Assisted Graceful Living
What is an RCFE with Memory Care?
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive help with daily living activities such as bathing, dressing, and medication management. An RCFE with a Memory Care designation is additionally required by California Title 22 (§87705 and §87706) to provide specialized staff training in dementia care, individualized care plans for residents with cognitive impairment, and appropriate supervision protocols — requirements that go beyond a standard RCFE license.
3864 Princeton Way · Livermore, 94550
Record last updated April 20, 2026.
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Quick facts
Memory care context
Assisted Graceful Living is a California-licensed Residential Care Facility for the Elderly (RCFE) with 6 beds, operated by Aging Living Care LLC. The facility advertises memory care services, though this designation is operator-stated rather than formally recorded in CDSS licensing data. California Title 22 requires RCFEs serving dementia residents to meet standards under §87705 and §87706, covering individualized care plans, staff training in dementia care, and appropriate supervision. CDSS records show no citations specifically under §87705 or §87706. However, state inspection records reveal 17 total deficiencies across 5 inspections, including 10 Type A citations (actual harm to residents) and 7 Type B citations (potential for harm). The most recent inspection occurred on April 16, 2024. No complaints are on file with CDSS.
Questions to ask on your tour
Based on Assisted Graceful Living's state inspection record.
State records show 10 Type A deficiencies, meaning actual harm to residents was documented — what were the specific circumstances of these citations, and what corrective actions were implemented?
With 17 total deficiencies across 5 inspections, what systemic changes has the facility made since the April 2024 inspection to prevent recurring violations?
As a 6-bed facility advertising memory care but without formal CDSS memory care designation, how do you ensure staff have completed the dementia-specific training required under California Title 22 §87705?
Given the high ratio of Type A citations to total inspections, what is Aging Living Care LLC's quality assurance process for this location?
What specific Title 22 sections were cited in the Type A deficiencies, and can you provide documentation showing each has been corrected?
State records
California CDSS · Community Care Licensing Division- License number
- 019201138
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Aging Living Care Llc
Inspections & citations
5
reports on file
17
total deficiencies
10
Type A (actual harm)
InspectionApril 16, 2024Type A3 deficiencies
Inspector notes
On 4/11/2025 at 10:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Maria Zavala and explained the purpose of the visit. Administrator, Manali Khatu arrived a couple hours later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Fire extinguishers were observed to be full and purchased on 3/20/2025. One week supply of nonperishable and 2-day supply of perishable foods were available. Hot water was measured at 107.2 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. First Aid kit is complete. LPA reviewed 6 residents and 4 staff files starting at 11:45AM. LPA reviewed a sample of resident's medications during inspection. LPA interviewed 2 residents and 2 staff. At 11:00AM, LPA observed unlocked knives in the kitchen drawer, unlocked cleaning supplies in the laundry area, and unlocked gardening tools in the backyard. Staff locked up all the items during inspection. At 11:10AM, LPA observed unlocked medications in the refrigerator. At 11:20AM, LPA observed window screen was broken in the hall bathroom near the kitchen. Outdoor area have lots of beds, wheelchairs, and other items that need to be put in storage or called for bulky pick up. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Manali Khatu. A copy of this report, civil penalties, and appeal rights were provided.
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.
Based on observation, the licensee did not comply with the section cited above by having unlocked knives, cleaning supplies, and gardening tools which poses an immediate health and safety risk to persons in care. POC Due Date: 04/12/2025 Plan of Correction 1 2 3 4 Staff locked up the items during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for a repeat violation.
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Based on observation, the licensee did not comply with the section cited above by having unlocked medications in the refrigerator which poses an immediate health and safety risk to persons in care. POC Due Date: 04/12/2025 Plan of Correction 1 2 3 4 Administrator has agreed to obtain a lockbox to lock up the medications in the refrigerator and submit picture proof to CCLD by POC date. Civil penalty of $250 is being assessed for a repeat violation.
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Based on observation, the licensee did not comply with the section cited above by having a broken window screen and a large amounts of items stored in the backyard which poses a potential health and safety risk to persons in care. POC Due Date: 04/30/2025 Plan of Correction 1 2 3 4 Administrator has agreed to repair the broken window screen and remove the items in the backyard. Administrator will submit picture proof to CCLD by POC date.
InspectionApril 25, 2023Type A7 deficiencies
Inspector: Grace Luk
Inspector notes
On 4/16/2024 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Maria Zavala and explained the purpose of the visit. Administrator, Manali Khatu arrived an hour later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Fire extinguishers were observed to be full. One week supply of nonperishable and 2-day supply of perishable foods were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. The facility has a written emergency disaster plan. LPA reviewed 5 residents and 3 staff files starting at 11:30AM. LPA interviewed 2 residents and 2 staff. LPA reviewed a sample of resident's medications starting at 4:30PM. At 10:15AM, LPA observed unlocked cleaning supplies under kitchen sink and bathroom sink. Staff locked up all the items during inspection. At 10:30AM, LPA observed medication cabinet was unlocked and unlocked medications in the refrigerator. Staff locked up the medications during inspection. At 11:00AM, LPA measured hot water temperature at 138.5 degrees F in the hallway bathroom. Administrator lowered hot water and LPA re-measured hot water at 120 degrees F. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 11:10AM, LPA observed uncleared staff (S5) at the facility. LPA was informed that S5 is a housekeeper. During visit, LPA observed S5 was sitting in the dining table with residents. S5 left the facility during inspection. At 12:00PM, LPA observed S2 and S3 does not have health screening. S3 does not have TB test results. At 12:20PM, LPA observed two non-ambulatory residents in room 5. However, room 5 was approved for ambulatory resident only. LPA observed room 5 has an exit door that was installed recently. At 12:30PM, LPA observed room 5's window was altered to an exit door. LPA was informed that the alteration occurred in October or November of 2023 and currently waiting for retro-permit. Civil penalties are being assessed for repeat violations and caregiver background check. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.
(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 degre…
Based on observation, the licensee did not comply with the section cited above by having hot water at 138.5 degrees F which poses an immediate health and safety risk to persons in care. POC Due Date: 04/17/2024 Plan of Correction 1 2 3 4 Administrator lowered hot water and LPA re-measured hot water at 120 degrees F. Deficiency cleared. Civil penalty of $250 is being assessed for repeat violation.
(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.
Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies under the kitchen and bathroom sinks which poses an immediate health and safety risk to persons in care. POC Due Date: 04/17/2024 Plan of Correction 1 2 3 4 Staff locked up the cleaning supplies during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for repeat violation.
(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 e…
Based on record review, the licensee did not comply with the section cited above by no having health screen and TB test for staff which poses a potential health and safety risk to persons in care. POC Due Date: 05/10/2024 Plan of Correction 1 2 3 4 Administrator has agreed to obtain health screening for S2 and S3. Administrator will also obtain S3's TB test and submit all documents to CCLD by POC date.
Prior to construction or alterations, all facilities shall obtain a building permit.
Based on observation and interview, the licensee did not comply with the section cited above by not obtaining permit prior to alteration which poses a potential health and safety risk to persons in care. POC Due Date: 05/10/2024 Plan of Correction 1 2 3 4 Administrator has agreed to contact the City regarding permit for altering the window to an exit door and sumbit communication to CCLD by POC date.
(b) Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents. Residents whose condition becomes nonambulatory shall not remain in rooms restricted to ambulatory residents.
Based on observation and record review, the licensee did not comply with the section cited above by having non-ambulatory residents in an ambulatory room which poses a potential health and safety risk to persons in care. POC Due Date: 04/23/2024 Plan of Correction 1 2 3 4 Administrator has agreed to submit a new sketch with ambulatory status in each room and LIC200 to CCLD by POC date.
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Based on observation, the licensee did not comply with the section cited above by having unlocked medications in the cabinet and refrigerator which poses an immediate health and safety risk to persons in care. POC Due Date: 04/17/2024 Plan of Correction 1 2 3 4 Staff locked up the medications during inspection. Deficiency cleared. Civil penalty of $250 is being assessed for repeat violation.
(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: (1) Obtain a California clearance or a criminal record exemption as required by the Department or
Based on observation and record review, the licensee did not comply with the section cited above by having uncleared staff at the facility which poses an immediate health and safety risk to persons in care. POC Due Date: 04/17/2024 Plan of Correction 1 2 3 4 Staff (S5) left the facility during inspection. Administrator stated that S5 will not be returning to the facility and will submit written statement to CCLD by POC date. Civil penalty of $100 is being assessed.
Other visitMarch 28, 2022No deficiencies
Inspector: Laura Hall
Inspector notes
LPAs L. Hall and C. Fowler conducted a face to face Component III presentation on 03/28/2022 starting at 11:15am. LPAs met with Administrator, Manali Khatu. LPAs presented Component III power point and discussed the regulations embodied in the power point. LPAs observed the participant gained knowledge about running and maintaining the facility in accordance with regulations. Exit interview conducted and a copy of this report provided.
Other visitMarch 28, 2022Type A7 deficiencies
Inspector: Grace Luk
Inspector notes
On 4/25/2023 at 9:35AM, Licensing Program Analysts (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, MaryJane Acosta and explained the purpose of the visit. Administrator, Manali Khatu arrived an hour later. The facility’s fire clearance was approved for 6 non-ambulatory residents, of which 1 resident may be bedridden, and 2 residents may be under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full. One week supply of nonperishable and 2-day supply of perishable foods were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. The facility has a written emergency disaster plan. LPA reviewed 4 resident and 2 staff files starting at 10:40AM. LPA interviewed 2 residents and 1 staff. LPA reviewed a sample of resident's medications starting at 2:50PM. At 9:58AM, LPA observed unlocked cleaning supplies under kitchen sink. LPA also observed unlocked bleach in the bathroom and unlocked laundry detergent and gardening tools in the back yard. Staff locked up all the items during inspection. At 10:01AM, LPA observed medication cabinet was unlocked. LPA also observed unlocked medications in the staff room and staff room was unlocked. (Continue on LIC809C...) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 At 10:09AM, LPA measured hot water temperature at 132 degrees F in the hallway bathroom. Administrator lowered hot water and LPA re-measured hot water at 116.9 degrees F. At 11:00AM, LPA observed residents does not have reappraisal or needs and service plan on file during record review. At 1:21PM, LPA observed residents that has half bed rails does not have doctor's orders. At 1:30PM, LPA observed facility did not have a current disaster drill conducted. Facility have not been documenting disaster drills conducted. At 2:58PM, LPA observed R2's MetFormin 500mg was given 1 tab in the evening as stated on MAR (Medication Administration Record). However, the prescription bottle indicates 2 tabs in the evening. There was no doctor's order for a change in dosage. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights were provided.
(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 degre…
Based on observation, the licensee did not comply with the section cited above by having hot water at 132 degrees F which poses an immediate health and safety risk to persons in care. POC Due Date: 04/26/2023 Plan of Correction 1 2 3 4 Administrator lowered hot water temperature. LPA re-measured hot water at 116.9 degrees F. Deficiency cleared.
(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.
Based on observation, the licensee did not comply with the section cited above by having unlocked cleaning supplies, chemicals, laundry detergent, and gardening tool which poses an immediate health and safety risk to persons in care. POC Due Date: 04/26/2023 Plan of Correction 1 2 3 4 Staff locked up the cleaning supplies, chemicals, laundry detergent, and gardening tool during inspection. Deficiency cleared.
(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. Significant changes shall include but not be limited to:
Based on record review, the licensee did not comply with the section cited above by not having reappraisal or needs and service plan for residents which poses a potential health and safety risk to persons in care. POC Due Date: 05/12/2023 Plan of Correction 1 2 3 4 Administrator has agreed to have needs and service plan for all residents. Administrator will submit a copy to CCLD by POC date.
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill,…
Based on record review, the licensee did not comply with the section cited above by not having a current disaster drill which poses a potential health and safety risk to persons in care. POC Due Date: 05/12/2023 Plan of Correction 1 2 3 4 Administrator has agreed to conduct a disaster drill and submit documentation to CCLD by POC date.
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.
Based on observation, the licensee did not comply with the section cited above by having unlocked medications which poses an immediate health and safety risk to persons in care. POC Due Date: 04/26/2023 Plan of Correction 1 2 3 4 Staff locked up the medications during inspection. Deficiency cleared.
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can 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 …
Based on observation and record review, the licensee did not comply with the section cited above by not following doctor's order for R2's medication which poses an immediate health and safety risk to persons in care. POC Due Date: 04/27/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain new doctor's order for R2's MetFormin and submit a copy to CCLD by POC date.
(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (3) A written order from a physicia…
Based on record review, the licensee did not comply with the section cited above by not having doctor's order for half bed rails which poses a potential health and safety risk to persons in care. POC Due Date: 05/12/2023 Plan of Correction 1 2 3 4 Administrator has agreed to obtain doctor's order for half bed rails for all residents and submit a copy to CCLD by POC date.
Other visitFebruary 24, 2022No deficiencies
Inspector: Laura Hall
Inspector notes
On 03/28/2022 at 9:50am Licensing Program Analysts (LPAs) L. Hall and C. Fowler conducted an announced pre-licensing inspection. LPAs met with Manali Khatu, Administrator. LPAs inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, and backyard. The facility has a total of five (5) bedrooms and two (2) bathrooms There is sufficient lighting around the facility. Residents rooms are equipped with the beds, chairs, and lighting. Residents rooms have proper bedding and linens. Passageways and hallways are free of obstruction. Hot water temperature is measured at 117 degrees Fahrenheit. Fire extinguisher is in compliance. Smoke detectors/carbon Monoxide detector are equipped around the facility. First aid kit is complete. Prior to licensure, the following shall be corrected and submitted to CCLD by 04/01/2022.. - A photo of each bedroom containing a chest of drawers. - A photo of the cabinet with a lock that will store sharps and medication. - A photo of area in backyard near washer and dryer free of paint cans, door, and trash. Issues were noted during inspection. LPA observed that facility is not ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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