Inspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on July 23, 2025, which was clean and found the facility in good repair and compliant with safety and health regulations. Earlier reports showed some deficiencies related to medication management, environmental safety such as water temperature and unlocked chemicals, and a substantiated complaint about an unauthorized surcharge fee. The most serious issue occurred in September 2021 when staff sexual abuse of a resident was substantiated, resulting in an immediate civil penalty. Several complaint investigations were substantiated, but many others, including infection control inspections, found no problems. The facility’s record shows improvement over time, with recent inspections free of deficiencies after addressing prior concerns.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
85% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 108
Capacity: 127
Deficiencies: 0
Jul 23, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
The facility was found to be clean, in good repair, and compliant with safety and health regulations. No deficiencies were issued during this inspection, though some documents were requested to be updated and submitted by 08/06/2025.
Report Facts
Fire extinguisher service date: Nov 18, 2024
Refrigerator temperature: 38
Freezer temperature: -2
Bathroom temperature range: 108.6 to 112.9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Pope | Administrator | Met with Licensing Program Analyst during inspection and received report |
| Jacques Leffall | Licensing Program Analyst | Conducted the inspection and medication audit |
Inspection Report
Capacity: 127
Deficiencies: 0
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 that the individual was not employed at the facility.
Findings
The Administrator confirmed that Dequisha Smith was never hired, never employed, and never stepped foot on the premises. The Licensing Program Analysts verified that the individual is not working at the facility and will be disassociated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Pope | Administrator | Met with Licensing Program Analysts and verified employment status of Staff 1 (S1) Dequisha Smith. |
| Jacques Leffall | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Annual Inspection
Census: 90
Capacity: 127
Deficiencies: 4
Aug 13, 2024
Visit Reason
The inspection was an unannounced Required Annual Inspection conducted by Licensing Program Analysts to assess compliance with regulatory standards at Carmel Village at Clovis.
Findings
The facility was generally clean, well-maintained, and properly stocked, but several deficiencies were noted including water temperatures exceeding regulatory limits in resident rooms, lack of non-skid mats in showers, unlocked hazardous chemicals, and incomplete medication logs with missed medications.
Severity Breakdown
Type A: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Resident rooms had water temperatures exceeding the maximum allowed (above 120 degrees F). | Type A |
| No non-skid mats or strips were present in all bathtubs and showers. | Type A |
| Clorox bleach and Shout cleaner were unlocked in the residents' laundry room; carpet shampoo was unlocked in the trash room. | Type A |
| Centrally stored medication log was incomplete; R1's medication was not logged in the Centrally Stored Medication and Destruction Record (CSMDR). | Type A |
Report Facts
Resident rooms with water temperature above 120 F: 6
Residents without non-skid mats: 7
Missed medications: 3
Facility capacity: 127
Current census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Pope | Administrator | Met with Licensing Program Analysts during inspection and named in relation to findings. |
| Jacques Leffall | Licensing Program Analyst | Conducted the inspection and authored the report. |
Inspection Report
Annual Inspection
Census: 82
Capacity: 127
Deficiencies: 1
Oct 2, 2023
Visit Reason
The inspection was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations.
Findings
The facility was found to be clean, in good repair, and compliant with environmental and safety standards. However, a deficiency was cited related to medication administration where one resident's medication was not given as directed, posing an immediate health and safety risk.
Deficiencies (1)
| Description |
|---|
| Resident medication was not given as directed by the physician, posing an immediate health, safety, or personal rights risk. |
Report Facts
Capacity: 127
Census: 82
Plan of Correction Due Date: Oct 3, 2023
Training Documentation Due Date: Oct 13, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Pope | Administrator | Met with Licensing Program Analyst during inspection and involved in medication deficiency observation |
| Stacie Pantoja | Health Service Coordinator | Met with Licensing Program Analyst during inspection and involved in medication deficiency observation |
| Mai Yang | Licensing Program Analyst | Conducted the inspection and cited the medication deficiency |
| See Moua | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Census: 79
Capacity: 127
Deficiencies: 1
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.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit a written incident report to the licensing agency within seven days of occurrence on 09/06/22. | Type B |
Report Facts
Deficiency due date: Sep 28, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Pope | Senior Executive Director | Met with Licensing Program Analyst during inspection and involved in Plan of Correction development |
| Mai Yang | Licensing Program Analyst | Conducted the inspection and signed the report |
| Melinda Hoffmann | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Annual Inspection
Census: 79
Capacity: 127
Deficiencies: 0
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
| Name | Title | Context |
|---|---|---|
| Linda Pope | Senior Executive Director | Met with Licensing Program Analyst during inspection |
| Mai Yang | Licensing Program Analyst | Conducted the annual inspection |
| Melinda Hoffmann | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 127
Deficiencies: 1
Aug 23, 2022
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility was not following the admission agreement.
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.
Complaint Details
The complaint alleging that the facility was not following the admission agreement was substantiated based on interviews and records reviewed.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee applied surcharge fee to resident that was not included in the admission agreement, violating CCR 87507(g)(B). | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Sep 6, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Linda Pope | Administrator | Facility administrator met during investigation and discussed plan of correction |
| Melinda Hoffmann | Licensing Program Manager | Named in report as licensing program manager |
Inspection Report
Complaint Investigation
Capacity: 127
Deficiencies: 1
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.
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.
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.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 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. | Type A |
Report Facts
Capacity: 127
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Pope | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Mary Garza | Licensing Program Analyst | Conducted the complaint investigation |
| Melinda Hoffmann | Licensing Program Manager | Named in report header and signature |
Inspection Report
Annual Inspection
Census: 69
Capacity: 127
Deficiencies: 0
Sep 13, 2021
Visit Reason
An unannounced Annual Required Infection Control Inspection was conducted to evaluate the facility's 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
Water temperature: 120
Fire extinguisher service date: Jun 24, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Pope | Senior Executive Director | Met with Licensing Program Analyst during inspection |
| Melinda Medina | Licensing Program Analyst | Conducted the inspection |
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