Inspection
No deficiencies recorded in this report
GRACEFUL LIVING AT VILLAGE ONE
3128 AMOS CT, Modesto CA 95356
6 bedsLatest official report Mar 19, 2026Licensed
Additional info
- Telephone
- (209) 595-1028
- Licensee
- INVITA HEALTHCARE GROUP INC.
- Administrator
- CLAVANO, RAINILEO
- Contact
- CLAVANO, RAINILEO
- License first date
- Mar 8, 2022
- License effective date
- Mar 8, 2022
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 935 - ELDERLY, 983 - RCFE / DEMENTIA
Summary
The available records show 11 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Mar 19, 2026
- Most recent deficiency
- Mar 1, 2024
2 later reports, from Mar 26, 2025 through Mar 19, 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 70 Stanislaus County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 7 reports for this facility: 6 inspections, 0 complaint investigations, and 1 licensing or administrative record.
Those records contain 11 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 15
- Type A deficiencies
- 11
- Type B deficiencies
- 4
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 5
1 in the last 12 months
Well above the typical 2
0 in the last 12 months
Well above the typical 1
0 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size also have none
0 in the last 12 months
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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA Jensens review of medication for Resident 1 (R1) in comparison with the Centrally Stored Medication and Destruction Record, did not accurately record therefore the licensee did not comply with the section cited above in 1 of 1 count which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/02/2024 Plan of Correction The Licensee agrees to log the dates when all medications are started and agrees to check the records against the Medication Administration Record.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87305(a)
- Regulation authority
- CCR
What the official deficiency says
Prior to construction or alterations, all facilities shall obtain a building permit. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review the licensee did not comply with the section cited above in 1 out of 1 insatnces when they failed to obtain a building permit and notify licensing of coverting a section of the garage into a staff room. This poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/11/2023 Plan of Correction Licensee will obtain a building permit and update the faciltiy sketch. These items will be submitted to CCL via email kimberly.viarella@dss.ca.gov by 04/11/2023.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review 4 staff files, the licensee did not comply with the section cited above in 3 of 4 staff files which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/11/2023 Plan of Correction The licensee will ensure that a # staff be First Aid /CPR certified by 04/11/2023. These items will be submitted to CCL via email kimberly.viarella@dss.ca.gov by 04/11/2023.
Plan of correction recorded
Correction not verified in available records
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 staff files did not contain a helalth screening which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/12/2023 Plan of Correction The licensee will ensure that all staff identified on the LIC 500 will have a health screening and a negative TB test result and will submit these documents to CCL at kimberly.viarella@dss.ca.gov by 04/11/2023.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87412(a)(12)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Hazardous health conditions documents as specified in Section 87411, Personnel Requirements - General. 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. 2 out of 4 staff files did not contain a proof of a negative TB test which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/10/2023 Plan of Correction The licensee will ensure that all staff identified on the LIC 500 will have a health screening and a negative TB test result and will submit these documents to CCL at kimberly.viarella@dss.ca.gov by 04/11/2023.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 4 out of 4 staff files which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/10/2023 Plan of Correction The licensee will ensure that all staff identified on the LIC 500 will have all of the training requirements completed and will submit these documents to CCL at kimberly.viarella@dss.ca.gov by 04/11/2023.
Plan of correction recorded
Correction not verified in available records
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 as the sliding doors off of the kitchen area did not have window sceens . This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2023 Plan of Correction Photos of the sliders with window screens will be submitted to CCL at kimberly.viarella@dss.ca.gov by 04/21/2023.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: 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 4 out of 4 staff files were missing personnel record /job applications. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2023 Plan of Correction Licenssee will develop a tracking system to ensure that all staff files contain the required information. A copy of this tracking system will be submitted to CCL at kimberly.viarella@dss.ca.gov by 04/21/2023.
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. 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 4 out of 4 resident files were incomplete which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2023 Plan of Correction Licensee will create a tracking system and ensure that all resient files will contain the required documents going forward. This tracking system will be submitted to CCL at kimberly.viarella@dss.ca.gov by 04/21/2023.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and file review, the facility failed to obtain fire clearance for the three bedridden residents witnessed during the facility inspection.
Official plan of correction
POC Due Date: 04/11/2023 Plan of Correction The licensee will submit an updated facilty sketch and LIC 200 to request an increase in their bedridden capactiy via fire inspection. This information shall be submitted by the end of the day, 04/11/2023 to CCL at kimberly.viarella@dss.ca.gov.
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(c)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement 87355(c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility Based on record review and observation, the licensee did not comply with the section cited above as 4 out of 5 of staff present during facility inpsection were not associated, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/11/2023 Plan of Correction The Licensee will utilize Guardian to update and associate all staff members that will be working at this faciltiy. A copy of the facility roster will be submitted to CCL at kimberly.viarella@dss.ca.gov as proof of correction by 04/06/2023.
Plan of correction recorded
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(c)(5)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. Based on record review, the licensee did not comply with the section cited above in 3 out of 4 resident files. They did not contain the required documentation including but not limited to: appraisals, reappraisals and the updated needs and services plan. These omissions pose an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/12/2023 Plan of Correction The licensee shall develop a tracking system to ensure that all the rquired materials are present in the resident files. This document will be submitted to CCL at kimberly.viarela@dss.ca.gov by 04/12/2023.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and records review, the licensee did not comply with the section cited above in 3 out of 4 file reviews where 3 residents in care were diagnosed as bedridden by their physicians. This which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/11/2023 Plan of Correction The stated facility designated administrator will submit a request to CCL for a new fire clearance to accommodate the bedridden residents in care by 04/11/2023.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType A
- Official classification
- Type A
- Official code
- 87204(a)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: Deficient Practice Statement
Official plan of correction
POC Due Date: 04/11/2023 Plan of Correction
Plan of correction recorded
Correction not verified in available records
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and records review, the licensee did not comply with the section cited above in 5 out of 12 staff files where employees were not properly associated to this facility which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/11/2023 Plan of Correction The facility designated administrator wiil request a transfer of a criminal clearance as specified in Section 87355(c) for all employeeswho were not properly assocaited. An Lic 9182 will be be submitted to CCL by 04/11/2023.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this 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