Park Merced

Type of visit: Case Management - Incident

On 05/23/25 Licensing Program Analyst (LPA) V Gorban conducted an unannounced Case Management visit regarding a self reported incident report that was received in Fresno Regional Office (RO) on 05/13/2026. During this visit LPA met with executive director Elina Moilanen and toured the facility. Per incident report received in Fresno Regional Office that occurred on 05/12/2026, reported by facility resident (R1) that allegedly incident occurred with another resident (R2). The facility notified reporting parties, appropriate agencies and following up with its internal investigation. LPA requested facility files for review to be provided to licensing office, Fresno by May 22th, 2026, 12PM pacific time. No deficiencies were cited during this visit. Exit interview conducted. A copy of report provided for facility records.the state’s words, verbatim · CDSS document, May 20, 2026

Type of visit: Required - 1 Year

On 01/28/2026, Licensing Program Analysts (LPA) Gorban arrived at the facility unannounced to conduct the Required Annual Inspection. LPA was greeted by receptionist, stated the purpose of the visit and met with Administrator (AD). LPA conducted tour of facility inside and out, residents observed in common area after breakfast. The facility was observed to be at a comfortable temperature, clean, in good repair with no passageway obstructions or fire hazards. Fire extinguisher was observed with a service date of: 11/19/2025, disaster drill recorded on December 29th, 2025. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer and walk-in refrigerator. Refrigerator temperature was observed maintained at 40 degrees F. and freezer was observed maintained at -1 degrees F. One story building with rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. LPA observed securely fastened grab bars next to toilet and all tub/shower areas. Resident’s bathroom temperatures tested at a range of 109 to 112 in bathrooms. LPA completed a tour of medication room. Facility utilizes Alis application to record, track, and monitor medication records. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. A sample of staff files were reviewed to have the required documents. A sample of resident’s files were reviewed to have all the required documents. First Aide kit was observed to have all of the required items. No deficiencies issued during this inspection. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 01/30/25: LIC308, LIC500, current Administrator’s certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.the state’s words, verbatim · CDSS document, Jan 28, 2026

Allegation investigated: Staff caused an injury to a resident in care. Staff did not notify resident's responsible party of an incident.

On 11/04/2025, Licensing Program Analyst (LPA) V. Gorban arrived unannounced to deliver findings on a complaint investigation. LPA explained the purpose of the visit to administrator and was allowed entry. During the course of the investigation, LPA conducted a facility tour, conducted interviews, and reviewed records. Allegation: Staff caused an injury to a resident in care. Based on interviews, while assisting resident (R1) with showers and dressing, S1 caused pain to R1 left hand. R1 was taken to medical facility for evaluation that revealed no injury. Allegation: Staff did not notify resident's responsible party of an incident. Based on records review, the responsible party was notified of the incident by phone, on 6/2/25. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Report continues on attached LIC9099-A Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 4, 2025 · control 24-AS-20250605143848

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Nov 7, 2025

87411 Personnel Requirements - General. (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not observed as evidenced by: records review Based on records review and interviews S1 pulled R1 resulted in pain of R1 left wrist and left shoulder. This is poses potential health and safety risk to presons in carethe state’s words, verbatim · CDSS document, Nov 4, 2025

Plan of correction: The facility leadership and administrator will provif ra written statement on facility new in=mplementatiosn regarding this incidnet by POC due date

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a) · Plan of correction due date: Nov 7, 2025

Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: This requitement was observed as evidenced by: records review. The facility failed to follow resident care plan and yelled on resident violating R1 personal rights. This is poses potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 4, 2025

Plan of correction: The facility leadership and administrator will provide a written statement on facility new implementations regarding this incident by POC due date

Type of visit: Required - 1 Year

On 03/20/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Resident Care Director (RCD) , Mani Songoimoli. Administrator Elina Moilanen was notified of Licensing visit but was not able to attend it, certification number 6053116740 and expiration date 07/31/2025. LPA conducted tour inside and out of facility with RCD. Residents observed at the facility during quite time resting after lunch. The facility was observed to be at a comfortable temperature of 69 degrees, clean, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 10/10/2024. Last fire drill conducted on 12/20/2023 prior and last one on 11/21/2024. Evacuation drill conducted on 1/31/2025 Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered twice a week on Mondays and Wednesdays. Refrigerator temperature was maintained at 42.0-degree F. and freezer was maintained at positive 5-degree F. LPA toured resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 109 degrees F. LPA observed securely fastened grab bar and non-skid mat built-in shower area. Medications were stored in a locked medication room in a medication cart. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. Medications monitored by two medication techs on AM and PM shifts, one med tech during NOC shift by Alis system. LPA toured laundry room and observed chemicals were stored and locked for staff use only. Secondary laundry room available to residents to use with no chemicals provided. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. Report continues on attached LIC9099-C Residents and staff files were reviewed. 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 · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 9020 Register of Facility Clients/Residents Please submit the above forms/information to Fresno CCL by: 03/25/2025 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. Exit interview was conducted with the ED. A copy of this report was given to the ED, whose signature on this form confirm receipt of these reports.the state’s words, verbatim · CDSS document, Mar 20, 2025

Type of visit: Case Management - Incident

On 09/25/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a case management inspection. LPA met with Administrator Elina Moilanen and announced the purpose of the inspection. During this visit LPA toured the facility inside and out to conduct residents safety check. The purpose of the visit was to follow-up on an incident which occurred on 9/16/2024. On 9/16/2024, Resident (R1) was found on the floor in his room. During resident interview on 9/25/24 no concerns reported. During staff interview R1 was assisted and taken for medical evaluation. During file review R1 is independent and requires no assistance with ADL. This incident was documented and reported, responsible party for R1 was notified. During this visit LPA requested facility files for review. No citations were issued at this time. Exit interview conducted, report signed and copy of this report provided for facility records.the state’s words, verbatim · CDSS document, Sep 25, 2024

Type of visit: Case Management - Incident

On 09/04/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a case management inspection. LPA met with Resident Care Director Mani Songoimoli and announced the purpose of the inspection. During this visit LPA toured the facility inside and out to conduct residents safety check. The purpose of the visit was to follow-up on an incident which occurred on 8/10/2024. On 8/10/2024, Resident (R1) was found in her room partially undressed in bed with her husband. During staff interview R1 responded no to consensual relationship with her husband. On 8/22/2024, facility staff reassessed R1's care needs. At this time resident at highest level of care (6) and it has not changed. During this visit LPA requested facility files for review. No citations were issued at this time. Exit interview conducted, report signed and copy of this report provided for facility records.the state’s words, verbatim · CDSS document, Sep 4, 2024

Type of visit: Case Management - Annual Continuation

On 4/25/24, Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct a required Annual Inspection visit. LPA introduced herself, stated purpose of visit, and was allowed entrance by staff. Administrator Elina Moilanen was contacted and met with LPA. LPA toured the facility inside and out including entry, kitchen, dining, common areas, sample of bedrooms, sample of bathrooms, and exterior. LPA observed facility to be clean, clutter free, and odor free. All fire exit routes were observed to be free and clear of obstructions. Medications are stored in a locked room. Toxins, cleaning supplies are kept in a locked room. Knives and sharp objects are securely locked and inaccessible to residents. Facility is licensed for a capacity of 125 and the current census is 67. Residents have their own bedrooms and do not share. The facility has 94 individual bedrooms with private bathrooms in each room. Disaster plan is complete and current. Emergency drills are conducted on a quarterly basis. Liability insurance is current with proper coverage. Fire extinguishers have been services as of 10/5/23 and are in good standing. Fire sprinkler system was last serviced 4/3/24. A carbon monoxide detector was tested in a common area and is in working condition. Water temperature was checked in a residents bedrooms and read at 117.1 degrees Fahrenheit. Sample of resident files and staff files were reviewed. Training, CPR, and first aid are current and up to date for sample files. No citations issued per the California Code of Regulations Title 22. Exit interview was conducted and a copy of this report LIC809 was provided to Administrator Elina Moilanen. 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: 05/02/2024 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed.the state’s words, verbatim · CDSS document, Apr 25, 2024

Type of visit: Required - 1 Year

On 3/26/24 Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct an annual inspection visit. LPA spoke with receptionist who stated the facility is currently under Covid-19 outbreak. The visit has been s listed as an attempt. LPA will attempt to conduct annual inspection at a later date.the state’s words, verbatim · CDSS document, Mar 26, 2024

Type of visit: Case Management - Incident

On 12/28/2023, Licesing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to conduct a case management inspection. LPA met with Vice President of Operation James Nordman and announced the purpose of the inspection. The purpose of the inspection was to follow-up on an incident which occurred on 9/15/2023. On 9/15/2023, Resident 1 (R1) was found across the street from the facility by law enforcement personnel. R1 did not receive any bruising or injuries. On 11/30/2023, facility staff reassessed R1's care needs and adjusted her care level. Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency was observed and cited on the attached LIC 809-D. Failure to correct the deficiency may result in civil penalties. An exit interview was conducted, and a copy of this report provided to the licensee via email. Appeal Rights (LIC 9058) were provided to the licensee.the state’s words, verbatim · CDSS document, Dec 28, 2023

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87464(f)(1) · Plan of correction due date: Dec 28, 2023

87464 Vasic 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 off of record review, the licensee did not ansure that this requirement was met for at least one out of 62 residents on 9/15/2023, when a resident diagnosed with dementia was found across the street from the facility.the state’s words, verbatim · CDSS document, Dec 28, 2023

Plan of correction: R1 was reassessed by facility staff, and her care level was raised. Auditory alert device has been repaired.