A & M Assisted Living

Type of visit: Required - 1 Year

On 08/15/26 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Direct Support Professional, Edith Luna, explained reason for visit and was permitted entry into the facility. Administrator, Angel Zazueta arrived a short time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 1 resident was present during visit. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Fire extinguisher last serviced 07/29/2026. Last fire drill on conducted 07/25/26. Resident rooms observed to have the required furnishings and with adequate lighting. Chemicals and medications were observed locked. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: Sharps observed in bathroom #1 and inside kitchen drawer unlocked and accessible to residents in care. Dog feces needing to be picked up was observed to the right side side run of backyard. Holes from the dogs observed to the left of the sliding door exiting the facility. Food in kitchen refrigerator and freeze was not properly stored and dated. Emergency and Disaster plan did not have one shelter location listed outside the immediate area. Plan did not have have location of electrical shut off listed. 5 of 5 resident beds observed to be hospital beds. 1 of 2 of these files reviewed did not have a prescription the hospital bed/postural support for the resident. 1 of 2 resident receiving hospice services does not have an updated hospice care plan. Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. LPA requested the following documents to be submitted to CCL by 08/28/26: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) and a current copy of liability insurance in order to update the facility file. Exit interview was conducted with Administrator, Angel. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided to Administrator. TSP was offered and accepted. LPA will submit referral.the state’s words, verbatim · CDSS document, Aug 15, 2026

Type of visit: Office

On 09/04/2025, an informal meeting was held at the Fresno Regional Office. The purpose of this meeting was to discuss recently identified issues/concerns associated with the operation of the facility. The informal meeting process was explained during this meeting. The following were in attendance at this meeting: Licensee, Miriam Arias Administrator, Angel Zuzueta Licensing Program Manager I, Alexandria Walton Licensing Program Analyst (LPA), Shawna Doucette This meeting was held to discuss the violations that were observed by the LPA during the annual inspection that was conducted on 08/13/2025. Technical Support Program (TSP) was discussed and offered. TSP offer was accepted; a referral will be sent on behalf of the Licensee. Licensee agrees to submit a plan on how regulations will be met and remain in compliance by 09/12/25. Exit interview was conducted. A copy of this report was discussed and provided to the Licensee, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Sep 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA was granted entry by Staff Sagrario Anguiano Mendoza. Staff contacted the Administrator who responded to the facility to assist with the visit. LPA met with Administrator Angel Zazueta. Licensee Miriam Arias arrived later during the inspection. When LPA arrived at the facility LPA observed medications on the dining room table, the kitchen counter, and the medication cart unlocked and open with medications on top of the medication cart. During the visit, staff did not lock the medications. LPA observed bleach on the kitchen counter and Lysol on top of the medication cart. A tour of the facility was conducted. During the tour, the medication closet was unlocked with additional medications inside. Medication closet remained unlocked during the visit. Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Resident bathroom water temperature measured at 135.4 F. Laundry room had chemicals unlocked. Laundry room led to the garage with tools and other toxic substances. LPA took photos. Smoke detectors and carbon monoxide are operating properly. Fire extinguisher last serviced 3/6/24. Facility does not have a record of conducting emergency drills. Complete Plan of operation was not available to be reviewed. A tour of the outside was conducted. LPA observed round up pesticides on the outside table next to a propane tank. There was outdoor seating for the residents. Resident and staff records were reviewed. Administrator certificate is current. S1 did not have current CPR/First Aid and was the only staff at the facility when LPA arrived. Facility did not have a file for S1 for licensing to review. S1 was not associated to the facility. S1 was not listed on the personnel report in LIS or in Guardian. S1 was removed from the facility. Facility does not have a staff schedule. Facility has one employee, S1, the Administrator, and the Licensee. Administrator stated he is providing care at night, S1 is providing care during the day and Licensee assists sometimes. Facility does not have a centrally stored log, MARS log or record of resident medications. There is no way to determine if facility is properly administering resident medications daily. R1's PRN's are not logged to indicate when they were administered. Facility does not have training for restricted health care condition for R1. Facility does not have hospice training for R1 and do not have LIC 602. R5 is missing ADL page in LIC602. 5 out of 5 residents do not have needs and service plans. R3 and R4 did not have files at the facility to review. Facility did not report R5 being sent out to the hospital on 8/3/25. Refer to 809D A copy of this report was provided with appeal rights and plans of corrections. Civil penalty was issued for S1 not being associated to the facility.the state’s words, verbatim · CDSS document, Aug 13, 2025

The state marks this report as 20 pages; the online copy we transcribed has 17. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Shawna Doucette arrived to the facility announced to conduct the Pre licensing visit. LPA Shawna Doucette met with Licensee Miriam Arias/Administrator Angel Zazueta who granted LPA's entry into the facility. LPA toured facility. Common rooms have adequate furnishings and lighting. All of the resident bedrooms have all the required furnishings and adequate lighting. Hot water temperature in bathrooms measured at 113.8 degrees F. LPA observed a supply of extra bed linens and personal hygiene and grooming products. Kitchen observed to have dishes, plates, utensils. Cleaning supplies are stored in a locking cabinet in the laundry room. Medications are locked in a medication cart in a locked closet in the office. First aid kit contains all the required items. A fire extinguisher is present and has a service date of 03/06/2024. Smoke detectors and carbon monoxide were operating. Facility has a pull station fire alarm. Outside of the facility toured. Exits open free of obstruction. The residence has a delay egress which sounds the indoor alarm. No outside hazards were observed. No pools or bodies of water. All required postings are posted. Facility phone number will be (661) 404-5273. Component III was conducted during pre-licensing visit with Applicants. I have found that applicant has met all pre licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.the state’s words, verbatim · CDSS document, Jul 11, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Office

Facility Type: RCFE Application Type:Initial Capacity:6 Census :N/A COMP II Participants: Angel Zazueta, Licensee/Adminstrator & Miriam Arias, Licensee Interview Method: Telephone interview On [06/07/2024], applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 7, 2024