A Comfort Care Home

Type of visit: Required - 1 Year

On 9/25/2026, Licensing Program Analysts (LPAs) M. Medina and J. Duarte conducted an unannounced Annual Required Inspection. LPAs arrived, introduced self, stated purpose of visit, and allowed entrance by direct care staff. Licensee/Administrator Evangeline Schissler contacted by telephone and arrived a short time later to conduct visit with LPAs. LPAs observed facility to be clean, odor free, and temperature to be 79 degrees. Facility observed to be equipped with auditory alarms on all exit doors; however, not in the "on" position. Resident rooms toured, LPA observed medications dispensed in cups in resident 2 (R2's) bedroom. All common areas observed to have adequate seating available for residents. Bathrooms observed to have grab bars, shower chairs, and non-skid mats available. Fixtures in the bathroom observed to be functional. Water temperature measured at 111 degrees F. Kitchen toured, facility has a 7-day supply of non-perishable food and a 2-day supply of perishable food available. LPAs observed food in refrigerator to be stored and not dated. LPAs also observed canned food in pantry beyond expiration date. LPA observed medications in kitchen cabinet and in enclosed hallway passageway to garage, area is unlocked and accessible to residents. Medications cabinets observed to be unlocked and unsecured during inspection. LPAs observed during file review that all resident did not have a centrally stored medication records. LPAs observed smoke detectors and carbon monoxide detectors to be operational during facility inspection. Fire extinguisher present with a purchase date of 7/29/2026. Outside of facility toured. Pool is surrounded with a 5 foot wrought iron fence, observed to be locked, secured, and inaccessible to residents. Shed in backyard was unlocked and contained chemicals for the pool and hazardous equipment. LPAs observed a bed headboard in the backyard near the pool and miscellaneous items along the North side of facility that needed to be moved and secured or disposed of. Continued on 809-C LPAs reviewed staff and resident files. During file review and review of fingerprint clearance, LPA observed that staff 2 (S2) is fingerprint cleared and not associated to facility and was working alone at start of inspection. S2 did not have current CPR or first aid training on file. Deficiencies are being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 9099D. An immediate Civil Penalty is being Assessed on the attached LIC421M. Exit interview conducted. A copy of signed report and Appeal rights will be emailed to licensee.the state’s words, verbatim · CDSS document, Sep 25, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Sep 26, 2026

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or **This was not met as evidenced by staff 2 (S2) is fingerprint cleared and not associated to facility.the state’s words, verbatim · CDSS document, Sep 25, 2026

Plan of correction: Licensee to submit LIC9182 to Fresno Regional office to associate S2 fingerprint clearance to facility. IMMEDIATE CIVIL PENALTY ASSESSED IN THE AMOUNT OF $500

From the deficiency page — Deficiency type: Type A · Section cited: CCR87465(a)(4) · Plan of correction due date: Sep 26, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (2) The licensee shall provide assistance in meeting necessary medical and(4) The licensee shall assist residents with self-administered medications as needed. ***This was not met as evidenced by LPA observed medications dispensed in cups in resident 2 (R2's) bedroom.the state’s words, verbatim · CDSS document, Sep 25, 2026

Plan of correction: Medication removed and secured from R2's bedroom at time of visit. DEFICIENCY CLEARED DURING VISIT

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Sep 26, 2026

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. ***This was not met as evidenced by LPA observation of dispensed medication in R2's bedroom, medication cabinet unlocked, medications in kitchen and in enclosed hallway passageway to garage accessible to residents. Shed in backyard unlocked containing pool chemicals and tools.the state’s words, verbatim · CDSS document, Sep 25, 2026

Plan of correction: Medication was in R2's room was secured, medication cabinet was locked and secured, and shed was locked and secured during visit. DEFICIENCY CLEARED DURING VISIT.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87705(d) · Plan of correction due date: Sep 26, 2026

Care of Person with Dementia: (d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. ***This was not met as evidenced by LPA observed facility to be equipped with auditory alarms on all exit doors;however, not in the "on" positionthe state’s words, verbatim · CDSS document, Sep 25, 2026

Plan of correction: All auditory alarms were placed into the "on" position during inspection. DEFICIENCY CLEARED DURING VISIT.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(8) · Plan of correction due date: Oct 2, 2026

General Food Service Requirements: (b) The following food service requirements shall apply:(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. ***This was not met as evidenced by LPA observation of expired food in pantry, fruit that appears old.the state’s words, verbatim · CDSS document, Sep 25, 2026

Plan of correction: Licensee discarded all expired canned food from pantry. Licensee will ensure that all food in refrigerator is properly stored and labeled. POC to be submitted to Fresno Regional Office by due date.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.618(c)(3) · Plan of correction due date: Sep 25, 2026

(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: 3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. **This was not met as evidenced by: LPA observed during file review that S2 did not have CPR/First Aid training and was working alone at time of LPA arrival.the state’s words, verbatim · CDSS document, Sep 25, 2026

Plan of correction: S2 completed online course for CPR/First Aid during annual inspection and presented proof of completion to LPA. DEFICIENCY CLEARED DURING VISIT

Type of visit: Required - 1 Year

On 8/06/25, Licensing Program Analysts (LPAs) M. Medina and J. Duarte conducted an unannounced Annual Required Inspection. LPAs arrived, introduced self, stated purpose of visit, and allowed entrance by Licensee/Administrator Evangeline Schissler. LPAs toured facility with Licensee. LPAs observed facility to be clean, odor free, and temperature to be 79 degrees. Facility observed to be equipped with auditory alarms on all exit doors however not in the "on" position. Resident rooms toured. All common areas observed to have adequate seating available for residents. Bathrooms observed to have grab bars, shower chairs, and non-skid mats available. Fixtures in the bathroom observed to be functional. Water temperature measured at 118 degrees F. Kitchen toured, facility has a 7-day supply of non-perishable food and a 2-day supply of perishable food available. LPAs observed food in refrigerator to be stored and not dated. LPAs also observed canned food in pantry beyond expiration date. Knives observed to be in drawer but unlocked and accessible to residents. Medications cabinets observed to be locked and secured, however, LPAs observed AM medications pre-dispensed along with prescription ointments, and prescription inhaler unlocked and accessible in drawer. LPAs observed during file review that all resident did not have a centrally stored medication records. LPAs observed smoke detectors and carbon monoxide detector to be operational during facility inspection. Fire extinguisher present with a purchase date of 7/8/2025. Outside of facility toured. Pool is surrounded with a 5 foot wrought iron fence, observed to be locked and secured and inaccessible to residents. Shed in backyard unlocked and contained chemicals for the pool and hazardous equipment. LPAs observed a dresser and miscellaneous items along the North side of facility that need to be moved and secured or disposed of, these items also contained unsecured chemicals and observed accessible to residents LPAs reviewed staff and resident file reviews. LPA Medina received copies of Administrator certificate and current liability insurance during inspection. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D. Exit interview conducted. A copy of signed report and Appeal rights will be emailed to licensee.the state’s words, verbatim · CDSS document, Aug 6, 2025

Type of visit: Required - 1 Year

On 7/9/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by caregiver. Evangeline Schissler arrived a few minutes later to conduct visit with LPA. Upon entry, LPA did not observe any required postings available. LPA observed facility to be clean, odor free, and temperature to be 73 degrees. Facility observed to be equipped with auditory alarms on all exit doors however not in the "on" position. Resident rooms toured. All common areas observed to have adequate seating available for residents. Bathrooms observed to have grab bars, shower chairs, and non-skid mats available. Fixtures in the bathroom observed to be functional. Water temperature measured at 113 degrees F. Kitchen toured, facility has a 7-day supply of non-perishable food, however does not have a 2 day supply of perishable food available. LPA observed food in refrigerator to be stored and not dated. LPA also observed canned food in pantry beyond expiration date. Knives and scissors observed to be in drawer but unlocked and accessible to residents, LPA also observed knives in dish rack. Medications requiring refrigeration observed to be in the refrigerator and accessible to residents. LPA observed a kitchen drawer with AM medications pre-dispensed and waiting to be administered, unlocked and accessible to residents. Medications in hallway cabinet observed to be unlocked. All medications observed to have original labels. LPA observed smoke detectors and carbon monoxide detector to be operational during facility inspection. Outside of facility toured. Pool is surrounded with a 5 foot wrought iron fence, observed to be locked and secured and inaccessible to residents. No hazards observed. LPA will return to conduct staff and resident file reviews. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiencies are being cited on the attached 9099-D. Exit interview conducted. Appeal rights provided. A copy of the sign report provided for facility records.the state’s words, verbatim · CDSS document, Jul 9, 2024