passageway obstructions or fire hazards observed inside or outside. The staff were able to communicate with the department and residents with needs and provided requested information. Therefore, based on interviews conducted and observation, the preponderance of evidence standard has not been met. The above allegations are found to be UNSUBTANTIATED. Exit interview conducted. A copy of this report was provided to Licensee. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 28, 2026 · control 24-AS-20260522152421

Type of visit: Case Management - Deficiencies

On 05/28/26, Licensing Program Analyst (LPA) M. Yang arrived to conduct an unannounced complaint investigation and met with Licensee Susan Blanza. During the course of the investigation on 05/04/26, LPA reviewed and received copies of R1’s file. Deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. A copy of this report and appeal rights were provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, May 28, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Jun 10, 2026

87506 (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Based on records review, R1 do not have all required records maintained on file.the state’s words, verbatim · CDSS document, May 28, 2026

Plan of correction: Licensee shall ensure that residents have all the required records on file. Licensee will submit R1’s Lic 602A, Lic 603A, Lic 625, Lic 622, Lic 627C, Lic 613C, TB results, and Lic 601 to the Fresno CCL office by POC due date 06/10/26.

Type of visit: Case Management - Deficiencies

On 11/25/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a POC visit and Case management visit. LPA met with Licensee/ Administrator Susan Blanza. LPA toured the facility. LPA observed the following: 1. All medications locked in the repaired medication cabinet Licensee/Administrator informed LPA Licensee is not the the assigned and appointed Administrator for the facility. Licensee informed and stated Petro Crisostomo is the assigned and appointed Administrator. Current Administrator certificate for Administrator and updated Lic 500 is to be submitted to Fresno CCL by 11/26/25. An exit interview was conducted. A copy of this report was provided to Licensee who confirms receipt of this report.the state’s words, verbatim · CDSS document, Nov 25, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87405(a) · Plan of correction due date: Nov 26, 2025

no deficiencythe state’s words, verbatim · CDSS document, Nov 25, 2025

Plan of correction: no deficiency

Type of visit: Required - 1 Year

On 11/18/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduced self, stated the purpose of the visit and met staff Kaela Martinez. Licensee/ Administrator (L1) Susan Blanza was called and arrived shortly. LPA toured facility with Licensee. All five residents were present during inspection. The facility was observed to be at a comfortable temperature, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature was maintained at 38 degrees F and freezer temperature maintained at -2 degrees F. Fire extinguisher was observed with a service date of: 08/09/24. Fire drills last completed: 09/10/25. LPA and L1 observed medications medication cabinet unlock. Medications were observed under dining room counter unlocked. MARs were reviewed and medications were checked. Knives were observed locked kitchen drawers to the right of the stove. Cleaning chemicals were observed unlocked in the dining room, in the laundry room, in the garage, in the garage cabinet, in the master bathroom, and outside in the patio. All bedrooms were observed to have the required furnishings and adequate lighting. Extra linens and towels were observed. The bathrooms were toured. Bathrooms were observed with non-skid mats and grab bars. Hot water temperature was tested at 106 degrees F in bathroom 1 and at 106.3 degree F in master bathroom. Outside of the facility toured. The side gate observed free of debris. Adequate outdoor seating is observed to be available for residents. Carbon monoxide and smoke detectors were tested and observed to be operational. Half of client’s were reviewed to have all the required documents. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. A civil penalty is being assessed see attached Lic 421IM. Technical Support Program (TSP) assistance was offered to Licensee and was accepted. The department will complete TSP referral. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 11/24/25. Forms requested: Lic 308, Lic 500, Lic 610E, and current Administrator certificate. A copy of this report and appeal was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Nov 18, 2025

Allegation investigated: Staff did not provide refund upon resident’s death. Staff did not provide 60-day notice prior to rent increase.

On 02/13/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Susan Blanza, Licensee. During the course of the investigation, the Department conducted interviews and reviewed records. R2 had paid in advance for September 2024 rent on 08/27/24. R2 had deceased on 09/27/24. R1 paid in advance for October 2024 rent on 09/26/24. Early October 2024, R1 informed L1, R1 is moving out end of October 2024. On 10/23/24, L1 informed R1’s niece of rent increase from $1500.00 to $3750.00. R1 moved out of the facility on 10/28/24. On 10/28/24, L1 refunded a check for amount of $1000.00. Based on records reviewed and interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, is being cited on the attached Lic 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to Licensee, whose signature confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Feb 13, 2025 · control 24-AS-20241206120554

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.655(a) · Plan of correction due date: Feb 14, 2025

HSC 1569.655 (a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 60 days' prior written notice to the residents or the residents' representatives setting forth the amount of the increase, the reason for the increase, and a general description of the additional costs, except for an increase in the rate due to a change in the level of care of the resident… This requirement is not met as evidenced by: Based on records reviewed and interview conducted, the licensee did not comply with the section cited above. Licensee informed R1 rent adjust applied starting the same month, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 13, 2025

Plan of correction: Licensee shall submit a plan of steps that will be taken to ensure the regulation is met which will include when and how Licensee will notify residents or the resident’s representative of any rate increases by the POC due date 02/14/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(g)(5)(A) · Plan of correction due date: Feb 26, 2025

87507(g)(5)(A) Refund conditions. (A)Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death… This requirement is not met as evidenced by: Based on records reviewed and interview conducted, the licensee did not comply with the section cited above when R2 made payments for September 2024 in August 2024 and deceased on 09/27/24. R1 made payments for October 2024 in September 2024 and R1 moved out of the facility on 10/27/24. L1 did not refund full refund amount after R2 deceased, which poses/posed a potential health, safety or personal rights risk to persons in carethe state’s words, verbatim · CDSS document, Feb 13, 2025

Plan of correction: Licensee agrees to submit proof of refund to Fresno CCL office by POC due date 02/26/25.

Type of visit: Required - 1 Year

On 12/09/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met with staff John Flores and staff Edward Alfonso. Licensee (L1) Susan Blanza was called and arrived shortly. LPA toured facility with L1. All five residents were present during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. At approximately 11:07AM, LPA observed knives stored under medication cabinet unlock. LPA observed over-the-counter medications single packets stored in First Aid kit on the wall near fire extinguisher. Fire extinguisher was observed with purchased date of 08/09/24. F. At approximately 11:18AM, LPA observed chemicals stored under kitchen sink. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature observed maintained at 37 degrees F and freezer temperature maintained at -2 degrees. LPA observed R1 and R2’s medications stored and refrigerated on the bottom of the refrigerator door unlock. Medications were observed unlock in medication shelves. MARS was reviewed and medications were checked. LPA observed chemicals, paint, knives stored in garage cabinet unlock. Paint buckets were observed next to water heater in the garage unlock. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. At approximately 12:45PM, LPA observed R2 and R4 in bedroom with an alcohol bottle next to television on television stand. All bathrooms are toured. All bathrooms were observed operating and functioning during inspection. Non-skid mat and grabbed bars were observed. Cleaning chemicals were observed under hall bathroom sink unlock. Hot water temperature was tested at 106.3 degrees F in hall bathroom. Outside of facility toured. At approximately 1:00PM, a bleach bottle was observed on the floor next to the BBQ grill unlock. Side gate was observed free of debris. Adequate outdoor seating available for residents. A sample of resident and staff’s files were reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. Technical Support Program (TSP) assistance was offered to Interim Administrator and Senior Executive Director. Interim Administrator and Senior Executive Director will make a decision and reach out the department regarding acceptance. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached 809D. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 12/16/24: Lic 308, Lic 500, Lic 610E, current liability insurance, and control of property. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Dec 9, 2024

Type of visit: Required - 1 Year

On 01/17/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with caregiver Brenda Munoz-Perez. Licensee (L1) Susan Blanza was called and stated unable to attend meeting. Administrator Petro Crisostomo arrived shortly and toured facility with LPA. All 5 residents were present upon inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Fire extinguisher was observed with purchased date of 1/17/24. An adequate supply of perishable and non-perishable food was observed. Medications were checked and observed kept locked in dining room cabinet. MARS was reviewed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured. All bathrooms were observed operating and functioning during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested between range 109.6 and 109.7 degrees in bedroom 4 bathroom. Hot water temperature was tested at 108.3 in bathroom. Outside of facility toured. Side gate was observed self-closing and free of debris. Adequate outdoor seating available for residents. All residents’ file reviewed to have Admission agreement, physician report and emergency information. LPA reviewed four staff files to have all required documents, fingerprinted cleared and associated to the facility. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached 809D. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 01/26/24. Forms requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. LPA received a copy of current Administrator certificate and facility sketch. A copy of this report and appeal rights was provided to designee whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Jan 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.