Inspection Reports for Graceful Living at Modesto
3709 Corrine Ln, Modesto, CA 95356, United States, CA, 95356
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Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Apr 7, 2025
Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements at the facility.
Findings
The inspection identified safety hazards including a reinforcement lock on the front door that prohibited emergency exit, an expired administrator certificate, incomplete medication administration records, and maintenance issues such as a malfunctioning emergency gate and rust in the shower. A civil penalty was issued for the door lock violation.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Front door had a grey reinforcement lock that prohibited staff and residents from opening the door easily, posing an immediate health and safety risk. | Type A |
| Medication Administration Record was not completed at the time of administration; staff did not sign for medication administered from 04/03/2025 to 04/07/2025. | Type B |
Report Facts
Civil penalty issued: 1
Resident files reviewed: 6
Staff files reviewed: 7
Medication administration log missing signatures: 4
Fire extinguisher last serviced: Feb 18, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bogdan Condor | Facility Designated Administrator | Named in relation to the door lock safety hazard and interview during inspection. |
| Voica Matis | Licensee | Present during inspection, involved in medication and facility review. |
| Remedios De Belen | Staff Member | Met with Licensing Program Analysts at the start of the visit. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Apr 4, 2024
Visit Reason
The inspection was an unannounced required 1 year annual inspection conducted to assess compliance with licensing regulations.
Findings
The facility was found to be in substantial compliance with no deficiencies cited. The environment was sanitary, safe, and well-maintained, with all safety equipment functional and proper documentation and resident care files complete.
Report Facts
Residents on hospice: 1
Residents using oxygen: 1
Perishable food supply (days): 2
Non-perishable food supply (days): 7
Quarterly drills last conducted: Feb 5, 2024
Staff files reviewed: 5
Resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the inspection and provided technical assistance |
| Neal Clavano | Met with the Licensing Program Analyst during the inspection | |
| Voica Matis | Licensee contacted by telephone during the inspection | |
| Bogdan Condor | Administrator | Facility Administrator holding current certificate |
Inspection Report
Monitoring
Census: 3
Capacity: 6
Deficiencies: 0
Nov 15, 2023
Visit Reason
The visit was an unannounced quarterly monitoring visit to assess compliance with previously identified deficiencies in areas such as administrator presence, fire clearance, pre-placement appraisals, service plans, physician reports, reporting requirements, and record keeping.
Findings
The facility was found to be in compliance with all monitored areas, including staff files, client files, and training records. The facility was observed to be sanitary and in good repair, and no deficiencies were cited during this visit.
Report Facts
Clients present: 3
Licensed capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maja Jensen | Licensing Program Analyst | Conducted the inspection and authored the report |
| Voica Matis | Licensee met during the visit and explained the purpose of the visit |
Inspection Report
Follow-Up
Capacity: 6
Deficiencies: 0
Aug 16, 2023
Visit Reason
The visit was an unannounced quarterly follow-up to an informal conference held on 06/26/2023 regarding concerns over a high volume of deficiencies. The purpose was to review resident and staff files, training, maintenance and operation logs, incident reports, and death reports.
Findings
No residents were present during the visit as the facility was undergoing deep cleaning and remodeling. There were no deficiencies observed or cited. Documentation for future residents was provided, training materials had been previously submitted, maintenance was ongoing, and the death report for the last resident was verified as compliant.
Report Facts
Facility capacity: 6
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Viarella | Licensing Program Analyst | Conducted the inspection visit |
| Voica Matis | Facility Administrator | Met with the Licensing Program Analyst during the visit |
Inspection Report
Monitoring
Census: 3
Capacity: 6
Deficiencies: 0
Jun 28, 2023
Visit Reason
The visit was an Informal Conference conducted to discuss a high volume of deficiencies and common issues between the licensees' facilities, focusing on compliance concerns such as administrator qualifications, fire clearance, appraisal information, physician exams, reporting, and record keeping.
Findings
No deficiencies were cited from the California Code of Regulations, Title 22, Division 6 as a result of the meeting. The licensee agreed to corrective actions including associating a designated administrator, staff training, and implementing tracking systems. Increased quarterly monitoring visits were planned to ensure compliance.
Report Facts
Capacity: 6
Census: 3
Scheduled administrator hours: 40
Staff training completion deadline: Aug 1, 2023
Administrator association deadline: Jul 7, 2023
Staff training on reporting deadline: Jul 7, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Voica Matis | Administrator | Licensee/Administrator present during the Informal Conference and exit interview |
| Bogdon Condor | Licensee | Licensee to be associated as Designated Administrator |
| Liza King | Licensing Program Manager | Present during Informal Conference |
| Kimberly Viarella | Licensing Program Analyst | Present during Informal Conference |
| Melissa Flaherty | Long Term Care Ombudsman | Present during Informal Conference |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 14
Apr 27, 2023
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing regulations at Graceful Living at Modesto.
Findings
The inspection identified multiple deficiencies including incomplete resident and staff records, unsafe storage of hazardous materials, fire safety violations, expired and unlabeled food items, and failure to produce required hospice care plans. Civil penalties were assessed and plans of correction were requested.
Severity Breakdown
Type A: 5
Type B: 6
Deficiencies (14)
| Description | Severity |
|---|---|
| Failure to submit written reports of unusual incidents and deaths within seven days. | Type B |
| Failure to complete annual medical assessments and reappraisals for residents with dementia. | Type B |
| Lack of fire clearance for bedridden residents despite having bedridden residents in care. | Type A |
| Water temperature in main bathroom measured at 148 degrees, exceeding safe limits. | Type A |
| Accessible cleaning solutions, gasoline, pesticides, and pruning shears pose safety risks. | Type A |
| Unable to produce hospice care plans for terminally ill residents. | Type A |
| Missing annual training documentation for all staff. | Type B |
| Incomplete resident files lacking pre-appraisal assessments and personal inventories. | Type B |
| Expired and moldy food items found; unlabeled frozen meats in garage freezer. | Type B |
| Documented fire drills were 13 months apart, not meeting quarterly requirement. | Type B |
| Unsafe storage and presence of gas pills and vapor rub in resident's dresser drawer. | — |
| Inoperable side gate and missing or damaged window screens. | — |
| Garage unorganized with oxygen tanks and flammable materials stored improperly. | — |
| Hot water taps not marked with warning signs despite high temperature. | — |
Report Facts
Census reported by facility: 3
Census observed: 5
Total licensed capacity: 6
Hospice waiver capacity: 3
Hot water temperature: 148
Expired/moldy food items discarded: 5
Frozen meat packages without labels: 20
Fire drills interval: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rainileo Clavano | Administrator Designee | Interviewed during inspection and exit interview |
| Kimberly Viarella | Licensing Program Analyst | Conducted inspection and authored report |
| Liza King | Licensing Program Manager | Conducted inspection and authored report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Apr 15, 2022
Visit Reason
An unannounced visit was conducted for the facility’s annual inspection to evaluate compliance with regulations.
Findings
The facility was found to be in good condition with no deficiencies observed or cited. All safety equipment and procedures were in place and operational, and staff vaccination status was reviewed and compliant.
Report Facts
Residents on hospice: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Voica Matis | Licensee | Met with Licensing Program Analyst during the inspection and participated in exit interview |
| Sarah Hurt | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Plan of Correction
Census: 5
Capacity: 6
Deficiencies: 1
Jul 8, 2021
Visit Reason
An unannounced plan of correction (POC) visit was conducted to verify correction of a previously cited deficiency.
Findings
The Licensing Program Analysts retested the water temperature, which was 110F and met regulatory requirements. The deficiency was cleared on the day of the visit and a POC letter was provided to the facility.
Deficiencies (1)
| Description |
|---|
| Water temperature did not meet requirements prior to correction. |
Report Facts
Water temperature: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Aguilar | Direct Care Staff | Met with Licensing Program Analysts during the visit |
| Sarah Hurt | Licensing Program Analyst | Conducted the plan of correction visit |
| Ruth Wallace | Licensing Program Analyst | Conducted the plan of correction visit |
| Stephenie Doub | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Jul 7, 2021
Visit Reason
An unannounced required 1 year annual inspection was conducted by Licensing Program Analysts to evaluate compliance with regulations at the facility.
Findings
The facility was inspected including common areas, resident bedrooms, medication storage, kitchen, and outdoor areas. Most areas were found clean and in good repair, with adequate food supply and operational safety equipment. One deficiency was cited related to water temperature exceeding regulatory limits.
Deficiencies (1)
| Description |
|---|
| Water temperature recorded during inspection was 137 degrees F, exceeding the maximum allowed and posing an immediate health, safety or personal rights risk to persons in care. |
Report Facts
Deficiency due date: Jul 8, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Voica Matis | Administrator | Met with Licensing Program Analysts during inspection |
| Sarah Hurt | Licensing Program Analyst | Conducted the inspection and signed the report |
| Kevin Gould | Licensing Program Analyst | Conducted the inspection |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager on report |
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