Inspection Reports for
Helping Hands Senior Care
825 S WILLOW AVENUE, FRESNO, CA, 93727
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
20 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
400% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
28
21
14
7
0
Occupancy
Latest occupancy rate
30% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Census: 9
Capacity: 30
Deficiencies: 0
Date: Nov 18, 2025
Visit Reason
The visit was a Case Management visit to return a resident who was removed for copy on 11/17/2025.
Findings
No deficiencies were cited during the Case Management visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Yglesias | Administrator Assistant | Met with during the visit. |
| Melinda Medina | Licensing Program Analyst | Conducted the Case Management visit. |
| Sergiy Pidgirny | Licensing Program Manager | Named in the report. |
Inspection Report
Census: 9
Capacity: 30
Deficiencies: 0
Date: Nov 17, 2025
Visit Reason
The visit was a Case Management visit conducted to obtain R1's resident file for copy at Fresno Regional Office and to obtain a signature from an amended report dated 11/14/2025.
Findings
No deficiencies were cited during the Case Management visit. An exit interview was conducted with the Administrator Assistant and a copy of the report will be provided via e-mail.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Yglesias | Administrator Assistant | Met with during the Case Management visit. |
| Melinda Medina | Licensing Program Analyst | Conducted the Case Management visit. |
| Sergiy Pidgirny | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 9
Capacity: 30
Deficiencies: 16
Date: Nov 5, 2025
Visit Reason
The visit was a Case Management inspection conducted to cite deficiencies observed during previous visits on 10/14/2025 and 10/30/2025, as well as during a complaint visit on 11/05/2025.
Complaint Details
The visit included a complaint investigation triggered by allegations of improper catheter care, lack of home health care plan, and other care deficiencies. The complaint was substantiated as multiple violations were found.
Findings
Multiple Type A and Type B deficiencies were cited related to lack of proper care plans, inadequate observation and documentation of residents' health conditions, insufficient staff training, absence of hospice and home health care plans, failure to ensure administrator presence, and violations of residents' personal rights including mail handling and grievance procedures. An immediate civil penalty of $500 was assessed for care and supervision violations.
Deficiencies (16)
CCR 87631 Healing Wounds: The licensee failed to have a plan of care for residents with healing wounds as required.
CCR 87466 Observation of the Resident: The licensee did not ensure residents were regularly observed for changes in condition, evidenced by lack of documentation and notification for R2's worsening leg wound.
CCR 87623 Indwelling Urinary Catheter: The licensee failed to ensure catheter bag and tubing changes were performed by appropriately skilled professionals for R7.
CCR 87628 Diabetes: The licensee did not meet requirements for diabetic care, as staff performed glucose testing and insulin administration without proper oversight.
CCR 87609(b)(4)(A) Allowable Health Conditions and the Use of Home Health Agencies: The licensee lacked a written agreement with the home health agency regarding responsibilities for R7's care.
CCR 87613(a)(2) General Requirements for Restricted Health Conditions: The licensee failed to ensure staff training for restricted health conditions for multiple residents.
CCR 87463(e) Reappraisals: The licensee did not bring significant changes in condition to the attention of licensed medical professionals, with no reappraisal found in R2's file.
CCR 87633(b)(4) Hospice Care of Terminally Ill Residents: The licensee failed to maintain a current and complete hospice care plan for R4.
HSC 1569.2(c) Care and Supervision: The licensee did not provide adequate care and supervision, evidenced by an incident involving law enforcement searching for a suspect hiding in a resident's home.
CCR 87405(a) Administrator Qualifications: The administrator was not present for three visits and residents reported rarely seeing the administrator.
CCR 8411(c) Personnel Requirements - General: Direct care staff lacked documented initial and annual training.
CCR 87411(d) Personnel Requirements - General: Staff did not receive on-the-job training or have related experience as required.
CCR 87209(a)(2) Program Flexibility: R2 had a medical assessment signed by a nurse practitioner instead of a physician without prior waiver request.
CCR 87468.1(a)(15) Personal Rights of Residents: Residents were not receiving mail promptly; unopened mail was found in files.
CCR 87468.2(a)(9) Additional Personal Rights: The licensee retaliated against a resident who presented grievances by suggesting they find another place to live.
CCR 87221 Resident Councils: The facility did not permit formation of a resident council, provide meeting space, or post notices for meetings.
Report Facts
Civil penalty amount: 500
Census: 9
Total capacity: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elsa Nguyen | Administrator | Named in relation to deficiencies and interview during inspection. |
| Jessica Yglesias | Administrator Assistant | Met with LPAs during inspection and interviewed regarding deficiencies. |
| Melinda Medina | Licensing Program Analyst | Conducted inspection and signed report. |
| Sergiy Pidgirny | Licensing Program Manager | Named as licensing program manager overseeing inspection. |
Inspection Report
Annual Inspection
Census: 9
Capacity: 30
Deficiencies: 6
Date: Oct 30, 2025
Visit Reason
The visit was an unannounced Case Management Annual Continuation inspection to complete items from a previous visit on 10/14/2025, including staff file review, resident records review, and care tool continuation.
Findings
Multiple Type B deficiencies were cited related to plan of operation, reporting requirements, resident rights training, internet access for residents, food quality, and provision of modified diets. Plans of correction were required by 11/14/2025.
Deficiencies (6)
CCR 87208(a)(11) Plan of Operation: The licensee did not maintain a current written plan of operation addressing resident behavioral expression, including assessments, care practices, and safety measures.
CCR 87211(a)(1) Reporting Requirements: The licensee failed to submit written reports within seven days of specified events, including required resident and event details.
HSC 1569.267(d) Resident's Bill of Rights: The licensee did not provide initial and ongoing staff training to ensure residents' rights were fully respected and implemented.
HSC 1569.319(a) Regulations: The licensee did not provide at least one internet access device with videoconferencing technology for resident use in 4 out of 4 occupied buildings on site.
CCR 87555(b)(8) General Food Service Requirements: The licensee failed to ensure all food was of good quality and approved by appropriate authorities, including avoiding food in damaged containers.
CCR 87555(b)(7) General Food Service Requirements: The licensee did not provide modified diets prescribed by a resident's physician as a medical necessity in 3 out of 3 persons reviewed.
Report Facts
Deficiencies cited: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Yglesias | Administrator Assistant | Met with Licensing Program Analysts during inspection. |
| Melinda Medina | Licensing Program Analyst | Conducted inspection and signed report. |
| Sergiy Pidgirny | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 9
Capacity: 30
Deficiencies: 3
Date: Oct 14, 2025
Visit Reason
The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements for the Helping Hands Senior Care facility.
Findings
The facility was found to have several deficiencies including lack of bedridden clearance for a bedridden resident, staff not fingerprinted or cleared, and fingerprint exemption not transferred to the facility. Immediate civil penalties totaling $1500 were assessed for these violations.
Deficiencies (3)
CCR 87202(a) Fire Clearance: The facility did not have the required fire clearance for a bedridden resident, posing an immediate health and safety risk.
HSC 1569.17(c)(1)(A) Licensing: Staff 1 was not fingerprinted and cleared prior to working, posing an immediate health and safety risk.
CCR 87355(e)(4) Criminal Record Clearance: Staff 2 had a fingerprint exemption that was not transferred to the facility, posing an immediate health and safety risk.
Report Facts
Civil penalties: 1500
Residents present: 9
Licensed capacity: 30
Days worked without clearance: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elsa Nguyen | Administrator | Administrator was not available during the inspection; involved in plan of correction development. |
| Jessica Yglesias | Administrator Assistant | Met with Licensing Program Analysts during inspection and participated in exit interview. |
Inspection Report
Complaint Investigation
Census: 8
Capacity: 30
Deficiencies: 1
Date: Jun 18, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations of mishandling residents' medications and unqualified staff administering medications.
Complaint Details
The complaint alleged staff mishandling residents' medications by improper storage and unqualified staff administering medications. The mishandling allegation was substantiated, while the unqualified staff allegation was unfounded and dismissed.
Findings
The allegation of mishandling medication related to improper storage was substantiated due to ineffective locking of medication cabinets. The allegation that unqualified staff were administering medications was found to be unfounded and dismissed.
Deficiencies (1)
CCR 80075(k)(1) requires medication to be kept in a safe and locked place accessible only to authorized employees. Medication was stored in locked cabinets, but the locks did not prevent access, failing to meet this requirement.
Report Facts
Facility Capacity: 30
Census: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rachel A Bruce | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Kiran Chehal | Administrator | Met with the evaluator during the inspection and provided documentation |
| Sergiy Pidgirny | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Original Licensing
Capacity: 30
Deficiencies: 0
Date: Jul 17, 2024
Visit Reason
The visit was a follow-up prelicensing inspection to verify resolution of pre-licensing deficiencies and complete the licensing process for the facility.
Findings
Pre-licensing deficiencies have been resolved, and the pre-licensing process is now complete. Water temperatures were tested and found within acceptable ranges.
Inspection Report
Original Licensing
Capacity: 30
Deficiencies: 1
Date: Jun 28, 2024
Visit Reason
The visit was an announced pre-licensing continuation inspection to evaluate compliance for initial licensing of the facility.
Findings
The licensing analyst observed that previously noted issues from the 6/18/2024 inspection had been corrected, including installation of locks, signal systems, and grab bars. However, water temperature in Building 835 was found out of compliance and must be corrected prior to licensure.
Deficiencies (1)
Water temperature in Building 835 was measured at 80 and 86 degrees Fahrenheit and must be brought into compliance prior to licensure.
Report Facts
Water temperature readings: 80
Water temperature readings: 86
Inspection Report
Original Licensing
Capacity: 30
Deficiencies: 13
Date: Jun 18, 2024
Visit Reason
The visit was a pre-licensing inspection conducted to evaluate the facility's readiness for licensing and compliance with regulations.
Findings
The facility was toured and found to have adequate furnishings, safety equipment, and supplies, but several compliance issues were identified that need correction before licensing.
Deficiencies (13)
Trash cans with lids are missing in all bathrooms and kitchens.
A designated centrally stored medication cabinet is not installed in each resident building.
A lock is not installed on the shed at building 4 which stores paint supplies and chemicals.
A signal system is not installed in each resident building.
A lock is not installed on the cabinet that stores chemicals and knives/sharps.
Water temperature exceeds recommended range and must be lowered to 105-120 degrees Fahrenheit.
Showers and floors in building 5 require cleaning.
A grab bar is missing near the toilet in building 5.
A screen is missing in the bedroom window in building 5.
Emergency lighting such as flashlights must be placed in each building.
Required postings are missing in each building.
Fencing materials must be removed from the perimeter of the grounds.
Thermometers are needed for the refrigerator and freezer.
Report Facts
Facility Capacity: 30
Census: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elsa Nguyen | Administrator/Director | Facility representative and applicant met during inspection |
| Ray Gilbert | Applicant | Applicant met during inspection |
| Lissett Padgett | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Sergiy Pidgirny | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Original Licensing
Capacity: 30
Deficiencies: 0
Date: Apr 26, 2024
Visit Reason
The visit was an initial licensing evaluation for the facility to assess readiness and compliance with community care facility licensing laws.
Findings
The applicant/administrator successfully completed Component II, demonstrating understanding of licensing laws, facility operation, admission policies, staffing, emergency preparedness, complaints reporting, and pre-licensing readiness.
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