Graceful Living at Oakdale 2

Type of visit: Required - 1 Year

On 10/14/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived at the facility unannounced to conduct a required 1-year annual inspection. LPA was greeted by two Caregivers. LPA Lindstrom introduced herself and explained the purpose of the visit. A Caregiver called the Administrator, who arrived at the facility at 12:15 PM and an interview followed. The Administrator joined the LPA on a tour of the facility. The Administrator has an Administrator’s Certificate (#7025797740) that is valid through 6/25/2027. The three Caregivers on duty at the time of the site visit had criminal background clearances and were associated with the facility. The facility had five bedrooms and three bathrooms. The current census is five residents. The LPA toured the interior of the facility. The entire facility is clean, orderly, and odor-free. The interior is decorated and filled with natural light. The living room, dining room, and family room contained adequate seating for residents. The bedrooms were clean and contained the required furniture. The windows and window screens were intact. The bathrooms were clean and odor-free. The water temperature in the hallway bathroom was 117 degrees Fahrenheit. The bathrooms contained grab bars, a trashcan with a lid, and non-slip mats in the showers. There were extra towels, linens, and supplies in the hallways in the closet. The thermostat was set at 77 degrees Fahrenheit. The smoke and carbon monoxide detectors were in working order. The fire extinguisher was serviced on 2/20/2025 by Touchdown. The LPA observed logs of quarterly fire drills and an emergency disaster plan that had been reviewed in 2025. (Continued on LIC809-D) The LPA toured the kitchen. The kitchen was clean, orderly, and odor-free. There was a two-day supply of perishable food and seven-day supply of non-perishable food in the refrigerator/freezer and kitchen cabinets. Sharps were locked in a kitchen drawer. The LPA toured the laundry room. Cleaners were locked in a cabinet in the laundry room. The LPA toured the garage and observed extra food in a refrigerator and freezer, and extra supplies in cabinets. The LPA inspected the central medication storage. Medication was stored in a hallway closet. The LPA observed that resident medication was stored in its original containers with intact labels.A first aid kit was located in this closet that contained all the required items. The LPA reviewed the paper-based medication administration records (MAR) and found it complete and up-to-date. The LPA inspected the grounds. The front yard had ornamental plantings and a fenced activity area with table and chairs. The backyard had two shaded areas with tables and chairs. The walkways and the exit gate were free of obstruction. The LPA reviewed three staff files and four resident files. One resident had a medical assessment that did not include a TB test. One staff file did not include a health screening with TB test results or a first aid certificate. The LPA requested that updated copies of the following documents be submitted to Licensing by 5:00 PM on 10/28/2025. These documents can be emailed to theLPA at ellen.lindstrom@dss.ca.gov. (1) LIC 308 Designation of Facility Responsibility (2) Copy of a current Administrator Certificate (3) LIC 610 Emergency Disaster Plan (4) Proof of Liability Insurance (5) LIC 500 Personnel Report (6) LIC 309 Administrative Organization As a result of this inspection, deficiencies were cited. The facility was not in compliance with California Code of Regulations (CCR), Title 22, Division 6. The deficiencies are listed on the attached LIC 809D. Failure to correct deficiencies by the noted due date may result in the assessment of civil penalties. An exit interview was conducted with the Administrator, to whom a copy of this LIC809 report, the LIC 809D, and the appeals rights was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Oct 14, 2025

Type of visit: Required - 1 Year

On 11/18/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Licensee Voica Matis and explained the purpose of today's visit. The inspection tool was used during the course of this inspection. LPA Jensen toured the grounds and observed them to be well maintained. There is patio furniture and shaded areas for client engagement. All paths were free of obstruction. LPA Jensen inspected the interior of the facility and observed it to be sanitary and free of odor. The furniture and lighting were observed to be adequate throughout. The thermostat was set at 74 degrees for the comfort of the residents. The water temperature in the bathroom was measured at 108 degrees Fahrenheit which falls in within the required range of 105-120 degrees Fahrenheit. The facility maintains a first aid kit that is complete and in compliance. Fire drills are conducted on a regular basis. The carbon monoxide detector was determined to be in good working order. The fire extinguisher was last serviced in February of 2024 and is in compliance. All paths were free of obstruction. Toxins and medications were locked and inaccessible to residents in care. LPA Jensen inspected the kitchen and observed in excess of 2 days of perishable food and 7 days of non-perishable food. The menu for the month is posted in a visible area and has a variety of offerings from different cultures. LPA Jensen observed fresh fruit and vegetables to be available. LPA Jensen reviewed 4 resident files and 2 staff files and determined them to be complete and in compliance. LPA Jensen interviewed 2 residents who stated they were satisfied with all aspects of care. LPA Jensen interviewed 2 staff members who were adequately able to answer all questions asked. The facility is in substantial compliance. No deficiencies were observed. An exit interview was conducted and a copy of this report given.the state’s words, verbatim · CDSS document, Nov 18, 2024

Type of visit: Required - 1 Year

On 11/7/23 at approximately 10:30am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual inspection. LPA Jensen met with Licensee Voica Matis and explained the purpose of today's visit. The Licensee holds a current Administrator certificate good through 12/16/2023. The annual fees were verified to be current. LPA Jensen toured the grounds and determined all paths to be free of obstruction. The grounds were observed to be maintained. There is outdoor seating available with shaded areas for client engagement. All screens were in good repair. LPA Jensen toured the interior. The facility was observed to sanitary and was free of odor. There was adequate lighting and furniture throughout. There are night lights available in the hallway. The facility maintains adequate linens and hygiene supplies. All appliances are in good working order. LPA Jensen toured the kitchen and observed in excess of a two day supply of perishable food and a 7 day supply of non-perishable food. There was a variety of fresh fruit and vegetables available. LPA Jensen observed the meal service preparation for lunch which consisted of chicken noodle soup and sandwich. All medications were locked and inaccessible. All toxins and sharp objects were locked and inaccessible. The fire extinguisher and carbon monoxide detector were observed to be in compliance. The first aid kit was observed to be complete and in compliance. The facility maintains and an adequate supply of emergency food. The emergency disaster plan has recently been updated and is in compliance. LPA Jensen reviewed 6 of 6 resident files and determined them to be complete. LPA Jensen reviewed 3 of 4 staff files and determined them to be complete. LPA Jensen observed 1 staff member to be present in the facility that did not have a criminal background clearance. Continued on LIC 809C.... LPA Jensen provided technical assistance in relation to the facility Infection Control Plan. Deficiencies are being cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6. Civil penalties are also being assessed for criminal background clearance. The inspection tool was used during the course of this inspection. An exit interview was conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Nov 7, 2023

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.