Inspection Reports for Gabrielle’s Caring Hand I
2921 Zarand Dr, Modesto, CA 95355, CA, 95355
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Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Mar 24, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements for the facility.
Findings
No deficiencies were observed or cited during this annual visit. The facility was found to be in compliance with medication storage, fire safety, food supply, and physical plant conditions.
Report Facts
Perishable food supply duration: 2
Nonperishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arielle Pascua | Licensing Program Analyst | Conducted the annual inspection visit |
| Tabitha Antonia | Facility Designated Administrator | Facility administrator met during inspection and named in report |
| Mater Panaligan | Staff member who initially met with Licensing Program Analyst | |
| Lisa Rios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Apr 29, 2024
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements for the facility.
Findings
The inspection found that all resident and staff files were current and up to date, medication storage and logs were properly maintained, safety equipment was functional, and the facility was in good repair. No deficiencies were observed or cited during this annual visit.
Report Facts
Licensed capacity: 6
Current census: 4
Fire extinguisher service date: Jan 19, 2024
Perishable food supply duration: 2
Nonperishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tabitha Antonia | Facility Designated Administrator | Met with Licensing Program Analyst during inspection |
| Noralyn Calabines | Staff Member | Met with Licensing Program Analyst and assisted with notification |
| Grace Lee | Staff member present during inspection | |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection |
| Lisa Rios | Licensing Program Manager | Named in report |
Inspection Report
Original Licensing
Census: 4
Capacity: 6
Deficiencies: 3
Jul 26, 2023
Visit Reason
The visit was an unannounced Post-Licensing inspection conducted to evaluate compliance with licensing requirements for Gabrielle's Caring Hand Facility.
Findings
The inspection found incomplete resident files, missing pre-admission appraisals, and medication administration records not properly signed or initialed. Facility conditions including fire safety equipment, common areas, and food storage were compliant.
Severity Breakdown
Type A: 2
Type B: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Medication administration records were not signed for all residents during medication administration, posing an immediate health and safety risk. | Type A |
| Proper training was not ensured for administering glucose to a diabetic resident, posing immediate health, safety, and personal rights risks. | Type A |
| Pre-admission appraisals were not conducted for 3 out of 4 residents, posing potential health, safety, and personal rights risks. | Type B |
Report Facts
Residents with incomplete files: 3
Residents without pre-admission appraisal: 3
Residents without current appraisal: 2
Residents with medication administration records not signed: 4
Residents with medication not initialed from 07/23/2023-07/26/2023: 1
Residents with medication not initialed from 07/24/2023-07/26/2023: 2
Licensed capacity: 6
Current census: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tabitha Antonio | Facility Designated Administrator | Named in relation to the inspection visit and medication administration findings |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection and authored the report |
| Stephenie Doub | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Apr 13, 2023
Visit Reason
The visit was conducted as a Pre-Licensing Visit due to a change of location for the facility.
Findings
The facility was toured and inspected, including common areas, resident bedrooms, bathrooms, kitchen, pantry, garage, and exterior grounds. All observed components were in compliance with no deficiencies noted during the visit.
Report Facts
Facility capacity: 6
Current census: 0
Medication cart: 1
Nonperishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tabitha Antonio | Facility Designated Administrator | Met with Licensing Program Analyst during the Pre-Licensing Visit |
| Arielle Pascua | Licensing Program Analyst | Conducted the Pre-Licensing Visit and authored the report |
| Stephenie Doub | Licensing Program Manager | Named in the report as Licensing Program Manager |
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