Inspection Reports for Serenity Home Care II

3009 Southwell Ln, Modesto, CA 95355, CA, 95355

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Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Sep 30, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies; all resident and staff files were current and up to date, the facility was in good repair, safety equipment was compliant, and supplies were properly stored and secured.
Report Facts
Residents on hospice: 4 Staff files reviewed: 3 Resident files reviewed: 6 Administrator certificate expiration: 2027 Fire extinguisher service date: 2025
Employees Mentioned
NameTitleContext
Maria Angelica SouxouayFacility Designated AdministratorMet during inspection and involved in medication review
Arielle PascuaLicensing Program AnalystConducted the inspection
Analiza MangantiStaff MemberMet during inspection
Michael MangantiStaff MemberMet during inspection
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Sep 30, 2025
Visit Reason
The visit was an unannounced annual inspection conducted by Licensing Program Analyst Arielle Pascua to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found the facility to be in compliance with all licensing requirements. No deficiencies were observed or cited during the visit. The facility was well maintained, medication storage and logs were properly managed, and safety measures were in place.
Report Facts
Residents on hospice: 4 Staff files reviewed: 3 Resident files reviewed: 6 Fire extinguisher purchase date: Jun 8, 2024 Administrator certificate expiration: Apr 30, 2025
Employees Mentioned
NameTitleContext
Maria Angelica SouxouayFacility Designated AdministratorMet during inspection and involved in medication review
Arielle PascuaLicensing Program AnalystConducted the inspection visit
Analiza MangantiStaff MemberMet during inspection
Michael MangantiStaff MemberMet during inspection
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 Oct 3, 2024
Visit Reason
The visit was conducted as a pre-licensing inspection to evaluate the facility prior to licensing.
Findings
The facility passed the pre-licensing inspection with no hazards observed. All areas toured, including kitchen, bedrooms, bathrooms, and living areas, were found to be in good repair and compliant with regulations.
Report Facts
Facility capacity: 6 Current census: 0
Employees Mentioned
NameTitleContext
Maria Angelica SouxouayApplicant / Prospective Facility AdministratorMet with Licensing Program Analyst during the pre-licensing visit
Arielle PascuaLicensing Program AnalystConducted the pre-licensing inspection visit
Lisa RiosLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Original Licensing Capacity: 6 Deficiencies: 0 Sep 17, 2024
Visit Reason
The visit was conducted as an initial licensing evaluation for Serenity Home Care II LLC to verify the applicant/administrator's understanding of community care facility licensing laws and readiness for operation.
Findings
The applicant/administrator successfully completed Component II, demonstrating understanding of licensing laws, facility operation, admission policies, staffing requirements, emergency preparedness, complaints reporting, and pre-licensing readiness. Identification was verified and required documentation obtained.
Employees Mentioned
NameTitleContext
Ma. Angelica A. SouxouayCEO/AdministratorApplicant/Administrator who participated in the licensing evaluation and interview.
Tracy ThompsonLicensing Program ManagerNamed as Licensing Program Manager on the report.
Ricmar SorianoLicensing Program AnalystNamed as Licensing Program Analyst who signed the report.

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