Inspection Reports for
Carmel Village at Clovis

CA, 93611

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Citations (last 5 years)

Citations (over 5 years) 1.6 citations/year

Citations are regulatory findings recorded during state inspections.

60% better than California average
California average: 4 citations/year

Citations per year

4 3 2 1 0
2021
2022
2023
2024
2025

Occupancy

Latest occupancy rate 85% occupied

Based on a July 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

40% 60% 80% 100% Sep 2021 Sep 2022 Oct 2023 Jul 2025

Inspection Report

Annual Inspection
Census: 108 Capacity: 127 Citations: 0 Date: Jul 23, 2025

Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements at Carmel Village at Clovis.

Findings
The facility was found to be clean, in good repair, and compliant with safety and health standards. No deficiencies were issued during this inspection, though some documents were requested to be updated and submitted by 08/06/2025.

Report Facts
Bathroom temperature range: 108.6 Bathroom temperature range: 112.9 Refrigerator temperature: 38 Freezer temperature: -2 Facility capacity: 127 Facility census: 108

Employees mentioned
NameTitleContext
Linda PopeAdministratorMet with Licensing Program Analyst during inspection and named in report
Jacques LeffallLicensing Program AnalystConducted the inspection

Inspection Report

Capacity: 127 Citations: 0 Date: Aug 20, 2024

Visit Reason
The visit was an unannounced case management visit regarding a Default Decision and Order for Staff 1 (S1) Dequisha Smith to verify employment status at the facility.

Findings
The Licensing Program Analysts verified with the Administrator that Dequisha Smith was not employed, never hired, and never worked at the facility. The individual will be disassociated from the facility.

Employees mentioned
NameTitleContext
Dequisha SmithSubject of Default Decision and Order regarding employment status
Linda PopeAdministratorVerified employment status of Dequisha Smith
Jacques LeffallLicensing EvaluatorConducted the case management visit

Inspection Report

Annual Inspection
Census: 90 Capacity: 127 Citations: 4 Date: Aug 13, 2024

Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with regulatory standards at Carmel Village at Clovis.

Findings
The facility was generally clean, well-maintained, and properly stocked with food. However, several deficiencies were noted including excessively high water temperatures in resident rooms, lack of non-skid mats in showers, unlocked hazardous chemicals, and incomplete medication logs.

Citations (4)
Resident rooms had water temperatures exceeding the maximum allowed (above 120 degrees F).
Seven out of seven residents observed had no non-skid mats or strips in bathtubs and showers.
Clorox bleach and Shout cleaner were found unlocked in the residents' laundry room; carpet shampoo was unlocked in the trash room.
Centrally stored medication log was incomplete; R1's medication was not logged in the Centrally Stored Medication and Destruction Record (CSMDR).
Report Facts
Water temperature readings: 124 Water temperature readings: 125 Water temperature readings: 125.2 Water temperature readings: 128.5 Water temperature readings: 127.6 Water temperature readings: 122.4 Residents observed without non-skid mats: 7 Residents with missed medication: 3 Facility capacity: 127 Facility census: 90

Employees mentioned
NameTitleContext
Linda PopeAdministratorMet with Licensing Program Analysts during inspection and named in findings
Jacques LeffallLicensing EvaluatorConducted inspection and signed report
See MouaSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 82 Capacity: 127 Citations: 1 Date: Oct 2, 2023

Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory standards.

Findings
The facility was found to be clean, in good repair, and compliant with safety standards; however, a deficiency was cited related to medication administration where a resident's medication was not given as directed, posing an immediate health and safety risk.

Citations (1)
Medications must be given per the physician’s direction. Resident R1 medication was not given as directed, posing an immediate health, safety, or personal rights risk.
Report Facts
Capacity: 127 Census: 82 Deficiencies cited: 1 Plan of Correction Due Date: Oct 3, 2023 Training Submission Due Date: Oct 13, 2023

Employees mentioned
NameTitleContext
Linda PopeAdministratorMet with Licensing Program Analyst during inspection and involved in medication administration deficiency review
Stacie PantojaHealth Service CoordinatorMet with Licensing Program Analyst during inspection and involved in medication administration deficiency review
Mai YangLicensing Program AnalystConducted the inspection and cited the medication administration deficiency

Inspection Report

Census: 79 Capacity: 127 Citations: 1 Date: Sep 22, 2022

Visit Reason
The inspection was conducted to address the facility's failure to submit Incident Reports to the Fresno Community Care Licensing office on 09/06/22.

Findings
A deficiency was cited for failure to submit a written incident report within seven days of occurrence, as required by California Code of Regulations, Title 22, Division 6. The licensee submitted the report late on 09/14/22, posing a potential health and safety risk to residents.

Citations (1)
Failure to submit a written incident report to the licensing agency within seven days of occurrence on 09/06/22.
Report Facts
Deficiency due date: Sep 28, 2022

Employees mentioned
NameTitleContext
Linda PopeSenior Executive DirectorMet with Licensing Program Analyst during inspection and involved in Plan of Correction development
Mai YangLicensing Program AnalystConducted the inspection and signed the report
Melinda HoffmannLicensing Program ManagerSupervisor named in the report

Inspection Report

Annual Inspection
Census: 79 Capacity: 127 Citations: 0 Date: Sep 21, 2022

Visit Reason
The visit was an unannounced Annual Inspection focused on Infection Control conducted by Licensing Program Analyst M. Yang.

Findings
The inspection found that infection control measures were properly followed, including staff wearing facial coverings, visitor screening, social distancing, and adequate PPE supplies. No deficiencies were issued during this inspection.

Report Facts
PPE supplies: 30 Facility capacity: 127 Census: 79

Employees mentioned
NameTitleContext
Linda PopeSenior Executive DirectorMet with Licensing Program Analyst during inspection
Mai YangLicensing Program AnalystConducted the annual inspection
Melinda HoffmannLicensing Program ManagerNamed in report header

Inspection Report

Complaint Investigation
Census: 79 Capacity: 127 Citations: 1 Date: Aug 23, 2022

Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not following the admission agreement.

Complaint Details
The complaint alleging that the facility was not following the admission agreement was substantiated based on interviews and records reviewed.
Findings
The investigation found that the licensee applied a surcharge fee to a resident that was not included in the admission agreement, which was substantiated as a violation posing potential health, safety, or personal rights risk.

Citations (1)
Licensee applied surcharge fee to resident that was not included in the admission agreement, violating CCR 87507(g)(B).
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: Sep 6, 2022

Employees mentioned
NameTitleContext
Mai YangLicensing Program AnalystConducted the complaint investigation and delivered findings
Linda PopeAdministratorFacility administrator met during investigation and discussed plan of correction
Melinda HoffmannLicensing Program ManagerNamed in report as licensing program manager

Inspection Report

Complaint Investigation
Capacity: 127 Citations: 1 Date: Sep 30, 2021

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff sexually abused a resident while in care.

Complaint Details
The complaint was substantiated based on interviews and record reviews. The allegation that staff sexually abused a resident was confirmed, meeting the preponderance of evidence standard.
Findings
The investigation substantiated the allegation that staff member S1 pinched resident R1's nipple twice while giving a shower, posing an immediate health and safety risk. An immediate civil penalty was assessed for care and supervision deficiencies.

Citations (1)
87411(a) Personnel Requirements - Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by staff sexual abuse of a resident.
Report Facts
Capacity: 127

Employees mentioned
NameTitleContext
Linda PopeExecutive DirectorMet with Licensing Program Analyst during complaint investigation
Mary GarzaLicensing Program AnalystConducted the complaint investigation
Melinda HoffmannLicensing Program ManagerNamed in report header and signature

Inspection Report

Annual Inspection
Census: 69 Capacity: 127 Citations: 0 Date: Sep 13, 2021

Visit Reason
Licensing Program Analyst Melinda Medina conducted an unannounced Annual Required Infection Control Inspection to assess compliance with infection control and COVID-19 mitigation measures.

Findings
No deficiencies were observed during the inspection. The facility demonstrated compliance with infection control protocols including visitor screening, use of personal protective equipment, and physical distancing.

Report Facts
Food supply duration: 2 Food supply duration: 7 Fire extinguisher service date: Jun 24, 2021 Water temperature: 120 Documents submission deadline: Sep 20, 2021

Employees mentioned
NameTitleContext
Melinda MedinaLicensing Program AnalystConducted the inspection and observed compliance
Linda PopeSenior Executive DirectorMet with Licensing Program Analyst during inspection

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