Facility Evaluation Report

On 04/27/23, at 9:00 AM, an unannounced annual inspection was conducted by Licensing Program Analyst, (LPAs), Kimberly Viarella and Licensing Program Manager, (LPM) Liza King at Graceful Living at Modesto. These Community Care Licensing representatives identified themselves and the purpose of their visit to the facility administrator designee, Rainileo Clavano, (certificate # 6060066740, exp. 06/24/23) and a brief interview followed.

Facility reported census was 3 with 2 hospice and 1 of those being bedridden. Upon inspection the LPA/M noted that noted a census of 5 of which 3 were bedridden based on the LIC 602 and 3 were receiving hospice services. The facility is licensed for 6 nonambulatory and has been approved for a hospice waiver for 3 residents. Residents with dementia were observed to be in care at this facility.

The tour began in the kitchen. Knives were secured in a locked drawer. LPA checked the food supply and found that there were enough groceries for 2 days of perishable and 7 days of non-perishable items at this time. LPM disposed moldy or expired items including by not limited to: green beans, tomatoes, and jarred peaches. Food storage and meal preparations / menu were discussed with the designated facility administrator and staff. LPM took the opportunity to educate staff on proper labeling procedures and the reason for doing so.

Resident medications were kept in a locked drawer in the kitchen. Policies and procedures regarding dispensing meds were reviewed and discussed. LPA observed narcotics locked in a refrigerator in the garage.