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)
DescriptionSeverity
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
NameTitleContext
Bogdan CondorFacility Designated AdministratorNamed in relation to the door lock safety hazard and interview during inspection.
Voica MatisLicenseePresent during inspection, involved in medication and facility review.
Remedios De BelenStaff MemberMet 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
NameTitleContext
Maja JensenLicensing Program AnalystConducted the inspection and provided technical assistance
Neal ClavanoMet with the Licensing Program Analyst during the inspection
Voica MatisLicensee contacted by telephone during the inspection
Bogdan CondorAdministratorFacility 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
NameTitleContext
Maja JensenLicensing Program AnalystConducted the inspection and authored the report
Voica MatisLicensee 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
NameTitleContext
Kimberly ViarellaLicensing Program AnalystConducted the inspection visit
Voica MatisFacility AdministratorMet 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
NameTitleContext
Voica MatisAdministratorLicensee/Administrator present during the Informal Conference and exit interview
Bogdon CondorLicenseeLicensee to be associated as Designated Administrator
Liza KingLicensing Program ManagerPresent during Informal Conference
Kimberly ViarellaLicensing Program AnalystPresent during Informal Conference
Melissa FlahertyLong Term Care OmbudsmanPresent 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)
DescriptionSeverity
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
NameTitleContext
Rainileo ClavanoAdministrator DesigneeInterviewed during inspection and exit interview
Kimberly ViarellaLicensing Program AnalystConducted inspection and authored report
Liza KingLicensing Program ManagerConducted 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
NameTitleContext
Voica MatisLicenseeMet with Licensing Program Analyst during the inspection and participated in exit interview
Sarah HurtLicensing Program AnalystConducted the unannounced annual inspection visit
Stephenie DoubLicensing Program ManagerNamed 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
NameTitleContext
Linda AguilarDirect Care StaffMet with Licensing Program Analysts during the visit
Sarah HurtLicensing Program AnalystConducted the plan of correction visit
Ruth WallaceLicensing Program AnalystConducted the plan of correction visit
Stephenie DoubLicensing Program ManagerNamed 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
NameTitleContext
Voica MatisAdministratorMet with Licensing Program Analysts during inspection
Sarah HurtLicensing Program AnalystConducted the inspection and signed the report
Kevin GouldLicensing Program AnalystConducted the inspection
Stephenie DoubLicensing Program ManagerNamed as Licensing Program Manager on report

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