Balance Residential Care

Type of visit: Required - 1 Year

On 09/01/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with administrator. LPA met with Linda Natividad, designated representative (designee). Administrator Victoria “Vicki” Bicera was called and stated unable to attending meeting. All five residents were present during the inspection. The tour started in the kitchen into the common areas to the resident's rooms. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Fire extinguisher was observed with a service date of: 04/29/23. Cleaning chemicals was observed stored and locked in the garage. Medications were checked and observed kept locked in kitchen cabinet. Residents’ MARS was reviewed. An adequate supply of perishable and non-perishable food was observed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested 107.6 degrees F. in bathroom 1 and range between 110.3 and 109.6 degrees F. in master bathroom. Carbon monoxide and smoke detectors were tested and observed to be operational. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for residents and free of debris. All residents’ file reviewed to have update Emergency contacts, Admission agreement, Pre-Appraisal form, and physician report. A sample of staff files were also reviewed to have current First Aid/CPR, Personnel Record, Criminal record Statement, and Health Screening. Staff were fingerprinted cleared and associated with facility. No deficiencies issued during this inspection. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 09/07/23. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, Lic 9282, and control of property. LPA received copy of current Administrator certificate, update facility sketch, and current liability insurance. 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, Sep 1, 2023

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: Required - 1 Year

On 09/08/2022, Licensing Program Analyst (LPA) arrived unannounced to conduct an annual inspection. LPA was greeted by caregiver, introduced self and stated the purpose of the visit. LPA spoke to Licensee on the phone who was unable to attend the visit in person. Licensee has given permission for caregiver to sign for report based on the LIC 308 on file with the facility. There are four residents present during today's inspection, 3 of which are receiving Hospice services. LPA conducted a tour of the facility with caregiver. Facility is a 5 bedroom / 2 bathroom home. Facility staff were observed wearing facial coverings. There were no obstructions blocking walkways or fire clearance issues during this inspection. LPA observed a visitor log/temperature log at the entry. Hand sanitizer was available for visitors. LPA observed signs promoting hand-washing, social distancing, and cough/sneeze etiquette throughout the facility. LPA observed hand sanitizer in resident rooms. Resident bathroom observed to be stocked with paper towels and liquid soap. Hand-washing signs observed in the resident bathroom and kitchen. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. LPA checked medications. LPA observed a 30 day supply of PPE and cleaning supplies. No deficiencies issued during this inspection. (continued on LIC 809-C) (Continued from 809) LPA is requesting the following documents be submitted to the Fresno CCL office by 09/23/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Emergency and Disaster Plan (LIC610ES) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020) An exit interview was conducted. A copy of this report was discussed and provided to caregiver, Linda Natividad, whose signature on this form confirms receiving this document.the state’s words, verbatim · CDSS document, Sep 8, 2022

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 09/23/2021, Licensing Program Analyst (LPA) L. Salazar arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility by Licensee. Facility has one entry/exit point. Visitor log-in/temperature check observed at the entrance of the facility. LPA toured the facility inside and out and observed 6 out of 6 residents in the home. 3 out of 4 bedrooms were single occupancy during this inspection. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms had a trash cans with lids. Signs promoting social distancing, cough/sneeze etiquette, and hand-washing observed. Staff were all observed wearing face coverings. Facility has multiple designated visitation areas available. Cleaning and PPE supplies were checked. LPA observed 30-day PPE and resident medication supply that was stored in a locked cabinet in the kitchen. Common and resident bathroom sinks are well stocked with liquid soap for hand washing. Food supply was checked and there appeared to be an adequate supply. Staff records were reviewed for good health and infection control training. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. Facility Mitigation plan has been received. Infection control procedures described in the plan were observed and include: Daily symptoms screenings (for staff, persons in care and visitors), testing, visitation, quarantine/isolation procedures, staffing, PPE storage, use and training, and daily infection control procedures. All residents are fully vaccinated. Through LPA’s observations, documentation review and interview with Administrator, the required infection control practices are found to be in compliance. No deficiencies cited on today’s inspection.the state’s words, verbatim · CDSS document, Sep 23, 2021