Jan-Roy Place of Fresno

Type of visit: Case Management - Other

On 09/01/2023, Licensing Program Analyst (LPA) Walton and Auditor Chapman (AUD) arrived unannounced to conduct a case management visit. LPA and AUD introduced themselves and requested to meet with the Administrator. LPA and AUD were granted entry to the facility and met with Administrator, Kir Gilroy Mendoza. During today's visit, resident records and P&I records were reviewed. AUD is requesting P&I supporting documents (ledger from the county) and bank statements for R1, R2, and R3 from the date of admission to present to be submitted to the Fresno CCL office by 09/08/2023. No deficiencies issued during today's inspection. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Kir Gilroy Mendoza, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Sep 1, 2023

Type of visit: Required - 1 Year

On 06/16/2023, Licensing Program Analyst (LPA) Walton arrived at the facility unannounced to conduct an Annual Required Inspection. LPA introduced self, stated the purpose of the visit and was allowed to enter the facility. Facility Staff contacted Administrator, Joycelyn Hopper via telephone. Administrator arrived a short time later. LPA conducted a tour inside and outside of facility. Facility observed to be clean, odor free and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Resident rooms appeared clean and had required furnishings. LPA observed an adequate supply of linen. Resident bathrooms were properly equipped with securely fastened grab bars in toilet and tub/shower areas, non-skid mats were observed. Hot water measured at 107.1 degrees F. Kitchen toured, appeared clean, LPA observed an adequate supply of food. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching. Fire extinguisher serviced on 09/23/2021. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted November 2021. All cleaning supplies are locked in secured under kitchen sink. LPA reviewed staff and client records. LPA did not observe documentation for training in the personnel records for 3 out of 3 clients. Upon review of resident records, Administrator was unable to provide bank statements to account for client P&I funds. Medications reviewed and observed to have original labels and be administered as prescribed. Deficiencies are being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted and a plan of correction was reviewed and developed with Administrator. A copy of this report and appeal rights was discussed and provided to Administrator, Joycelyn Hopper, whose signature on this form confirms receipt of this document. CONTINUED TO 809-C LPA is requesting the following documents be submitted to the Fresno CCL office by 06/30/2023: · LIC 308 Designation of Facility Responsibility · -as applicable: LIC 309 Administrative Organization · -as applicable: LIC 400 Affidavit Regarding Client/Resident Cash Resources · -as applicable: LIC 402 Surety Bond · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly · LIC 9020 Register of Facility Clients/Residents · Copy of current Liability Insurance As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informedthe state’s words, verbatim · CDSS document, Jun 16, 2023

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: POC

On 08/02/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a POC inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. LPA met with Administrator, Joycelyn Hopper On 06/21/2022, LPA conducted an annual inspection at the above facility. During the inspection the facility was issued 2 citations based on California Code of Regulations section 87303(a) and 87555(b)(26). Administrator agreed to repair facility blinds, repair/secure window screens, and stock the facility with a minimum two day supply of perishable foods. Administrator was given a plan of correction date of 07/21/2022. On 07/29/2022, LPA conducted a POC visit and observed a two day supply of perishable foods. LPA did not observe the window screens in the living rooms and bedroom 1 and bedroom 3 to be in good condition. The purpose of today's visit is to clear citations issued on 06/21/2022 and assess civil penalties from 07/22/2022 through 07/28/2022. Administrator submitted proof of correction to the Fresno CCL office on 07/29/2022. LPA confirmed corrections were made during this inspection. A civil penalty is being assessed in accordance to California Code of Regulations for failure to correct for the period of 07/22/2022 through 07/28/2022 (7 days) in the amount of $100 per day for a total of $700. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Joycelyn Hopper , whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Aug 2, 2022

Type of visit: POC

On 07/29/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a POC visit. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Administrator, Joycelyn Hopper is not available to meet with LPA during this visit. LPA met with Assistant Administrator, Roy Mendoza. On 06/21/2022, LPA conducted an annual inspection at the above facility. During the inspection the facility was issued 2 citations based on California Code of Regulations section 87303(a) and 87555(b)(26). Administrator agreed to repair facility blinds, repair/secure window screens, and stock the facility with a minimum two day supply of perishable foods. During today's visit, LPA conducted a facility tour. LPA observed a two day supply of perishable foods. LPA did not observe the window screens in the living rooms and bedroom 1 and bedroom 3 to be in good condition. Administrator was given a correction date of 07/21/2022. Based on observation, a civil penalty in the amount of $100 per day per citation is being assessed for Failure to Correct until facility submits proof of correction to the Fresno CCL office, see LIC421FC. An exit interview was conducted. A copy of this report and appeal rights were provided to Assistant Administrator, Roy Mendoza, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Jul 29, 2022

Type of visit: Required - 1 Year

On 06/21/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Per facility staff, Administrator, Joycelyn Hopper is not available. Staff contacted Administrator, Amor Alegre, who arrived a short time later. LPA met with Administrator, Amor Alegre. Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. LPA observed blinds to be broken and missing in the living room. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. The window screen in the resident bathroom was taped to facility. Resident bedrooms checked. Beds were observed to be at least 6 feet apart. LPA observed blinds to be broken and missing resident bedroom 1. Window screens in the resident bedrooms were stapled to the facility and not secure. LPAs checked residents’ locked medications and observed a 30-day supply. Food supply was checked. LPA did not observe a two day supply of perishable foods. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Facility staff was observed wearing a facial covering. Residents wear masks when away from the community. LPA reviewed 4 out of 4 resident files. LPA is requesting the following documents be submitted to the Fresno CCL office by 07/21/2022: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond CONTINUED TO 809C Based on observation, deficiencies are being cited in accordance with the California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted. A Plan of Correction was reviewed and developed with Administrator. A copy of this report and appeal rights were discussed and provided to Administrator, Amor Alegre, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Jun 21, 2022

Type of visit: Required - 1 Year

On 6/11/2021, Licensing Program Analyst (LPA) A. Walton arrived unannounced to conduct an Annual Inspection. LPA was met by staff Ana Marie Gregoria, introduced self, and stated the purpose of the visit. Administrator was not available to met with LPA during this inspection. LPA received verbal permission from Licensee, Jocelyn Hopper to conduct the inspection with facility staff. Facility has one entrance/exit point. Visitor log-in/temperature check was upon entry. Facility appeared clean 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. Hand washing posters were observed by the bathroom sink. Bedrooms were checked and beds are six feet apart. LPA checked residents’ locked medications. Food supply was checked. Cleaning and PPE supplies were checked. Facility has an adequate supplies of required PPE. Staff records were reviewed for good health and infection control training. Facility staff was observed with mask on. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information. Administrator certification is current. No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, a copy of this report will be provided via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.the state’s words, verbatim · CDSS document, Jun 11, 2021