Dial for Care

Allegation investigated: Facility did not maintain clean equipment for food service. Resident does not have access to cash resources.

Licensing Program Analyst (LPA) Daiquiri Boyd conducted the subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff on duty and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Facility did not maintain a clean luchbox for the resident as he attended his day program, as observed by LPA. Resident was not given funds from his cash resources to take to his day program, as stated during conversations with facility staff and found in review of records. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 1), are being cited on the attached LIC 9099D. Substantiatedthe state’s words, verbatim · CDSS document, Jun 15, 2026 · control 24-AS-20260226105324

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(9) · Plan of correction due date: Jun 29, 2026

Food Services(9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement was not met as evidenced by LPA observation of resident's lunch box interior was dirty and soiled with food from lunch which poses a potential risk to the health, safety, or personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Jun 15, 2026

Plan of correction: Facility kitchen staff to be retrained on food safety. Proof of retraining to be done by 6/29/26 and faxed to Licensing.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(12) · Plan of correction due date: Jun 29, 2026

Personal Rights(12)To wear their own clothes; to keep and use their own personal possessions, including their toilet articles; and to keep and be allowed to spend their own money. This requirement was not met as evidenced by interview of Licensee stating that the day program doesn't spend resident's money appropriately and that resident's account was getting low on funds, and she did not continue to send funds for a few months. Review of P&I funds did not find any money sent to the day program to cover residents expenses Nov-Feb which poses a potential risk to the health, safety, or personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Jun 15, 2026

Plan of correction: Facility shall retrain all staff in the use and keeping of client's monies. Proof of retraining to be done by 6/29/26 and faxed to Licensing.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced annual visit to the facility and met with House Manager (HM) Fnu Bhavya. LPA stated the purpose of the visit and was accompanied by HM while conducting the inspection of the facility. At the time of the visit, LPA observed 1 resident in the facility. LPA observed that the kitchen was well maintained. The knives were kept in a locked cabinet. The kitchen counters and sink are free from debris. LPA observed that refrigerator was well maintained and clean. LPA observed a 2 day perishable food supply. The kitchen pantry was clean, organized, and had 7 days of non-perishable food. A fire extinguisher is mounted on the wall and inspected on 12/04/2025 with the correct pressure gauge as indicated on the meter. LPA observed the dining room is well lit. Dining table has seating for 4. Activity calendar is displayed on the refrigerator. LPA observed that the garage is well maintained, free from obstructions, and debris. The garage has storage cabinets for extra linens and incontinence supplies. HM unlocked and opened the storage cabinets in garage which contained cleaning supplies. In Laundry room LPA observed washer and dryer, Medications are kept in locked cabinet off the kitchen. HM opened the medication cabinet for inspection. Resident medication bins are individually labeled and organized. LPA reviewed medications and medication binder. First aid kit was inspected and found to contain the required items. LPA observed the living room has non-operational fireplace. Television was observed to be in a secure place. LPA observed 2 sofas and 1 recliner. The living room can accommodate at least 6 people. The living room has a sliding glass door that was clean and not obstructed. The furniture was clean and in good condition. In the hallway that leads to the bedrooms, LPA observed smoke/ carbon monoxide detector installed. The smoke alarm and carbon monoxide detectors were tested by the HM and are functioning. Detectors are interconnected and sounded from rooms.. LPA observed 2 outdoor ramp railings loose and HM called maintenance for tightening of posts. LPA inspected the hallway bathroom and observed that the bathroom is well maintained, well lit, toilet paper, hand soap, a trash bin with lid. Water temperature measured at 112.8 degrees F. The bathroom was observed to have grab bars in shower, grip bar next to toilet, shower, bench. The toilet was flushed and is functioning. LPA observed the linen closet next to the bathroom have clean towels and linens. LPA inspected the 4 resident bedrooms with HM. LPA observed bedrooms are not shared. The bedrooms are well lit, the furniture is in good condition, the linens are in good condition. Windows open and screens are in good condition. Bedroom 2 has a private bathroom with covered trash bin, shelves for toiletries, grab bars, non-skid floor and a shower bench. LPA with HM inspected the backyard. LPA, observed that the backyard is well maintained, trees, bushes and grass in good condition. Two patio tables and 9 chairs are under a covered patio, furniture is clean and ready for use. The exterior walkways are free from obstructions and debris. LPA reviewed 3 residents and 3 staff records with HM and found that all documents are in order and up to date. Emergency Disaster Drill and Infection Control Plan reviewed. An exit interview was conducted with AD. LPA is requesting the following documents be submitted to the Fresno CCL office by 6/30/2026: Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610D) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond, Infection Control Plan (LICthe state’s words, verbatim · CDSS document, Jun 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd made an unannouced annual visit to the facility and met with Administrator (AD) Ramiz Alchi and House Manager (HM) Darlene Rojas. LPA stated the purpose of the visit and was accompanied by HM while conducting the inspection of the facility. At the time of the visit, LPA observed 2 residents in the facility. LPA observed that the kitchen was well maintained. The knives were kept in a locked cabinet. The kitchen counters and sink are free from debris. LPA observed that refrigerator was well maintained and clean. LPA observed a 2 day perishable food supply. The kitchen pantry was clean, organized, and had 7 days of non-perishable food. No expired food was observed. A fire extinguisher is mounted on the wall and inspected on 12/03/2024 with the correct pressure gauge as indicated on the meter. LPA observed the dining room is well lit. Dining table has seating for 4. Activity calendar is displayed on the refrigerator. LPA observed that the garage is well maintained, free from obstructions, and debris. The garage has storage cabinets for extra linens and incontinence supplies. HM unlocked and opened the storage cabinets in garage which contained cleaning supplies. In Laundry room LPA observed washer and dryer, Medications are kept in locked cabinet off the kitchen. AD opened the medication cabinet for inspection. Resident medication bins are individually labeled and organized. LPA reviewed medications and medication binder. First aid kit was inspected and found to contain the required items. LPA observed the living room has non-operational fireplace. Television was observed to be in a secure place. LPA observed 2 sofas and 1 recliner. The living room can accommodate at least 6 people. The living room has a sliding glass door that was clean and not obstructed. The furniture was clean and in good condition. In the hallway that leads to the bedrooms, LPA observed smoke/ carbon monoxide detector installed. The smoke alarm and carbon monoxide detectors were tested by the HM and are functioning. Detectors are interconnected and sounded from rooms.. LPA inspected the hallway bathroom and observed that the bathroom is well maintained, well lit, toilet paper, hand soap, a trash bin with lid. Water temperature measured at 113.8 degrees F. The bathroom was observed to have grab bars in shower, grip bar next to toilet, shower, bench. The toilet was flushed and is functioning. LPA observed the linen closet next to the bathroom have clean towels and linens. Towels are color coded for each resident and organized. LPA inspected the 4 resident bedrooms with AD. LPA observed bedrooms are not shared. The bedrooms are well lit, the furniture is in good condition, the linens are in good condition. Windows open and screens are in good condition. Bedroom 2 has a private bathroom with covered trash bin, shelves for toiletries, grab bars, non-skid floor and a shower bench. LPA with HM inspected the backyard. LPA, observed that the backyard is well maintained, trees, bushes and grass in good condition. Two patio tables and 9 chairs are under a covered patio, furniture is clean and ready for use. The exterior walkways are free from obstructions and debris. LPA reviewed residents and staff records with AD and found that all documents are in order and up to date. An exit interview was conducted with AD. LPA is requesting the following documents be submitted to the Fresno CCL office by 04/18/2025: Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610D) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond.the state’s words, verbatim · CDSS document, Apr 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst L. Padgett (LPA) , conducted an unannounced annual visit to the facility and met with Administrator (AD) Ramiz Alchi and House Manager Shameka Turner (HM). LPA stated the purpose of the visit and was accompanied by HM while conducting the inspection of the facility. At the time of the visit, LPA observed 2 residents in the facility. LPA observed that the kitchen was well maintained, with working lights and well maintained appliances. The knives were kept in a locked cabinet not easily accessible. The kitchen counters and sink are free from debris. LPA observed that refrigerator, was kept at a 40 degree F, and the freezer at 0 degree F, well maintained and clean. LPA observed a 2 day perishable food supply. The kitchen pantry was clean, organized, and had 7 days of non-perishable food. No expired food was observed. A fire extinguisher is mounted on the wall and inspected on 5/15/2024 with the correct pressure gauge as indicated on the meter. LPA observed the dining room is well lit. Dining table has seating for 4. Activity calendar is displayed in entryway. LPA observed that the garage is well maintained, free from obstructions, and debris. The garage has storage cabinets for extra linens and incontinence supplies. HM unlocked and opened the storage cabinets. LPA observed the storage cabinets to contain cleaning supplies. In Laundry room LPA observed washer and dryer, Medications are kept in locked cabinet. AD opened the medication cabinet for inspection. Resident medication bins are individually labeled and organized. First aid kit was inspected and found to contain the required items. LPA observed the living room has non-operational fireplace. Television was observed to be in a secure place. LPA observed 2 sofas and 1 recliner. The living room can accommodate at least 6 people. The living room has a sliding glass door that was clean and not obstructed. The furniture was clean and in good condition. In the hallway that leads to the bedrooms, LPA observed smoke/ carbon monoxide detector installed. The smoke alarm and carbon monoxide detectors were tested by the HM and are functioning. Detectors are interconnected and sounded from rooms.. LPA inspected the hallway bathroom and observed that the bathroom is well maintained, well lit, toilet paper, hand soap, a trash bin with lid. Water temperature measured at 114.6 degrees F. The bathroom was observed to have grab bars in shower, grip bar next to toilet, shower, bench. The toilet was flushed and is functioning. LPA observed the linen closet next to the bathroom have clean towels and linens. Towels are color coded for each resident and organized. LPA inspected the 4 resident bedrooms with AD. LPA observed bedrooms are not shared. The bedrooms are well lit, the furniture is in good condition, the linens are in good condition. Windows open and screens are in good condition. Bedroom 2 has a private bathroom with covered trash bin, shelves for toiletries, grab bars, non-skid floor and a shower bench. AD flushed the toilet and it was found to bee in working properly. The water temperature measured at 115.9 degrees F. LPA with HM inspected the backyard. LPA, observed that the backyard is well maintained, trees, bushes and grass in good condition. Two patio tables and 9 chairs are under a covered patio, furniture is clean and ready for use. The exterior walkways are free from obstructions and debris. LPA reviewed residents and staff records with AD and found that all documents are in order and up to date. An exit interview was conducted with AD. A copy of the signed report and appeals rights were provided. LPA is requesting the following documents be submitted to the Fresno CCL office by 5/31/2024: Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610D) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond.the state’s words, verbatim · CDSS document, May 22, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA explained the purpose of the visit and was granted entry by Administrator, Ramiz Alchi (AD1) and House Manager, Shameka Turner (AD2). During this visit, one resident was present in the home. The residence was set at 74 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed four bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 117.4 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked next to the kitchen area. Cleaning supplies were locked in the garage. Smoke detectors and carbon monoxide are dual detectors, they were checked and operating. Fire extinguisher was charged and was serviced on 11/22/2023. Emergency disaster drills are conducted quarterly, last drill completed on 11/20/2023. First Aid kit is fully equipped. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. An exit interview was conducted, and a copy of this report was provided to AD2 whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 12/05/23: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Nov 28, 2023

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.