Magnolia Place

Type of visit: Required - 1 Year

On 04/08/26, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Annual Inspection. LPA met Administrator (A1) Mireya Melchor. LPA conducted tour Memory care unit with A1 and Director of Resident Services Palvire Bassi. LPA tour Assisted Living unit with A1. Facility consists of Assisted Living (AL) and Memory Care (MC) Unit.The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. Facility is equipped with pull stations and fire sprinklers throughout facility. LPA toured a sample of resident bedrooms in Assisted Living and Memory Care. Residents were observed seating in common areas. Facility has sufficient furnishings inside and outside for resident use. Fire extinguisher was observed throughout the facility with a service date of: 08/14/25. Medications were locked in medication cart in the medication room. MARs were reviewed and medications were checked. Cleaning chemicals observed locked in housekeeping closet. LPA toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. Walk-in freezer temperature was maintained at 0 degrees F and walk-in refrigerator temperature was maintained at 40 degrees F. Bathrooms hot water temperature was tested. LPA observed securely fastened grab bars. Outside was toured and observed to be free from debris with outdoor seating available for residents. A sample of resident and staff files were reviewed. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. A civil penalty is being assessed see attached Lic 421BG. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by 04/14/26: Lic 308, Lic 500, Lic 610E, liability insurance, control of property, and currently administrator certificate. A copy of this report and appeal rights was provided to Administrator.the state’s words, verbatim · CDSS document, Apr 8, 2026

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Allegation investigated: Facility staff did not follow reporting requirements Facility staff did not provide adequate supervision, resulting in a physical altercation between residents Facility staff did not adhere to admission agreement Facility staff did not ensure resident received diabetic care as needed Facility staff did not dispense medications as prescribed Facility staff did not ensure resident was treated with dignity

On 10/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Memory Care Director Kristen Mcmillian and Director Resident Services Mandy House who stated Executive Director Mireya Melchor is unavailable to attend meeting. During the course of the investigation, the Department conducted interviews, toured the facility, and records were reviewed. Adequate staff were present during altercation between R1 and R2. Staff responded immediately to the incident. Incident was reported to the department in a timely manner. Based on records reviewed and interviews conducted, R1 had a one on one staff prior to residing at the facility. R1 continued one on one staff after residing at the facility. R1 is a diabetic that is on a regular diet with low salt diet. R1’s blood sugar was being checked according to doctor’s order. Interviews and records reviewed confirm, staff administered R1’s mediation as directed. R1 participants with facility activities. Based on records reviewed, interviews conducted and observation, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to Director Resident Services,whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 14, 2025 · control 24-AS-20250902110224

Type of visit: Case Management - Other

On 10/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct case management-others visit. LPA introduced self, stated the purpose of the visit and met with Memory Care Director Kristen Mcmillian and Director Resident Services Mandy House. On this day, LPA discussed reporting requirements. Reporting requirements regulation title 22 section 87211 was provided to Memory Care Director and Director Resident Services. Written incident reports should include if applicable resident sent to the hospital to seek medication attention. All written incident reports are to be faxed to Fresno CCL office at 559-243-8088. Mandated reporter SOC 341 are to be completed if any suspected abuses results in serious bodily injury within 24 hours. No deficiency cited at this time. An exit interview conducted. A copy of this report was provided to Director Resident Services, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Oct 14, 2025

Allegation investigated: Staff does not ensure facility is free of pests.

On 08/26/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA introduced self and stated the purpose fo the visit. LPA discussed the findings with Executive Director. During the course of the investigation, the department conducted interviews, received copies of records, and toured the facility. Based on interviews conducted and records reviewed, the facility immediately addressed bed bugs upon discovery and pest control service was contacted immediately. There was insufficient evidence to prove or disprove that staff does not ensure facility is free of pest. Therefore, the preponderance of evidence standard has not been met, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Executive Director, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2025 · control 24-AS-20250808163232

Type of visit: Case Management - Other

On 08/19/25, Licensing Program Analyst (LPA) M. Yang conducted case management visit to the facility. LPA introduce self, stated the purpose of the visit, and met with Executive Director Mireya Melchor. The purpose of the visit is to conduct a health and safety visit on the residents in care and follow up on written incident report regarding an incident that occurred on 08/10/25, an physical altercation between R1 and R2. The department was notified of a concern on staff providing care for residents. Copies of records were received, interviews were conducted and the facility was toured. The information provided will be reviewed; a follow up case management will be conducted if necessary. An exit interview was conducted. A copy of this report was provided to Executive Director, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Aug 19, 2025

Allegation investigated: Staff did not seek timely medical attention for resident’s fracture which resulted from an unwitnessed fall

On 07/22/25, Licensing Program Analyst (LPA) Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose visit, and met with Administrator Mike Chapman and Director Resident Services Mandy House. During the course of the investigation, the Department conducted interviews and reviewed records and based on review, the preponderance of evidence standard has been met, therefore the allegation alleging staff did not seek timely medical attention for resident’s fracture which resulted from an unwitnessed fall is SUBSTANTIATED. Based on records reviewed and interviews conducted, R1 had an unwitnessed fall and sustained fracture. R1 was taken to Urgent Care on 5/5/25 and returned to the facility. From 5/5/25 to 5/8/25, R1 complained of pain as documented on the facility’s progress report. No medical attention was sought until staff called emergency services on 5/13/25. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D. The issuance of additional civil penalties is pending and currently under review. The details of additional civil penalties will be outlined in a future report to the facility, if any. Exit Interview conducted. Appeal Rights provided. Substantiatedthe state’s words, verbatim · CDSS document, Jul 22, 2025 · control 24-AS-20250514165227

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(d)(5) · Plan of correction due date: Jul 23, 2025

87411(d)(5) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: (5) Knowledge necessary in order to recognize early signs of illness and the need for professional help. This requirement was not met: Based on interviews and records reviewed, staff did not seek medical attention timely for resident’s fracture with resulted from an unwitnessed fall, after R1 complained of pain, which poses an immediate health and safety and personal rights risk to the person in care.the state’s words, verbatim · CDSS document, Jul 22, 2025

Plan of correction: Licensee will submit a written plan to include when to contact medical attention timely for resident’s care and also will include date of when all staff in-service training including Administrator will be scheduled and completed. Written plan will be submitted to Fresno CCL by POC due date and all staff in-service training materials and rooster will be submitted to the department immediately after trainings has been completed in written plan.

Allegation investigated: Staff neglect resulted in a resident sustaining fractures from consuming incorrect medication Staff did not seek timely medical attention for a resident

On 07/22/25, Licensing Program Analyst (LPA) Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose visit, and met with Administrator Mike Chapman and Director Resident Services Mandy House. Based on interviews conducted and records reviewed, the Department was unable to locate information as to which resident at the facility these allegations are concerning. No additional information was provided to the department - Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies were issued. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 22, 2025 · control 24-AS-20250604113213

Type of visit: Case Management - Deficiencies

On 07/22/25, Licensing Program Analyst (LPA) Yang arrived unannounced conduct a Case Management- deficiency visit. LPA introduced self, stated the purpose visit, and met with Administrator Mike Chapman and Director Resident Services Mandy House. The purpose of today’s visit is to address R1’s medication that went missing. On 07/18/25, the facility reported on 07/14/25 during shift change, staff reported R1’s bubble pack of narcotics was missing from medication cart. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature confirmed receipt of report.the state’s words, verbatim · CDSS document, Jul 22, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jul 23, 2025

87465 (h)(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by:the state’s words, verbatim · CDSS document, Jul 22, 2025

Plan of correction: A plan detailing steps the facility will take to ensure to meet the regulations is to submitted to the Fresno CCL office by POC due date 07/23/25.

Type of visit: Required - 1 Year

On 04/28/25, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Annual Inspection. LPA met Administrator (A1) Paul Anderson and Director of Residential Services (DRS) Shellie Whitlock. LPA conducted tour of facility with A1 and DRS. Facility consists of Assisted Living (AL) and Memory Care (MC) Unit. LPA toured a sample of resident bedrooms in Assisted Living and Memory Care. Residents were observed seating in common areas. Facility has sufficient furnishings inside and outside for resident use. The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguisher was observed throughout the facility with a service date of: 08/08/24. Medications were locked in medication cart in a medication room. MARs and medications were reviewed. A sample of resident and staff files were reviewed to have all the required documents. Cleaning chemicals observed locked in housekeeping closet. LPA toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. Walk-in freezer temperature was maintained at – 2 degrees F and walk-in refrigerator temperature was maintained at 45 degrees F. Bathrooms hot water temperature was tested: 117.7 degrees in room 10, 112.6 degrees F in room 14, 108.9 degrees F in room 26,105 degrees F in room 108, 105.1 degrees F in room 113, 113.1 degrees F in room 137, 114 degrees F in room 141, 111.7 degrees F in room 221, and 110.4 degrees F in room 232. LPA observed securely fastened grab bars and non-skid surfaces in shower. Bathrooms was observed operational. The outside was toured and observed to be free from debris with outdoor seating available for residents No deficiencies issued during this inspection. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by 05/05/25: Lic 500, Lic 610E, liability insurance, and currently administrator certificate. A copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Apr 28, 2025

Allegation investigated: Staff committed financial fraud against resident in care

On 03/11/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock. During the course of the investigation, the Department conducted interviews and reviewed records. Based on records reviewed and interviews conducted, there was insufficient evidence to prove or disprove that staff committed financial fraud against the resident in care. therefore, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 11, 2025 · control 24-AS-20241108131311

Allegation investigated: Licensee is not adequately addressing bed bug infestation at the facility. Licensee is not ensuring that resident is provided with a safe environment while in care.

On 02/06/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock. During the course of the investigation, LPA conducted interviews, received copies of records, and toured the facility in memory care unit. Based on interviews conducted and records reviewed, the facility immediately treated the bed bugs found in resident’s room and scheduled pest control service to treat bed bugs. There was insufficient evidence to prove or disprove that resident is not provided with a safe environment while in care. Therefore, the preponderance of evidence standard has not been met, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 6, 2025 · control 24-AS-20250204104020

Type of visit: Case Management - Deficiencies

On 12/06/24, Licensing Program Analyst (LPA) M. Yang conducted case management- deficiency visit to the facility. LPA introduce self, stated the purpose of the visit and met Administrator Paul Anderson and Director of Residential Services Shellie Whitlock. The purpose of the visit is to address two incidents that had occurred. The first incident occurred where R1 was last seen in the facility on 11/24/24 at 04:00PM and the facility received a call at 04:30PM that a stranger found the resident near a junior high school. The second incident occurred on 12/01/24, where the facility received phone call from the hospital that R2 was seen at a gas station and transferred to the hospital. Therefore, as mentioned, R1 and R2 went AWOL from facility. As a result, a deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. An immediate civil penalty of $500.00 was issued, see Lic 421IM. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Dec 6, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Dec 9, 2024

87411(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…. This requirement is not met as evidenced by: Based on interviews and records review, staff did not provide care and supervision when R1 went AWOL on 11/24/24, and facility was not aware until the facility was notified by the neighbors. R2 went AWOL on 12/01/24 and the facility was not aware until the hospital called and informed the facility. R1 and R2 went AWOL poses an immediate health and safety risks to persons in care.the state’s words, verbatim · CDSS document, Dec 6, 2024

Plan of correction: Licensee agrees to have AWOL policy and procedures in place to ensure the requirements and submit to Fresno CCL by POC due date 12/09/24.

Allegation investigated: Staff did not provide resident with the correct refund

On 05/29/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint investigation. LPA introduce self, stated the purpose of the visit, and met with Administrator Paul Anderson, Director of Residential Services Shellie Whitlock, and Office Manager Kourtney Fangmeyer. During the course of the investigation, interviews were conducted, and records were reviewed. R1 and R2 has a moved in date of 02/27/24 and had moved out on 03/23/24. On 03/06/24, R1 made a payment of $11,807.00 towards R1 and R2’s community fee and rent for the month of March. The facility issued and mailed refunded check to the resident for the remaining dates of March after the resident moved out including 80% of the community fee. Based on records reviewed and interviews which were conducted, the preponderance of evidence standard has not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided to the Administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 29, 2024 · control 24-AS-20240522090454

Allegation investigated: Facility staff are not dispensing medications to the residents as prescribed

On 03/19/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA stated the purpose of the visit and met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock During the course of the investigation, LPA toured the facility, reviewed records, and conducted interviews. Based on records reviewed and observation medications were not administered as instructed by doctor's order. Based on records reviewed and observation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 6 are being cited on the attached Lic 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this report confirms receipt of this report. Substantiated continue... Based on interviews conducted and records reviewed, the residents receive showers by staff weekly, therefore, allegation facility staff failed to meet resident’s hygiene needs is found to be UNSUBSTANTIATED. Based on interviews conducted and records reviewed, staff response to residents needs in a timely matter and assist residents with their needs as requested. The allegation facility staff are not answering the resident’s call assistance in a timely manner and staff not meeting resident’s needs; the preponderance of evidence standard has not been met, the allegations are found to be UNSUBSTANTIATED. Based on records reviewed, incidents that occurred are documented on resident’s progress notes. Therefore, the preponderance of evidence standard has not been met, the allegation facility staff are not maintaining proper documentation on residents is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this report confirms receipt of this report. Based on interviews conducted and records reviewed, staff response to residents needs in a timely matter. The allegation facility staff are not answering the resident’s call assistance in a timely manner; therefore, the preponderance of evidence standard has not been met, the allegation found to be UNSUBSTANTIATED. Based on records reviewed, incidents that occurred are documented on resident’s progress notes. Therefore, the preponderance of evidence standard has not been met, the allegation facility staff are not maintaining proper documentation on residents is found to be UNSUBSTANTIATED. Based on records reviewed, all medication technician have up to date medication training, therefore the allegation facility staff are not adequately trained is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this report confirms receipt of this report.the state’s words, verbatim · CDSS document, Mar 19, 2024 · control 24-AS-20240220184101

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(5) · Plan of correction due date: Mar 20, 2024

87465(a)(5) Incidental Medical and Dental Care The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not ensure staff administer medications residents as prescribed by physicians, which poses an immediate health and safety risks to persons in care.the state’s words, verbatim · CDSS document, Mar 19, 2024

Plan of correction: Plan of correction of action plan the facility will take to ensure regulations is met at all times shall be submitted to CCL. POC of action plan will be submitted to department by 03/20/24. All medication technician staffs shall be retrained on administering medication. Copies of trainings and rooster of all staff attendance will be submitted to department by 04/05/24.

Type of visit: Case Management - Deficiencies

On 03/19/24, Licensing Program Analyst (LPA) M. Yang arrived to conduct a case management-deficiency visit. LPA met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock. During the annual inspection on 03/11/24, LPA Kaur reviewed residents’ medications and MARs. Record shown that multiple residents’ medications were not recorded on the resident’s Centrally Store Medication Log. Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Mar 19, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(6) · Plan of correction due date: Apr 5, 2024

87465 (h)(6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year… This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when resident’s medication and MARs was reviewed and observed medications were not logged into residents’ Centrally store medication log, which poses a potential health, safety or personal rights risk to person in care.the state’s words, verbatim · CDSS document, Mar 19, 2024

Plan of correction: In-service training for all medication technicians shall be completed on documentation of medications. Training materials and rooster of staff attendances shall be submitted to the department by POC due date 04/05/24.

Type of visit: Required - 1 Year

On 03/11/24, Licensing Program Analysts (LPA) M. Yang and K. Kaur arrived at the facility unannounced to conduct the Annual Inspection. LPA met Administrator (A1) Paul Anderson, Licensed Vocation Nurse (LVN) Palvire Bassia, and Director of Residential Services (DRS) Shellie Whitlock. LPAs conducted tour of facility with A1, LVN, and DRS. Facility consists of Assisted Living (AL) and Memory Care (MC) Unit. LPAs toured a sample of resident bedrooms in Assisted Living and Memory Care. Residents were observed seating in common areas. Facility has sufficient furnishings inside and outside for resident use. The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguisher was observed throughout the facility with a service date of: 09/09/2023. LPAs toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. LPA observed janitor cart and cleaning chemicals stored unlock in janitor and mechanical room. LPA observed medications and cleaning chemicals unlock in residents’ room. Bathrooms hot water temperature was tested and within range between 113.7 to 118.2. LPA observed securely fastened grab bars and non-skid surfaces/mat in shower. Bathrooms was observed operational. LPA observed a hole in under resident’s kitchen sink. LPAs observed exits in Memory Care to have a 30-second delay egress. The outside was toured and observed to be free from debris with outdoor seating available for residents. A sample of resident and staff files were reviewed to have all the required documents. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22,Division 6. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 03/18/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E. A copy of this report and appeal rights was provided to Administrator.the state’s words, verbatim · CDSS document, Mar 11, 2024

Type of visit: Required - 1 Year

On 03/11/24, Licensing Program Analysts (LPA) M. Yang and K. Kaur arrived at the facility unannounced to conduct the Annual Inspection. LPA met Administrator (A1) Paul Anderson, Licensed Vocation Nurse (LVN) Palvire Bassia, and Director of Residential Services (DRS) Shellie Whitlock. LPAs conducted tour of facility with A1, LVN, and DRS. Facility consists of Assisted Living (AL) and Memory Care (MC) Unit. LPAs toured a sample of resident bedrooms in Assisted Living and Memory Care. Residents were observed seating in common areas. Facility has sufficient furnishings inside and outside for resident use. The facility was observed to be at a comfortable temperature, clean, and no passageway obstructions or fire hazards. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguisher was observed throughout the facility with a service date of: 09/09/2023. LPAs toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. LPA observed janitor cart and cleaning chemicals stored unlock in janitor and mechanical room. LPA observed medications and cleaning chemicals unlock in residents’ room. Bathrooms hot water temperature was tested and within range between 113.7 to 118.2. LPA observed securely fastened grab bars and non-skid surfaces/mat in shower. Bathrooms was observed operational. LPA observed a hole in under resident’s kitchen sink. LPAs observed exits in Memory Care to have a 30-second delay egress. The outside was toured and observed to be free from debris with outdoor seating available for residents. A sample of resident and staff files were reviewed to have all the required documents. Medications were stored in a locked medication room in a medication cart. MARs and medications were reviewed. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit interview was conducted. The following documents are requested and submitted to Fresno CCL by: 03/18/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E. A copy of this report and appeal rights was provided to Administrator.the state’s words, verbatim · CDSS document, Mar 11, 2024

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.

Allegation investigated: Facility did not provide resident records to residents authorized representative.

On 01/31/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator Paul Anderson, Director of Residential Services Shellie Whitlock, and Director Kristen McMillian. During the course of the investigation, the Department conducted interviews and reviewed records. R1’s records were requested on 01/15/24 and the facility contacted the reporting party (RP) on 1/17/24 regarding the requested records. R1’s records were confirmed received by the RP. Based on interviews conducted, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to Administrator, whose signature confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 31, 2024 · control 24-AS-20240117135418

Allegation investigated: Staff is financially abusing resident in care.

On 01/04/24, Licensing Program Analyst (LPA) M.Yang arrived unannounced to deliver finding on the above allegation. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator Paul Anderson. LPA met with Memory Care Director Kristen McMillian and Acting Director of Resident Services (DRS) Palvire Bassi who stated Administrator is unavailable to attend meeting. During the course of the investigation, the Department conducted interviews and reviewed records. Transportation is included in R1's monthly statement. For every transportation that requires the facility to provide a one on one escort for the resident for outing, the facility charges an additional $40 an hour. Resident received notice of facility additional charge when S1 was required to escort R1 at the bank when S1 transported R1 to the bank. The facility charged R1 an additional $40 when S1 escorted R1. Based on interviews conducted and records reviewed, the preponderance of evidence standard has not been met, therefore, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the DRS, whose signature confirms receipt of report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 4, 2024 · control 24-AS-20231128155556

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.