Veterans Home of California-Fresno

Type of visit: Case Management - Other

On 08/28/2026, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct and annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met and toured the facility with Scott Richards Administrator, Cheryl Cardoza Standards Compliance Coordinator, Thai Nguyen Assisted Hospital Administrator, Jasleen Dhillon Supervising Registered Nurse, Sam Tejeda Health Safety Officer, and Jupinder Kaur Registered Nurse. LPA toured buildings 2A, 2B, 3A, 3B, 4A, and 4B during today's inspection. The facility appeared to be clean, odor free, and at a comfortable temperature. Last fire drill was conducted on 08/25/26. The common areas were furnished well with adequate seating and lighting available. Each building has a small kitchen/dining area for residents’ use. Each buildings were observed with medications locked in medication carts. LPA toured bedrooms 228, 254, 308, 350, 446, and 421.LPA observed bedrooms to have required furnishings and adequate lighting. Bathrooms were toured. LPA observed secure grab bars equipped in the shower and toilet areas. Residents’ bathrooms were equipped with non-skid floor tiles/surface. Hot water temperature tested ranged between 113.2 degrees F and 120 degrees F. Main kitchen was toured. LPA observed a 7-day supply of non-perishable foods and 2-day supply of perishable food. Kitchen appeared clean and safe for food preparation. First aid kit observed with required items. Fire extinguishers were observed throughout the facility with last serviced of 11/04/25. Fire sprinklers observed throughout the facility. Exterior tour conducted, all exits open and free of obstructions. A sample of residents’ records was found to be complete and current. A sample of personnel records were reviewed to found to be complete and current. Smoke alarms and carbon monoxide were tested and are operational during visit. No deficiencies issued during today’s visit. Exit interview conducted. LPA received copies of Lic 308, Lic 500, Lic 610E, Lic 9020, and current liability insurance. A copy of this report was discussed and provided to the Administrator, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Aug 28, 2026

Allegation investigated: Staff did not seek medical attention for a resident in care.

On April 28, 2026, Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver the findings for the allegations listed above. LPA met with Manager I Thai Nguyen. Regarding the allegation: Staff did not seek medical attention for a resident in care. LPA conducted multiple interviews. LPA was informed R1 was seen in the clinic and sent for x-rays and an ultrasound. Interviewees did not state there was concern for R1's care or treatment. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this report LIC9099 was provided to Manager I Thai Nguyen. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 28, 2026 · control 24-AS-20260106171638

Type of visit: Case Management - Infectious Disease Outbreak

On 1/8/2026 Licensing Program Analyst (LPA) arrived to the facility unannounced to conduct a case management visit. LPA met with Administrator Scott Richards. The Dept received incident reports stating multiple residents tested positive for COVID. The Administrator stated the facility followed their infection control plan to help prevent further spread of the virus. The local Health Dept was notified and informed of the situation. Administrator stated no residents had to be sent to the hospital, and currently there is no active COVID cases at the facility. Exit interview was conducted and a copy of this report LIC809 was emailed to Administrator Scott Richardsthe state’s words, verbatim · CDSS document, Jan 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Scott Richards and Cheryl Cardoza, Continual Administrator's Certification expires Scott Richards, 03/18/2026. There are currently 135 residents who reside at this home and there is 0 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 114 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible. LPA reviewed facility Infection Control Plan, Emergency disaster plan, Plan of Operation, and a sample of resident and staff files. There were no deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with facility Administrator Scott Richards and copy of report left at facilitythe state’s words, verbatim · CDSS document, Oct 10, 2025

Type of visit: Required - 1 Year

On 10/22/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct and annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. Administrator, Scott Richards, is not available to meet during today's inspection. LPA met with Standards Compliance Coordinator, Cheryl Cardoza, Acting Administrator, Thomas DesRosiers, Registered Nurse-QA, Rey David Barisoro, Supervising Registered Nurse Priscilla Medina, and Supervising Registered Nurse, Elisa Pakingan. LPA toured buildings 2A, 3B, and 4A during today's inspection. The facility appeared to be clean, odor free, and at a comfortable temperature. The common areas were furnished well with adequate seating and lighting available. Each building has a small kitchen/dining area for resident use. LPA toured bedrooms 210, 212, 333, 334, and 433. LPA observed bedrooms to have required furnishings and adequate lighting. Bathrooms were toured. LPA observed secure grab bars equipped in the shower and toilet areas. The facility bathroom is equipped with non-skid floor tiles. Hot water ranged between 115.8 degrees F and 121.4 degrees F. Main kitchen toured. Kitchen appeared clean and safe for food preparation. LPA observed a 7-day supply of non-perishable foods and 2-day supply of perishable food. Exterior tour conducted, all exits open and free of obstructions. Fire extinguishers were last serviced on 11/02/2023. LPA reviewed facility records. Residents records were found to be complete and current. Personnel records were found to be complete and current. LPA reviewed the facility emergency disaster plan. Last fire drill was conducted on 09/06/2024. Smoke detector and carbon monoxide detector observed to be operational during today's visit. Medications reviewed and observed to have original labels and be administered as prescribed. No deficiencies issued during today’s visit LPA is requesting the following documents be submitted to the Fresno CCL office by 11/05/2024: 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 Exit interview conducted. A copy of this report was discussed and provided to Acting Administrator, Thomas DesRosiers, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Oct 22, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

On 07/16/2024, Licensing Program Analysts (LPAs) Walton and Leffall arrived unannounced to conduct a case management inspection. LPAs introduced themselves, stated the purpose of the visit and requested to meet with the Administrator. LPAs met with Administrator, Scott Richards and Supervising Registered Nurse Priscilla Medina. The purpose of today's visit is to follow up on a self-reported incident. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Jul 16, 2024

Allegation investigated: Facility does not provide a safe environment for a resident Facility is retaining a resident requiring a higher level of care

On 01/25/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to commence a complaint investigation. LPA introduced self, stated the purpose of the visit and requested to meet with the Adminitrator. LPA met with Administrator, Scott Richards and Supervising Registered Nurse Priscilla Medina. During today's visit, LPA reviewed records and conducted interviews and found that the facility has increased monitoring for R1 and are in the process of accessing R1 for a higher level of care. Based on interviews and record review, the allegations: Facility does not provide a safe environment for a resident and Facility is retaining a resident requiring a higher level of care are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 25, 2024 · control 24-AS-20240122185814

Allegation investigated: Facility staff did not notify authorized representative of incident

On 12/8/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a complaint investigation. LPA introduced self and requested to meet the Administrator. LPA met with and disclosed the purpose of the visit to Administrator, Scott Richards and Supervising Registered Nurse Priscilla Medina. During the course of the investigation, LPA conducted interviews. Based on interviews conducted, the allegation: Facility staff did not notify authorized representative of incident is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 8, 2023 · control 24-AS-20231129110044