Cherry and Michael's Home

Type of visit: Required - 1 Year

On 09/4/26, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA was greeted by Program Manager (S1) Jason Gavilan. Administrator (A1) Caroline Alacar was called, stated unavailable to attend meeting, and authorized Program Manager to sign and receive report. LPA toured facility with S1. One resident was present during inspection. R1 was observed in the common area with wheelchair seatbelt on. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. First aid kit observed with required items. Fire extinguisher was observed with a service date of 08/19/25. Temperature maintained for refrigerator at 30 degrees F and freezer at 0 degrees F. 2 days perishable food and 7 days non-perishable food were observed. Expired nonperishable and perishable food observed in the kitchen. Cleaning supplies observed locked under kitchen sink and laundry room shelves. All bedrooms were observed to have required furnishings and with adequate lighting. Bathrooms toured and observed with securely fastened grab bars and non-skid mats. Hot temperature tested to be maintained at 105.4 degree F in both bathrooms. Extra linens and towels observed in hall closet. (CONTINUED TO LIC 809C) (CONTINUED FROM LIC 809) Outside of facility toured and observed to be free of debris. Adequate outdoor seating is available for residents. Side gate observed self-closing. Carbon monoxide and smoke detectors were tested and observed to be operational. Medications observed locked in cabinets. MARs were reviewed and medications were checked. All residents and a sample of staff files were reviewed to have all required documents. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6 see attached 809D. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 09/10/26. Forms requested: Lic 308, Lic 500, Lic 610E, current liability insurance, and current Administrator certificate. A copy of this report and appeal rights were provided to the S1, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Sep 4, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(d)(3) · Plan of correction due date: Sep 5, 2026

87465(d)(3) The date and time …medication was taken, the dosage taken, and the resident’s response shall be documented and maintained in the resident’s facility record. This requirement was not met as evidenced by: Based on interview conducted, observations, and records reviewed, R1’s medication Aspirin EC 81 mg and Calcium Citrate 200mg were administered on 09/04/26 at 8AM and not record in the resident’s MAR, which poses/posed an immediate health and safety risk for the person in care.the state’s words, verbatim · CDSS document, Sep 4, 2026

Plan of correction: Program Manager record in R1’s MARs. Licensee will submit a written statement of steps the facility will take to ensure when medications are being administered it’s recorded in the residents’ MAR to the Fresno CCL by POC due date 09/05/26.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87555(b)(8) · Plan of correction due date: Sep 5, 2026

87555(b)(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state, and local authorities. Good in damaged containers shall not be accepted, used, or retained. This requirement is not met as evidenced by: Based on observation, expired fruits, perishable food, and nonperishable food were observed, poses/posed an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 4, 2026

Plan of correction: Staff disregarded expired food. POC cleared during visit.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87405(d)(2) · Plan of correction due date: Sep 5, 2026

87405(d)(2) Administrator-Qualifications and Duties. The administrator shall have the knowledge of and ability to conform to applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on observation, Fire Extinguisher has a service date of 08/19/25, which poses an immediate health and safety risk to the residents.the state’s words, verbatim · CDSS document, Sep 4, 2026

Plan of correction: Fire extinguisher shall be replaced or serviced with a current date. Proof of correction will be submitted to the CCL office by POC due date 09/05/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87608(a)(3) · Plan of correction due date: Sep 14, 2026

87608 (a)(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Based on observation, interview conducted, and records reviewed, R2 was observed sitting in wheelchair with a seatbelt latched on with no doctor’s order, which poses/posed a potential health and safety risk to the residents.the state’s words, verbatim · CDSS document, Sep 4, 2026

Plan of correction: The facility shall obtain physician order for wheelchair seat belt and submitted by POC due date. An exception for wheelchair seatbelts is to be requested and submitted to Fresno CCL office by POC due date 09/14/26.

Type of visit: Required - 1 Year

An Annual visit was conducted by Licensing Program Analyst (LPA) K. McClurg. LPA met with Administrator (Admin) Caroline Alacar & Program Manager (PM) Jason Gavilan, greeted both, stated purpose of visit, & was allowed entry. This facility has a wood burning fireplace that is not used & does not have a gas starter or plumbed for gas. This facility has no open bodies of water such as pools, spa, fountains, etc. This facility is fire cleared for all Non-Ambulatory residents. Physical plant toured. Kitchen appeared to be clean & organized. Sufficient supply of perishable & nonperishable food on the premises. Refrigerator & freezer appeared to be clean & maintained at appropriate temperatures. Food appeared to be stored in a safe and healthful manner. Knives & cleaning products stored in separate locked areas making inaccessible to residents. Front room & Dining/living room sufficiently furnished with adequate lighting. Furnishings appeared to be in good repair. Resident bedrooms sufficiently furnished with adequate lighting. Resident bathrooms appeared to be clean with all fixtures in working order. No unpleasant odors. Grab bars in toilet & tub/shower areas. Sufficient supply of linens. Continued. (Continued) Interior passageways & exits observed to be clear with no obstructions Interior passageways & exits observed to be clear with no obstructions, including exit door in each resident bedroom. Smoke & carbon dioxide detectors operational. Fire extinguisher service date: 6/26/25. Outside area clear of debris. Front & backyard sufficiently maintained. Sufficient seating in good repair. Medications observed to be inaccessible to clients & organized. Medication Administration Records (MARs) & Centrally Stored Medication & Destruction Records (CSMDRs) documentation completed & maintained. Resident files maintained. Staff files maintained. Admin (Caroline Alacar) Residential Care Facility for the Elderly (RCFE) Administrator Certificate #7013451740 expires: 4/18/27 & current 1st-Aid/CPR expires: Jan 2027 PM (Jason Gavilan) Administrator Certificate #7023285740 expires: 11/11/26 & current 1st-Aid/CPR expires: 4/4/27. Exit interview conduced with Admin, & PM. Report provided.the state’s words, verbatim · CDSS document, Oct 30, 2025

Type of visit: Required - 1 Year

An Annual visit was conducted by Licensing Program Analyst (LPA) K. McClurg. LPA met with Administrator (Admin) Caroline Alacar, introduced self, provided business card, stated purpose of visit & was allowed entry. LPA also met Program Manager (PM) Jason Gavilan & Lead Staff (LS) Dina Rosario during visit. Facility has a granted Hospice care waiver for 3 residents. None of residents are currently receiving Hospice care services. This facility has no open bodies of water such as pools, spa, fountains, etc. Facility has wood burning fire place that is not used & access to is limited. Physical Plant toured. Kitchen appeared to be clean & organized. Knives & cleaning products in separate locked areas making inaccessible to residents. Sufficient supply of perishable & nonperishable food on the premises. Dining/living room sufficiently furnished. Furnishings appeared to be in good repair. Sufficient lighting. Resident bedrooms appeared to be sufficiently furnished with items in good repair & adequate lighting. Linens on beds & additional supplies available as needed. Resident bathrooms appeared & smelled to be clean with no unpleasant odors. Fixtures operational. Grab bars in toilet & shower areas. Sinks in resident bathrooms are on sensors & delivers mix of hot & cool water. Hot water measured at kitchen faucet measuring 108 degrees F. Interior passageways & exits observed to be clear with no obstructions, including exit door in each resident bedroom. Smoke & carbon dioxide detectors operational. Fire extinguisher service date: 8/9/24. Outside area clear of debris. Backyard sufficiently maintained. Sufficient seating in good repair. Passageway to exit gate clear & unobstructed. Garage access off of front of facility & kept locked for security purposes. Garage area with inaccessible storage for cleansers, etc. that may pose a risk to clients. Medications observed to be inaccessible to clients & organized. Medication Administration Records (MARs) & Centrally Stored Medication & Destruction Records (CSMDRs) documentation completed & maintained. Resident files maintained. Staff files maintained. Admin Residential Care Facility for the Elderly (RCFE) Administrator Certificate #7013451740 expires: 04/18/2025 per 10/24/24 verification through Community Care Licensing Division (CCLD) website: Active Administrator Certificate Holders. Exit interview conduced with Admin, PM, & LS. Report provided.the state’s words, verbatim · CDSS document, Oct 24, 2024

Type of visit: Required - 1 Year

An unannounced Annual/year visit was conducted on the date & times indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with Program Manager (PM) Jason Gavilan, introduced self & asked if Administrator (Admin) Caroline Alacar was on the premises. Admin was not on the premises, however LPA was able to speak with Admin over phone. Admin authorized PM to sign for receipt of report. Facility toured. Kitchen appeared to be clean & organized. Knives locked in drawer. 7 days Non-Perishable & 2 days Perishable food on the premises. Dining/living room sufficiently furnished & furnishings appeared to be in good repair. Resident rooms toured. Rooms sufficiently furnished & furnishings appeared to be in good repair. Resident bathrooms appeared & smelled to be clean with no unpleasant odors. Fixtures operational. Sinks in resident bathrooms on sensors so hot water was tested at kitchen faucet. Hot water measured at 124 degrees F. Hot water tank controls adjusted. All interior passageways & exits observed to be clear with no obstructions, including exit doors of each resident bedroom. Smoke & carbon dioxide detectors tested & operational. Fire extinguisher service date: 7/26/23 Outside area toured. Sufficient seating in good repair observed. Backyard area tidy. Passageway to exit gate clear & unobstructed. Garage access off of back yard observed to be locked making contents inaccessible to residents. Deficiency issued. Exit interview conducted with PM. Report provided @ time of visit.the state’s words, verbatim · CDSS document, Dec 14, 2023