Riverstone Terrace Senior Living

Type of visit: Required - 1 Year

On 06/23/26, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Annual Inspection. LPA met and toured facility with Administrator Douglas Rice. 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. Residents were observed seating in common areas. Facility is equipped with pull stations and fire sprinklers throughout the facility. Fire extinguisher was observed throughout the facility with a service date of: 09/09/2025. LPA toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Rotten fruits were observed. Expired food was observed. Temperature observed for the refrigerator maintained at 32 degrees F and freezer with 0 degrees F. Medications are kept lock in medication cart in medication room. Chemicals stored and locked in house keeping’s room. A sample of resident bedrooms was toured. LPA observed a chemical bottle in R1’s bedroom. Medications were observed unlocked in R2’s bathroom. Bathrooms hot water temperature was tested at 109.7 degrees F in room 105, 110.2 degrees F in room 107. 110.8 degrees F in room 402 and 111.4 degrees F in room 507. LPA observed securely fastened grab bars in bathrooms. Nonskid strips in residents’ showers. A sample of residents' files was reviewed. Courtyard was toured and observed with available seating for residents with shade. Carbon monoxide was observed operational during visit. Technical Support Program (TSP) assistance was offered. Administrator will make a decision and reach out the department regarding acceptance. 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 was conducted. The requested documents are to be submitted to the department by 06/26/6: Lic 308, Lic 500, Lic 610E and current liability insurance. A copy of this report and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Jun 23, 2026

Type of visit: Case Management - Annual Continuation

On 08/06/25, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to continue Annual Inspection. LPA met with Administrator Douglas Rice. A sample of staff files 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 conducted. The following documents are requested to be submitted to the department by 08/12/25: Lic 308, Lic 500, Lic 610E, and current liability insurance. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of the report.the state’s words, verbatim · CDSS document, Aug 6, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Aug 7, 2025

87355(e)(1)Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: S1 is not fingerprinted clear and not associated with the facility, which poses an immediate risk to the health and safety of the residents.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: S1 is to be removed from the facility schedule immediately and not permitted back until fingerprinted cleared and associated. POC cleared during visit.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Aug 7, 2025

87309(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when LPA and A1 observed on 07/24/25, a Hydrogen Peroxide bottle in R1’s bathroom counter, unlocked accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: Administrator immediately removed the chemical bottle. POC cleared during visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(e)(5)(A) · Plan of correction due date: Aug 12, 2025

87303(e)(5)(A) Slip-resistant mats, strips, or flooring shall be used in all bathtub and shower floors. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above when LPA and A1 observed on 07/24/25, in room 102, room 202, and room 407 with no nonskid mat or nonskid strip in bathroom showers, this poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: Facility immediately placed slip-resistant strips in bathrooms showers. POC cleared during visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87412(c) · Plan of correction due date: Aug 12, 2025

87412(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Based on records reviewed and interviews, administrator informed LPA that all staff have no trainings record on file, records reviewed staff do not the required trainings on file, which poses a potential health and safety risk for the person in care.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: Facility shall review regulation section 87412 and ensure that all staff have the required training. Statement of how the facility will met the regulations and include date all staff trainings will be completed and training records will be on file. Statement shall be submitted to the Fresno CCL by POC due date 08/12/25.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(c)(1) · Plan of correction due date: Aug 7, 2025

87411 (c)(1) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Based on records reviewed and interview conducted with Administrator, S1 and S2 do not have First Aid, this poses an immediate health and safety risk for the residents in care.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: Licensee shall ensure that staff have current First Aid training. Proof of S1 and S2’s First Aid training is to be submitted to the Fresno CCL by 08/07/25.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1796.45 · Plan of correction due date: Aug 19, 2025

HSC 1796.45 Affiliated home care aides hired on or after January 1, 2016, shall submit to an examination 90 days prior to employment, or within seven days after employment, to determine that the individual is free of active tuberculosis disease. This requirement is not met as evidenced by: Based on records review and interview conducted with Administrator, S1 do not have a TB result on file which poses a potential risk to the health and safety of the residents.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: All staff have a TB result on file prior or within 7 days after employment. S1’s TB result shall be submitted to the Fresno CCL office by POC due date 08/19/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87411(F · Plan of correction due date: Aug 19, 2025

87411(F) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above when LPA reviewed staff files and observed no health screening were on file for S1 and S2, which poses a potential health or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 6, 2025

Plan of correction: Proof of S1 and S2’s health screening to CCL by POC due date 08/19/25.

Type of visit: Required - 1 Year

On 07/24/25, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Annual Inspection. LPA met and toured facility with Administrator Douglas Rice. 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. Residents were observed seating in common areas. Facility is equipped with pull stations and fire sprinklers throughout the facility. Fire extinguisher was observed throughout the facility with a service date of: 09/12/2024. LPA toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Temperature for refrigerator observed maintained at 34 degrees F. LPA observed exits to have a 15-second delay egress. Chemicals stored and locked in house keeping’s room. A sample of resident bedrooms was toured. LPA observed a chemical bottle in R1’s bedroom. Bathrooms hot water temperature was tested maintained within range between 108.8 to 111.0 degrees F. LPA observed securely fastened grab bars in bathrooms. Nonskid mat/ strips was not observed in room 102, room 202, and room 407. A sample of resident files were reviewed. Due to time constraints, LPAs will return at a later date to finish the inspection tool and issue citations. Exit interview was conducted. A copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Jul 24, 2025

Allegation investigated: Staff do not respond to resident's call for assistance in a timely manner Facility alarm is in disrepair Facility does not have a certified Administrator

On 03/27/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced a subsequent complaint visit and deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Benched Executive Director Angelina Rodriguez. Administrator Douglas Rice was called and unable to reach Administrator. During the course of the investigation, the Department conducted interviews, toured the facility, and reviewed records. Staff responded to call signal within a timely manner. Fire alarm was tested and observation operational during investigation. Administrator certificate is currently valid. 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 the Benched Executive Director, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 27, 2025 · control 24-AS-20250306160952

Allegation investigated: Facility staff caused bruising to resident Facility staff handled resident in a rough manner Facility staff are forcing residents out of bed against their will

On 11/06/24, 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 Memory Care Director Kelli Porter. During the course of the investigation, LPA toured the facility, reviewed records, and conducted interviews. R1 confirmed bruising was not caused by staff. Residents confirmed staff assists the residents as needed. Residents confirmed that staff do not force resident out of bed against their will. Residents sleeps in until the residents are ready to get up to get ready for the day. Based on interviews which were conducted, staff alleged caused bruising to resident, staff alleged handled resident in a resident in a rough manner and forcing resident out of bed against their will, the preponderance of evidence standard has not been met, therefore the above allegations are found to be UBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Memory Care Director, whose signature on this report confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 6, 2024 · control 24-AS-20241002155945

Type of visit: Required - 1 Year

On 07/09/24, Licensing Program Analyst (LPA) M. Yang arrived at the facility unannounced to conduct the Annual Inspection. LPA met and toured facility with Administrator (A1) Angela Ohanian. 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. Residents were observed seating in common areas. Facility is equipped with pull stations and fire sprinklers throughout facility. Fire extinguisher was observed throughout the facility with a service date of: 09/15/2023. LPA toured kitchen. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Temperature for refrigerator observed maintained at 40 degrees F and freezer maintained at -7 degrees F. LPA and Administrator observed janitor cart with cleaning chemicals unlock set aside in hall between the receptionist desks and facility bathroom. LPA observed exits to have a 15-second delay egress. Chemicals stored and locked in house keeping’s room. LPA toured a sample of resident bedrooms. LPA observed medications and tools unlock in resident’s room. Bathrooms hot water temperature was tested and within range between 109.6 to 113.3 degrees F. LPA observed securely fastened grab bars and non-skid surfaces in shower. 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: 07/15/24. 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, Jul 9, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Lack of care and supervision resulted in resident being hospitalized with unexplained traces of drug found

On 03/19/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint finding on the above allegation. LPA stated the purpose of the visit and met with Angela Ohanian, Administrator. During the course of the investigation, the Department conducted interviews with staff and reviewed records. Based on records reviewed and interviews which were conducted, there was insufficient evidence to prove or disprove that the resident was hospitalized with unexplained traces of drug found. 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 report confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 19, 2024 · control 24-AS-20240103105054

Allegation investigated: Facility is overcharging a resident in care. Staff terminated resident's physical therapy services without obtaining consent.

On 01/02/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator Angela Ohanian. LPA met with Business Office Petra Vargas. Administrator was called and unable to attend meeting. LPA delivered findings to Administrator via telephone. Administrator authorized Business Office to received and sign report. During the course of the investigation, the Department conducted interviews and reviewed records. Based on records reviewed and interviews conducted, R1’s Admission Agreement was not completed and not signed. R1’s physical therapy was discontinued on 06/07/23 by the resident’s Home Health Agency. However, R1 does not reside at the facility. R1 is a resident who resided in a memory care facility, therefore, the above allegations are UNFOUNDED, meaning they were false, could not have happened, and/or are without reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted. A copy of this report was provided to the Business Office, whose signature on this form confirms receipt of this report. Unfoundedthe state’s words, verbatim · CDSS document, Jan 2, 2024 · control 24-AS-20231113093117

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.