Carmel Valley Manor

Type of visit: Required - 1 Year

On 10/23/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator and Chief Operating Officer (AD) Christine Regan, certification number 7018654740, and expiration date LPA conducted tour inside and out of facility with AD. Residents observed at the facility during lunch time. The facility comprised assisted living section with a census of 15 residents and independent living section with a census of 180 residents. During the facility tour, rooms and hallways were observed to be at a comfortable temperature of 76 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 08/21/2025. Per records, last emergency drill conducted on 08/12/2025 Dining area and Kitchen were toured. LPA interviewed Director of Dinning. Food delivered to the facility 6 days a week. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer (with temperature -2 degrees F), refrigerator ( with temperature 39 degrees F), and pantry (no perishable food reviewed by staff . Food is delivered by US Foods twice a week on Tuesdays and Fridays. Refrigerator temperature was maintained at 39.0-degree F. and freezer was maintained at -2-degree F. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested and within regulation requirements. LPA observed securely fastened grab bar and non-skid mats missed in couple rooms toured Report continues on attached LIC809-C Medications were stored in a locked medication room in a medication cart. Facility use Poinclickcare for medication and ministration and records. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. Adequate PPE supplies was observed. LPA toured laundry room and observed chemicals were stored and locked for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. Residents’ files were reviewed to have updated emergency contact, Admission agreement, Needs and Services Plan and Pre-Appraisal Plan. A sample of staff files were reviewed. Staff files were observed to have current First Aid/CPR, Health screening, and Personnel record. Staff are fingerprinted clear and associated to the facility. 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 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents Please submit the above forms/information to Fresno CCL by: 10/29/2025 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. No deficiencies issued during this inspection. An exit interview was conducted with the AD. A copy of this report was given to the AD, whose signature on this form confirm receipt of these reports.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Case Management - Incident

On 10/23/25, Licensing Program Analyst (LPA) V Gorban arrived unannounced to conduct a case management visit regarding the incident report. LPA introduced self, stated the purpose of the visit and met with Resident Service Director Nina Francetic. Administrator Chris Regan was notified and was able to attend the visit. The purpose of the visit is to follow up on the incident reported to Licensing office on 09/16/25. Per report, R1, when returned to her room, was not able to locate her personal items that were left in the room with the front door left unlocked. Licensing office was notified via incident report. Law enforcement was contacted and sheriff visited the facility on 09/12/25 to conduct the investigation. Per facility no event number provided. LPA requested facility records for review and will follow up with the facility at later time. No deficiency was observed or cited during this visit. An exit interview was conducted. A copy of this report was provided to administrator, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Case Management - Other

On 06/27/2025, Licensing Program Analyst (LPA) V Gorban conducted an unannounced Case Management visit. LPA introduced self, stated purpose of visit and allowed entrance. LPA met with Residential Care Director, administrator was notified but was able to attend the visit. The purpose of this visit is to verify that Staff (S1) is not on the property. LPA provided a copy of Decision and Order to administrator via email on June 13th, 2025, as mailed copy was sent to main office. S1 Last day at the facility was on June 12th, 2025 Residential Care Director understands that S1 is excluded and not permitted to be on the grounds at any time. There were no deficiencies cited. An exit interview was conducted and a copy of this report provided for facility recordsthe state’s words, verbatim · CDSS document, Jun 27, 2025

Type of visit: Required - 1 Year

On 11/01/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Chris Regan, certification number 6051485740 and expiration date 02/25/2025. LPA conducted tour inside and out of facility with AD. Residents observed at the facility during lunch. The facility was observed to be at a comfortable temperature of 76 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 07/30/2024 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 once a week on Thursdays. Refrigerator temperature was maintained at 40.0-degree F. and freezer was maintained at -2-degree F. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 112 degrees F. LPA observed securely fastened grab bar and non-skid mat 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. Adequate PPE supplies was observed. LPA toured laundry room and observed chemicals were stored and locked for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. A sample of residents’ file was reviewed to have updated emergency contact, Admission agreement, Needs and Services Plan and Pre-Appraisal Plan. A sample of staff files were reviewed. Staff files were observed to have current First Aid/CPR, Health screening, and Personnel record. Staff are fingerprinted clear and associated to the facility. 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 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents Please submit the above forms/information to Fresno CCL by: 11/04/2024 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. No deficiencies issued during this inspection. An 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, Nov 1, 2024

Type of visit: Required - 1 Year

On 11/20/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to conduct a Required Annual Inspection. LPA met with Administrator Chris Regan and Residential Care Director Nina Francetic and announced the purpose of the visit. Administrator Certification is current with renewal date 2/25/2025. LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. Fire extinguishers were recently serviced and facility has a sprinkler system. LPA toured the facility kitchen and observed an adequate supply of perishable and non-perishable foodstuffs. Kitchen and all common areas were clean, well-lit, and odor-free. Facility had adequate supply of emergency food, personal protective equipment, and first aid supplies. LPA reviewed emergency-disaster plan and records of emergency drills. All outdoor areas are free from hazards and have enough seating for residents. LPA toured a sample of resident bedrooms and bathrooms, which were observed to be clean, with all fixtures and appliances functioning properly. Bathrooms were clean and were equipped with required grab-bars and non-skid mats. LPA observed centrally stored medications to be properly stored and secured, and medications appeared to be administered properly. LPA reviewed a sample of resident and staff files. Files contained required documentation and records. LPA requested the following files to be provided by 11/27/2023: LIC 500, LIC 308, LIC 9020a. No deficiencies were cited during the inspection. A copy of the report was provided and exit interview conducted with Administrator.the state’s words, verbatim · CDSS document, Nov 20, 2023