Inspection Reports for Serenity Home Care III
1813 Elder Ln, Modesto, CA 95355, CA, 95355
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Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jul 15, 2025
Visit Reason
The inspection was an unannounced annual visit conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with no deficiencies observed or cited during the annual visit. The environment, medication storage, food supplies, and resident areas were all in good repair and met regulatory standards.
Report Facts
Residents reviewed: 6
Staff files reviewed: 3
Facility capacity: 6
Current census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angelica Souxouay | Administrator | Facility Administrator present during the inspection |
| Necita Abellas | Facility Designated Administrator | Met with Licensing Program Analyst during the inspection |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection visit |
| Alona Bastida | Staff Member | Greeted Licensing Program Analyst upon arrival |
| Ferdinand Estroba | Staff Member | Present at the facility during the inspection |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Aug 6, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found the facility to be in compliance with no deficiencies observed or cited. The facility was well maintained, with adequate supplies, proper medication storage, and safety measures in place.
Report Facts
Residents out at hospital: 1
Staff files reviewed: 3
Resident files reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angelica Souxouay | Facility Designated Administrator | Met with Licensing Program Analyst during the inspection. |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection visit. |
| Alona Bastida | Staff Member | Greeted the Licensing Program Analyst upon arrival. |
| Ferdinand Estroba | Staff member present during the visit. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Aug 25, 2023
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies observed or cited. Resident and staff files were current, the physical plant and common areas were in good repair, and safety measures such as locked medications and cleaning supplies were in place.
Report Facts
Capacity: 6
Census: 6
Food supply duration: 7
Food supply duration: 2
Fire extinguisher inspection date: May 22, 2023
Hot water temperature range: 105
Hot water temperature range: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angelica Abella Souxouay | Facility Designated Administrator | Met during inspection and involved in medication review |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection visit |
| Stephenie Doub | Licensing Program Manager | Named in report header |
| Ferdinand Estroba | Staff member who greeted Licensing Program Analyst | |
| Lillibeth Sarmiento | Staff member who contacted Facility Designated Administrator | |
| Alona Bastida | Staff member present during inspection | |
| Noel Sarmiento | Staff member present during inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Aug 4, 2022
Visit Reason
An unannounced annual visit was conducted to evaluate the facility's compliance with licensing requirements, including review of resident care, safety, and facility conditions.
Findings
No deficiencies were observed or cited during this annual visit. The facility was found to be in compliance with all applicable regulations, including medication storage, food supplies, safety equipment, and physical plant conditions.
Report Facts
Facility capacity: 6
Resident census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angelica Souxouay | Administrator | Facility Designated Administrator met during inspection and involved in medication review |
| Arielle Pascua | Licensing Program Analyst | Conducted the inspection visit |
| Stephenie Doub | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Census: 6
Capacity: 6
Deficiencies: 0
Aug 20, 2021
Visit Reason
This was an announced prelicensing visit conducted to evaluate the facility for licensing approval.
Findings
The facility was toured and inspected, including fire clearance, resident rooms, emergency exits, kitchen, medication storage, and safety systems. The administrator's qualifications and orientation were verified. No deficiencies were noted in the report.
Report Facts
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Angelica Souxouay | Administrator | Administrator present during the prelicensing visit and named in the report |
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