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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206752
Report Date: 06/15/2026
Date Signed: 06/15/2026 03:21:28 PM

Document Has Been Signed on 06/15/2026 03:21 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:DIAL FOR CAREFACILITY NUMBER:
107206752
ADMINISTRATOR/
DIRECTOR:		RAMIZ ALCHIFACILITY TYPE:
740
ADDRESS:1594 E. LOS ALTOSTELEPHONE:
(559) 878-3069
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 6CENSUS: 4DATE:
06/15/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Fnu Bhavya, House ManagerTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced annual visit to the facility and met with House Manager (HM) Fnu Bhavya. LPA stated the purpose of the visit and was accompanied by HM while conducting the inspection of the facility. At the time of the visit, LPA observed 1 resident in the facility.
LPA observed that the kitchen was well maintained. The knives were kept in a locked cabinet. The kitchen counters and sink are free from debris. LPA observed that refrigerator was well maintained and clean. LPA observed a 2 day perishable food supply. The kitchen pantry was clean, organized, and had 7 days of non-perishable food. A fire extinguisher is mounted on the wall and inspected on 12/04/2025 with the correct pressure gauge as indicated on the meter.
LPA observed the dining room is well lit. Dining table has seating for 4. Activity calendar is displayed on the refrigerator.
LPA observed that the garage is well maintained, free from obstructions, and debris. The garage has storage cabinets for extra linens and incontinence supplies. HM unlocked and opened the storage cabinets in garage which contained cleaning supplies.

In Laundry room LPA observed washer and dryer, Medications are kept in locked cabinet off the kitchen. HM opened the medication cabinet for inspection. Resident medication bins are individually labeled and organized. LPA reviewed medications and medication binder.
First aid kit was inspected and found to contain the required items.

LPA observed the living room has non-operational fireplace. Television was observed to be in a secure place. LPA observed 2 sofas and 1 recliner. The living room can accommodate at least 6 people. The living
NAME OF LICENSING PROGRAM MANAGER: Shawna Doucette
NAME OF LICENSING PROGRAM ANALYST: Daiquiri Boyd
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: DIAL FOR CARE
FACILITY NUMBER: 107206752
VISIT DATE: 06/15/2026
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room has a sliding glass door that was clean and not obstructed. The furniture was clean and in good condition.
In the hallway that leads to the bedrooms, LPA observed smoke/ carbon monoxide detector installed. The smoke alarm and carbon monoxide detectors were tested by the HM and are functioning. Detectors are interconnected and sounded from rooms..
LPA observed 2 outdoor ramp railings loose and HM called maintenance for tightening of posts.
LPA inspected the hallway bathroom and observed that the bathroom is well maintained, well lit, toilet paper, hand soap, a trash bin with lid. Water temperature measured at 112.8 degrees F. The bathroom was observed to have grab bars in shower, grip bar next to toilet, shower, bench. The toilet was flushed and is functioning. LPA observed the linen closet next to the bathroom have clean towels and linens.

LPA inspected the 4 resident bedrooms with HM. LPA observed bedrooms are not shared. The bedrooms are well lit, the furniture is in good condition, the linens are in good condition. Windows open and screens are in good condition.

Bedroom 2 has a private bathroom with covered trash bin, shelves for toiletries, grab bars, non-skid floor and a shower bench.

LPA with HM inspected the backyard. LPA, observed that the backyard is well maintained, trees, bushes and grass in good condition. Two patio tables and 9 chairs are under a covered patio, furniture is clean and ready for use. The exterior walkways are free from obstructions and debris.

LPA reviewed 3 residents and 3 staff records with HM and found that all documents are in order and up to date. Emergency Disaster Drill and Infection Control Plan reviewed.

An exit interview was conducted with AD.

LPA is requesting the following documents be submitted to the Fresno CCL office by 6/30/2026: Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610D) Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bond, Infection Control Plan (LIC

NAME OF LICENSING PROGRAM MANAGER: Shawna Doucette
NAME OF LICENSING PROGRAM ANALYST: Daiquiri Boyd
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/15/2026 03:21 PM - It Cannot Be Edited


Created By: Daiquiri Boyd On 06/15/2026 at 03:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: DIAL FOR CARE
FACILITY NUMBER: 107206752

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87465(a)(6)
Incidental Medical and Dental Care Services
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that a medication was not listed on the centrally stored medication list and was being administered which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/17/2026
Plan of Correction
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All staff will review medication regualtions and recieve retraining on regulation requirements for medication administration. This training will be completed by 6/17/26. Facility to provide proof of retraining with signatures of staff and what course was completed. Proof to be FAX to Licensing office.
Type A
Section Cited
CCR
87465(h)(5)
Incidental Medical and Dental Care Services
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that medication was not kept as it was originally received, but it was removed from the packaging and blister pack and placed in cups which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/17/2026
Plan of Correction
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All staff will review medication regualtions and recieve retraining on regulation requirements for medication administration. This training will be completed by 6/17/26. Facility to provide proof of retraining with signatures of staff and what course was completed. Proof to be FAX to Licensing office.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Shawna Doucette
NAME OF LICENSING PROGRAM MANAGER:
Daiquiri Boyd
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2026


LIC809 (FAS) - (06/04)
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