Carmel Village at Clovis

Type of visit: Required - 1 Year

On 7/14/2026, Licensing Program Analyst (LPA) J. Leffall arrived at the facility unannounced to conduct the Required Annual Inspection. LPA was greeted by receptionist, stated the purpose of the visit and met with Interim Administrator (AI) Nicole Long. LPA conducted tour of facility with AI. Residents were observed seating in lobby, dining area and activity room. The facility was observed to be at a comfortable temperature, clean, in good repair with no passageway obstructions or fire hazards. Fire extinguisher was observed with a service date of: 11/13/2025. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer and walk-in refrigerator. Refrigerator temperature was observed maintained at 35 degrees F. and freezer was observed maintained at -1 degrees F. First, second, and third floor Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. LPA observed securely fastened grab bars next to toilet and all tub/shower areas. Resident’s bathroom temperatures tested at a range of 106.7 to 109 in 5 bathrooms. First Aide kit was observed to have all of the required items. The latest inspection report was submitted to LPA regarding the smoke detectors, carbon monoxide and the indoor sprinklers. LPA completed a medication audit. Medications were stored in a locked medication room in a medication cart. MAR and medications were reviewed. A sample of staff files were reviewed to have the required documents. A sample of resident’s files were reviewed to have all the required documents. No deficiencies issued during this inspection. Exit Interview conducted. LPA is requesting the following documents be submitted to the Fresno CCL office by 7/28/26: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance-RCFE, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A) 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, Jul 14, 2026

Type of visit: Required - 1 Year

On 7/23/2025, Licensing Program Analysts (LPA) J. Leffall arrived at the facility unannounced to conduct the Required Annual Inspection. LPA was greeted by receptionist, stated the purpose of the visit and met with Administrator (A1) Linda Pope. LPA conducted tour of facility with A1. Residents were observed seating in lobby, dining area and activity room. The facility was observed to be at a comfortable temperature, clean, in good repair with no passageway obstructions or fire hazards. Fire extinguisher was observed with a service date of: 11/18/2024. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer and walk-in refrigerator. Refrigerator temperature was observed maintained at 38 degrees F. and freezer was observed maintained at -2 degrees F. First, second, and third floor Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. LPA observed securely fastened grab bars next to toilet and all tub/shower areas. Resident’s bathroom temperatures tested at a range of 108.6 to 112.9 in 5 bathrooms. First Aide kit was observed to have all of the required items. The latest inspection report was submitted to LPA regarding the smoke detectors, carbon monoxide and the indoor sprinklers. LPA completed a medication audit. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. A sample of staff files were reviewed to have the required documents. A sample of resident’s files were reviewed to have all the required documents. No deficiencies issued during this inspection. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 8/6/25: Lic 308, Lic 500, Lic 610E, Current Liability Insurance and current Administrator’s certificate. 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, Jul 23, 2025

Type of visit: Case Management - Other

On 8/20/24 Licensing Program Analysts J. Leffall and K. Kaur arrived unannounced for a case management visit regarding a Default Decision and Order for Staff 1 (S1) Dequisha Smith. LPA's met with Administrator Linda Pope. Linda Pope verified Dequisha Smith is not employed, was never hired and never stepped foot on the premises for employment. LPA's conducted visit to verify the individual previously mentioned is not working at the facility. LPA's were informed by Administrator that member is not employed at the facility and will be disassociated with the facility. 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, Aug 20, 2024

Type of visit: Required - 1 Year

On 8/13/2024, Licensing Program Analysts (LPAs) J. Leffall and K.Kaur arrived at the facility unannounced to conduct the Required Annual Inspection. LPAs were greeted by receptionist, stated the purpose of the visit and met with Administrator (A1) Linda Pope. LPA conducted tour of facility with A1. Residents were observed seating in lobby, dining area and activity room. The facility was observed to be at a comfortable temperature, clean, in good repair with no passageway obstructions or fire hazards. Fire extinguisher was observed with a service date of: 11/21/2023. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer and walk-in refrigerator. Refrigerator temperature was observed maintained at 34-degree F. and freezer was observed maintained at -10-degree F. At 9:43 AM LPAs observed Trash room unlocked with Carpet Shampoo. LPAs toured on the 1st floor: a sample of resident bedrooms, activity room, club room, dining room and fitness center. Tour continued to 2nd floor. At 10:12AM LPAs observed Clorox bleach and Shout cleaner unlocked in residents’ laundry. Second floor observed LPA’s 7 Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. LPAs observed securely fastened grab bars next to toilet and all tub/shower areas. 7 out of 7 residents rooms observed without non-skid mats. 6 out of 7 residents bathroom temperatures measured above 120 F. LPAs completed a medication audit. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. LPAs observed R1’s medication was not logged in Centrally Stored Medication and Destruction Record (CSMDR). LPAs observed CSMDR was incomplete/ missing information. Based on record review LPAs observed 3 out of 3 residents that had missed medication. A sample of staff files were reviewed to have the required documents. A sample of resident’s files were reviewed to have all the required documents. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22,Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 8/31/2023: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with Licensee. Report signed on-site; a copy of this report, 809D with appeal rights was provided.the state’s words, verbatim · CDSS document, Aug 13, 2024

Type of visit: Required - 1 Year

On 10/02/23, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Required Annual Inspection. LPA were greeted by receptionist, stated the purpose of the visit and met with Administrator (A1) Linda Pope. LPA conducted tour of facility with A1 and Health Service Coordinator Stacie Pantoja. Residents were observed seating in dining area and activity room. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards. Fire extinguisher was observed with a service date of: 06/27/23. Kitchen was toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer and walk-in refrigerator. Refrigerator temperature was observed checked at 06:00AM maintained at 34 degree F. and freezer was observed maintained at -10 degree F. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed.Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. LPA observed securely fastened grab bars and non-skid mat in all tub/shower areas. LPA toured in 1st floor: a sample of resident bedrooms, activity room, club room, dining room and fitness center. 2nd floor toured: a sample of resident bedrooms, library, and den. 3rd floor toured: a sample of resident bedrooms, den, lounge. A sample of staff files were reviewed to have the required documents. A sample of resident’s files were reviewed to have all the required documents. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. LPA received copy of Lic 308, Lic 500, Lic 610E, Administrator certificate, current liability insurance. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirm receipt of these reports.the state’s words, verbatim · CDSS document, Oct 2, 2023