FRUITFUL HUMBLE ABODE I

16378 ADOBE WAY, Lathrop CA 95330

Facility 392701209 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 24, 2026Licensed

Additional info
Licensee
FRUITFUL LIVING LLC
Administrator
MABUNGA, JOYCE MAE S
Contact
MABUNGA, JOYCE MAE S
License first date
Nov 21, 2022
License effective date
Nov 21, 2022
District office
SACRAMENTO SOUTH ASC · (916) 263-4700
Regional office
27
Clients served
935 - ELDERLY

Summary

The available records show 7 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Dec 4, 2025
Most recent deficiency
Dec 4, 2025

1 later report, on Jul 24, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 96 San Joaquin County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 9 reports for this facility: 6 inspections, 1 complaint investigation, and 2 licensing or administrative records.

Those records contain 7 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
6

More than the typical 5

1 in the last 12 months

Recorded deficiencies
9

Well above the typical 2

2 in the last 12 months

Type A deficiencies
7

Well above the typical 1

2 in the last 12 months

Type B deficiencies
2

Most this size have none

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
2

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(f)
Regulation authority
CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in [1] out of [5] facility staff persons did not have updated TB clearance verified by a health screening which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/05/2025 Plan of Correction The facility designated Administrator stated that an audit of all facility staff records will be conducted and any found to be deficient and not possess a verified health screening and proper TB clearance will be scheduled to obtain and receive a proper TB clearance at that time. A statement of correction, along with updated proof of TB clearance, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType A
Official classification
Type A
Official code
87465(d)(3)
Regulation authority
CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in [1] out of [5] facility resident medication records did not possess the proper documentation when the PRN medications were dispensed missing dates and times when dispensed which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/05/2025 Plan of Correction The facility designated Administrator stated that all staff documented to be able to dispense medications to the residents in care will be in-serviced, for no less than (1) hour in duration, on the topic of handling, dispensing, and proper documentation of all resident medications. A statement of correction, along with updated proof of medication training, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(f)
Regulation authority
CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in [1] out of [4] facility care staff did not have an updated LIC 503, Health Screening, that was completed (6) months prior to employment which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction The facility designated Administrator stated that a review of all facility care staff files will be conducted to make sure that all Health Screening reports are updated and completed. A statement of correction, along with copies of updated LIC 503, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in [2] out of [2] facility restroom faucets delivering hot water was measured at 137.3 and 137.4 degrees respectively which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction The facility designated Administrator stated that the hot water heater will be turned down immediately and the hot water will be measured daily for the next 7 days. A statement of correction, along with the 7-day log of hot water measurements, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Hazardous items and storageType A
Official classification
Type A
Official code
87309(a)
Regulation authority
CCR

What the official deficiency says

(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in that the laundry room was unable to be locked and secured. This LPA observed that the detergents and cleaning supplies were not properly stored and secured in the cabinets which were able to be locked which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2024 Plan of Correction The facility designated Administrator stated that all cleaning supplies, detergents, and bleach will be removed and secured in the cabinets that are able to be locked and made inaccessible to the residents at all times. A statement of correction, along with photos of the cleared cleaning supplies, detergents, and bleach, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87507(d)
Regulation authority
CCR

What the official deficiency says

(d) The licensee shall retain in the resident's file the original signed and dated admission agreement and all subsequent signed and dated modifications. This does not apply to rate increases which have specific notification requirements as specified in Health and Safety Code section 1569.655. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that [3] out of [6] facility residents files were incomplete. This LPA observed that the resident files were incomplete missing required dates and signatures on several forms and documents which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/13/2024 Plan of Correction The facility designated Administrator stated that all facility resident files will be reviewed and updated to contain all required signatures and dates on them. A statement of correction, along with copies of the updated forms and documents, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87411(f)
Regulation authority
CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in [2] out of [4] facility care staff did not have an updated LIC 503, Health Screening, that was completed (6) months prior to employment which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/29/2023 Plan of Correction The facility designated Administrator stated that a review of all facility care staff files will be conducted to make sure that all Health Screening reports are updated and completed. A statement of correction, along with copies of updated LIC 503, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType A
Official classification
Type A
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in [2] out of [2] facility restroom faucets delivering hot water was measured at 137.3 and 137.4 degrees respectively which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/23/2023 Plan of Correction The facility designated Administrator stated that the hot water heater will be turned down immediately and the hot water will be measured daily for the next 7 days. A statement of correction, along with the 7-day log of hot water measurements, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(c)
Regulation authority
CCR

What the official deficiency says

(c) All window screens shall be clean and maintained in good repair. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above since the living area sliding glass door was missing a window screen and other window screens were in need of cleaning which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/29/2023 Plan of Correction The facility designated Administrator stated that the sliding glass door windows screen will be replaced to have one. The other facility window screens will be cleaned and maintained to be in compliance at all times. A statement of correction, along with pictures of replaced sliding glass window screen and other cleaned window screens, will be completed and submitted into CCL by the due date.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology