Pathway Home Care

Type of visit: Required - 1 Year

On 01/14/2026, Licensing Program Analysts (LPAs) J. Duarte and Licensing Program Manager (LPM), A. Walton, arrived at the facility unannounced to conduct an annual inspection. LPA and LPM were granted entry by staff and Administrator Diana Diaz arrived shortly after. A facility tour was conducted with Administrator Diana Diaz. Facility observed to be well lit, odor free, and comfortable temperature. The facility living room and dining room were observed to have adequate seating available. The dining room has a fireplace with a cover. Resident bedrooms toured, bedrooms observed to have all required furnishings. The water temperature measured at 105 degrees F in both restrooms. The restrooms were observed to have grab bars in the shower and near toilet, and non-skid mats available. LPA observed kitchen to have all sharps and utensils locked and secured in kitchen drawers. The facility has a locked closet designated to store medications, hygiene products, and a first aid kit. The facility has a laundry room with a washer and dryer. The facility stated that they do their own laundry. Chemicals and detergent were observed locked in a kitchen cabinet. LPA checked food supply. The outside of facility was toured. All exits open free of obstruction. Fire extinguisher present with a service date of 05/23/2025. Smoke and Carbon Monoxide detectors present and observed operational. Centrally stored medication and MARS were reviewed. During medication review it was found that staff are performing glucose testing for resident in care. Continued on LIC 809C. Continued from LIC 809. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. An exit Interview was conducted and a copy of this report was provided to Diana Diaz. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate & up to date information for your facility. In an effort to maintain your facility file, please submit the most current & complete forms &/or information as identified below: Residential Care Facility for the Elderly (RCFE): · 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 · Copy of current Administrator Certificate · Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 01/21/2026.the state’s words, verbatim · CDSS document, Jan 14, 2026

Allegation investigated: Staff are interfering with resident’s right to move from facility.

On 12/10/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct investigation and deliver complaint finding on the above allegation. LPA introduced self, stated the purpose of the visit and met with House Supervisor Diana Diaz. During the course of the investigation, the Department conducted interviews, records were reviewed, and facility was toured. Based on observation, records reviewed, and interviews conducted with staff and resident, the resident had planned to move out of the facility, did move out of the facility, and no longer reside at the facility. Based on record reviewed and interviews which were conducted, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to House Supervisor, whose signature confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 10, 2024 · control 24-AS-20241114120242

Type of visit: Required - 1 Year

On 12/10/24, 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 House Supervisor Diana Diaz. All two residents were present during visit. LPA toured facility with House Supervisor. 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. Fire extinguisher was observed with a service date: 06/10/24. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 37 degrees F and freezer at 0 degrees F. At 01:05PM, cleaning supplies and chemicals stored under kitchen sink unlock. Knives stored and locked in kitchen drawer. Extra linens were observed in hall closet. All bedrooms were observed to have the required furnishings and with adequate lighting. All bathrooms were toured and observed operational during inspection. Non-skid strips and grabbed bars were observed. Hot water temperature was tested at 113 degrees F in bathroom and 113.5 degrees F in master bathroom. Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for residents. Extra cleaning chemicals observed locked in garage. Smoke detectors and carbon monoxide were observed operational during visit. Medications were observed locked in hall closet. MARs were reviewed and medications were checked. All residents’ and a sample of staff files were reviewed. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 12/16/24. The following updated forms were requested: Lic 308, Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Administrator, whose signature confirms received of this report.the state’s words, verbatim · CDSS document, Dec 10, 2024

Allegation investigated: Staff opened a resident's mail Staff do not ensure that residents' dietary needs are met Staff confines residents to their rooms Staff do not ensure that the facility is free from odor Staff do not ensure that the facility is maintained sanitary Staff are not able to communicate with residents to meet their needs

On 10/01/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with House Manager, Diana Diaz. During the investigation, LPA conducted interviews and reviewed records. Based on record review and interviews, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to House Manager, Diana Diaz, whose signature on this form confirms receipt of this document. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 1, 2024 · control 24-AS-20240716092733

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Post Licensing visit. LPA Williams toured the facility. Living room had space to accommodate all residents. Thermostat reflected 71 degrees Fahrenheit. Two bedrooms were observed that had two beds in each. Mattress (with required linens), night stand, chair, dresser, and working lights were present and operational. One bathroom is available for resident use. Water was functioning and Non-slip strips and grab bars were available for use. LPA reviewed 3 resident files. All 3 files did not have documentation of a Resident Appraisal. House Manager reported they utilize a Department of Health Care Services plan as their Appraisal. LPA informed them that the facility must conduct their own appraisal and will utilize the DHCS document as supporting information. A deficiency is being cited on the attached LIC 809D. An exit interview was conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 25, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87457(c)(1)(A) · Plan of correction due date: May 2, 2024

(A) The licensee shall be permitted to use the form LIC 603 (Rev. 6/87), Preplacement Appraisal Information, to document the appraisal. This requirement was not met evident by: Licensee did not ensure Pre-Appraisal was completed for 3 of 3 residents which poses a potential health/safety risk and/or personal rights violation to persons in care.the state’s words, verbatim · CDSS document, Apr 25, 2024

Plan of correction: Licensee agreed to complete Appraisal with resident and submit to the Department by POC due date of 5/2/2024. Additionally, LPA is referring facility to the Technical Support Program.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Darius Williams conducted an announced Pre-Licensing visit. LPA met with Program Director, Diana Diaz. Tour began in the living room. There was seating available to accommodate all residents. There facility thermostat reflected 70 degrees Fahrenheit (F). A phone was present and operational with an active line. LPA observed two bedrooms, which each had two beds, with all required linens, chairs, night stands, lamp, and dressers. There are two bathrooms available for resident use. Both bathrooms had non-slip strips in the showers and grab bars for resident use. The kitchen is clean and sanitary. The refrigerator temperature reflected 37 degrees F and freezer 0 degrees F. There is a patio with seating and shade for resident use. There is no pool on the premises. First aid kit was present with all required items. Dual smoke/carbon monoxide detector was present and operational. There were no corrections observed during the visit. Program Director waived Component III, as it was reviewed during the Pre-License of another facility. At this time no license has been issued. LPA will forward report to the Central Applications Bureau for further review.the state’s words, verbatim · CDSS document, Nov 15, 2023