Agape of Carmel

Type of visit: Required - 1 Year

On 07/08/2026, Licensing Program Analyst (LPA) V. Gorban arrived unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Miriam Fickewirth, certification number 7002605740 and expiration date 12/02/2027. LPA conducted facility tour inside and out of facility with staff. Residents observed at the facility after breakfast time. The facility was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 04/27/2026. Last fire drill recorded in May 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 once a week. The facility is comprised of three level sections; three residents’ rooms on the upper level are not licensed by DSS. Main level comprised residents rooms, dining and kitchen. Lower level is three rooms and a laundry . The census during the visit six (6) assisted living residents. LPA toured resident bedrooms. Residents' rooms were toured and observed adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 113 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area. Medications were stored in a locked medication closet in the kitchen. The first Aid Kit was observed with all required items. LPA toured the laundry room and observed chemicals were stored and locked in for staff use only. The facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents’ files requested and reviewed during the inspection visit. Deficiencies cited for incomplete residents and staff records and attached to D-form. Exit interview conducted. Report signed and its copy with appeal rights provided for facility records.the state’s words, verbatim · CDSS document, Jul 8, 2026

Allegation investigated: Facility has expired food Facility is uncleaned Residents are left in soiled diapers for an extended period of time

On 11/13/2025, Licensing Program Analyst (LPA) V. Gorban unannounced visited the facility to commence complaint investigation. During this visit LPA met with facility Administrator (AD) Miriam Fickewirth and stated the purpose of the visit. During this visit LPA toured the facility inside and out, performing safety checks and observed residents in care. During complaint investigation LPA toured the facility conducting health and safety checks, interviewed staff, visitors and administrator. Allegation: Facility has expired food. Based on observations the facility has three storage containers of non-perishable food that was observed in the shed. LPA also observed perishable food in the refrigerator. Administrator is the person does groceries shopping twice a week. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated Report continues on attached LIC9099-C Unsubstantiated Allegation: Facility is uncleaned. Based on observation and interviews, the facility has two additional staff members with administrator present to provide residents’ care and keep facility clean. Interviews conducted with witnesses stated that they have not observed any issues with the facility being uncleaned. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Allegation: Residents are left in soiled diapers for an extended period of time. Based on observations and interviews, residents are checked every two hours and turned. Records reviewed did not indicate that the residents had injuries or sores. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiency cited during this visit. Exit interview conducted, report signed and copy of this report provided to administrator for facility records.the state’s words, verbatim · CDSS document, Nov 13, 2025 · control 24-AS-20251104102923

Type of visit: Required - 1 Year

On 07/23/2025, Licensing Program Analyst (LPA) V Gorban arrived unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Miriam Fickewirth, certification number 7002605740 and expiration date 12/02/2025. LPA conducted facility tour inside and out of facility with staff. Residents observed at the facility after lunch time. The facility was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 04/10/2025 Last fire drill recorded in May 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 once a week. The facility is comprised of three level sections; three residents’ rooms on the upper level, two residents’ rooms on main level with dining and kitchen, and lower level is three rooms and a laundry . The census during the visit is 4 assisted living residents. LPA toured resident bedrooms. Residents' rooms were toured and observed adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 115 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area. Medications were stored in a locked medication closet in the kitchen. The first Aid Kit was observed with all required items. LPA toured the laundry room and observed chemicals were stored and locked in for staff use only. The facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents’ files requested and reviewed during the inspection visit. Exit interview conducted, no deficiency cited during this visit. Report signed and copy provided for facility records.the state’s words, verbatim · CDSS document, Jul 23, 2025

Allegation investigated: Staff do not assist residents with care needs in a timely manner. Staff do not ensure facility cleanliness is maintained. Staff do not ensure the safety of food served to residents. Licensee does not ensure a safe and healthful environment is provided for residents. Staff do not seek timely medical attention for residents. Licensee does not provide residents with adequate food service. Licensee does not provide planned activities for residents. Staff did not dispense medication to resident as prescribed.

On 12/26/2024, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Miriam Fickewirth and stated the purpose of the visit. During this visit LPA toured the facility inside and out, performing safety checks and observed residents in care. Allegation: Staff do not assist residents with care needs in a timely manner. During this visit LPA observed facility, interviewed staff, residents, and residents’ responsible parties. Based on statement provided above, no concerns form staff, residents, or resident responsible parties or LPA observation observed or reported. 5 out of 6 residents pleased with facility operations and reported no to concerns. One out of six resident is on hospice and unable to speak, although POA for that resident responded no to concerns. Allegation: Staff do not ensure facility cleanliness is maintained. Based on facility tour including residents’ rooms, bathrooms, kitchen, common area and outside yard. LPA also interviewed facility staff and residents during which no concerns observed or/and reported during file review. Based on staff interviews the facility cleaned by staff daily. Unsubstantiated Staff do not ensure the safety of food served to residents. Based on kitchen tour, food supply review of perishable and non-perishable food storage no violations observed. During facility visit on 8/22/24, residents and staff interviews no food concerns reported and /or observed. Per interviews that staff does groceries shopping twice a week. Allegation: Licensee does not ensure a safe and healthful environment is provided for residents. Based on observations during facility visits, residents’ interviews and records review no concerns observed or reported. Allegation: Staff do not seek timely medical attention for residents. Based on residents and family interviews the facility provide services as expected. Based on staff interviews all staff aware contacts for medical attention when needed. Based on observations, the facility had emergency contact numbers posted. Allegation: Licensee does not provide residents with adequate food service. Based on residents and family interview no concerns of food served to residents reported and/or provided. Based on records reviews all residents receive meals according to residents' diet records. Allegation: Licensee does not provide planned activities for residents. Based on observation during facility visit on 08/22/24 residents spent time outdoor touring the property, feeding birds outside by a large bird cage. Based on family interviews residents are taken on outings by family couple times a week. Allegation: Staff did not dispense medication to resident as prescribed. Based on records review, 6 out of 6 residents medications provided as prescribed. Although the above 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. Exit interview conducted, report signed and copy of this report provided to administrator for facility records.the state’s words, verbatim · CDSS document, Dec 26, 2024 · control 24-AS-20240821091523

Type of visit: Case Management - Deficiencies

On 12/26/2024, LPA V Gorban visited the facility to conduct case management revealed during complaint investigation. During this visit LPA questioned Administrator regarding incident report provided by staff on 08/16/2024 regarding Resident 1 (R1). Based on staff and administrator interviews resident (R1) fall incident was not reported to Fresno Licensing Office. During the complaint investigation, administrator interview and records review of Guardian and Licensing Information System shows S2 is not associated to the facility while providing care to residents during the days of 8/14/2024 to 08/18/2024. Deficiency for both events cited on the attached LIC809-D in accordance with California Code of Regulations, Title 22, Division 6 and an immediate civil penalty is being assessed in the amount of $500. An exit interview was conducted with Administrator Miriam Fickewirth. Appeal Rights provided. Report signed on-site by Administrator, whose signature on the form confirms receipt with of this document.the state’s words, verbatim · CDSS document, Dec 26, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(a) · Plan of correction due date: Dec 27, 2024

87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment....This requirement was not observed as evidenced by: The facility Administrator failed to follow regulations requirements by ensuring 1 out of 2 staff members is cleared and associated to the facility roster. This poses immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Dec 26, 2024

Plan of correction: The facility administrator ensure to follow Licensing requirements and staff that is not cleared to be present at the facility is no longer there.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a)(1) · Plan of correction due date: Dec 30, 2024

87211 Reporting Requirements. (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited.... This requirement was not observed as evidenced by: The facility administrator failed to follow Licensing regulation by providing written report for incident hat occurred on 08/16/24 to Licensing Agency, which poses potential health and safety risk to persons in carethe state’s words, verbatim · CDSS document, Dec 26, 2024

Plan of correction: The facility administrator will review Licensing regulation and ensure all incident reports to be provided to Fresno Licensing Office by fax or email.

Type of visit: Required - 1 Year

On 07/22/2024, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with facility Administrator Miriam Fickewirth, certification number 7002605740 and expiration date 12/02/2025. The facility was observed to be at a comfortable temperature, of 76 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area during breakfast watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility. Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed. A fire extinguisher was observed in compliance. Private residents’ bedroom observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 113 degrees F. Medications records storage observed to be locked in a cabinet in the common area. Cleaning supplies were observed to be in a locked cabinet in the storage it the laundry room. An outdoor seating area was observed operational for residents in care. LPA reviewed staff files. No deficiencies were observed and cited during this visit. Exit interview conducted. A report was signed, and a copy of this report was provided for facility records.the state’s words, verbatim · CDSS document, Jul 22, 2024