Savanna Assisted Living

Type of visit: Required - 1 Year

On 04/20/26, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPAs introduce self, stated the purpose of the visit and request to meet with Licensee (L1) Sarah Mazibuko. LPA toured facility with L1. Four resident was 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 or outside. Medications observed kept locked in hall closet. Fire extinguisher was observed with a purchased date of: 03/28/26. Temperature maintained for refrigerator at 37 degrees F and freezer at -8 degrees F. An adequate supply of perishable and non-perishable food was observed. Cleaning supplies observed locked under kitchen sink, under hall counter, and in garage cabinet. All bedrooms were observed to have required furnishings and with adequate lighting. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mats. Hot water temperature was tested at 112.6 degrees F in bathroom 1 and tested at 112.2 and 113.7 degrees F in shared bathroom. Outside of facility toured and observed to be free of debris with adequate outdoor seating available for residents. Side gate observed self-closing and self-latching. All residents’ and sample of staff files were reviewed to have all the required records. Carbon monoxide and smoke detectors were tested and observed to be operational. No deficiency cited during inspection. Exit Interview conducted. Copies of Lic 308, Lic 500, Lic 610E, and current liability insurance was received during visit. A copy of this report was provided to the Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Apr 20, 2026

Type of visit: Required - 1 Year

On 05/16/25, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPAs introduce self, stated the purpose of the visit and request to meet with Administrator. LPA met with caregiver Charisma Baclig. Licensee (L1) Sarah Mazibuko was called and arrived shortly. LPA toured facility with L1. All three resident was 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 or outside. All residents’ and sample of staff files were reviewed to have all the required records. Medications observed kept locked in hall closet. MARs were reviewed and medications were checked. Fire extinguisher was observed with a purchased date of: 04/27/25. Last fire drill completed on 04/01/25. Temperature maintained for refrigerator at 30 degrees F and freezer at -6 degrees F. An adequate supply of perishable and non-perishable food was observed. Cleaning supplies observed locked under kitchen sink and garage cabinet. All bedrooms were observed to have required furnishings and with adequate lightening. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested at 106.3 degrees F in bathroom 1 and range at 109 degrees F in shared bathroom. Outside of facility toured and observed to be free of debris with adequate outdoor seatings available for residents. Side gate observed self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 05/22/25. Forms requested: Lic 308, Lic 500, Lic 610E, current Administrator certificate, and current liability insurance. A copy of this report and appeal rights was provided to the Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, May 16, 2025

Type of visit: Case Management - Deficiencies

On 07/15/24, Licensing Program Analyst (LPA) M. Yang conducted case management-deficiency visit to the facility. LPA introduce self, stated the purpose of the visit, and met with Licensee Sarah Mazibuko and Administrator Fe Villa- Tungpalan. The purpose of the visit is to address the incident report where the department was notified that the Licensee did not provide proper written eviction notice to R1. Therefore, as a result, a deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. An exit interview was conducted. A copy of this report and appeal rights was provided to Licensee, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Jul 15, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87224(a) · Plan of correction due date: Jul 21, 2024

The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5)… This requirement is not met as evidenced by: Based on interview and record review, the facility informed R1’s payer and family of eviction notice. Eviction notice was not valid and did not meet the eviction procedure. This poses a potential health and safety risks to persons in care.the state’s words, verbatim · CDSS document, Jul 15, 2024

Plan of correction: Licensee will submit a written plan of how evictions shall be presented to residents and/or their responsible party to Department by POC due date.

Type of visit: Required - 1 Year

On 06/07/24, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPAs introduce self, stated the purpose of the visit and request to meet with Administrator. LPA met with caregiver Maricar Pintor. Licensee Sarah Mazibuko was called and arrived shortly during tour. All four resident was 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 or outside. Medications observed kept locked in kitchen shelf. MARs were reviewed. Fire extinguisher was observed with a purchased date of: 03/20/2024. Temperature maintained for refrigerator at 30 degrees F and freezer at 0 degrees F. An adequate supply of perishable and non-perishable food was observed. Cleaning supplies observed locked under kitchen sink and garage cabinet. All bedrooms were observed to have required furnishings and with adequate lightening. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested range 106.3 degrees F in bathroom 1 and range at 106.3 and 105.9 degrees F in shared bathroom. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Carbon monoxide and smoke detectors were tested and observed to be operational. All residents’ file reviewed to have all the required records. Staff files were observed to have current First Aid/CPR. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 06/14/24. Forms requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to the Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jun 7, 2024