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Inspection visit

complaint

GRAND OAK MANOR SUITE II LLCLicense 0192014932 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Report continues... The evidence supports that staff failed to adequately monitor and respond to the residents’ needs, resulting in a lapse in supervision. This deficiency poses a potential health and safety risk to residents in care. Therefore, the allegation is substantiated . Allegation: Staff verbally abused a resident- Substantiated LPA conducted interviews with the Administrator, staff, and 12 residents. Information obtained through these interviews determined that staff engaged in verbal abuse toward a resident. Witness statements from W1 and W9 indicated that they observed and heard staff member S6 speak in an inappropriate and verbally aggressive manner toward R1. Additionally, S1 and S3 reported that they also witnessed and/or overheard the interaction, corroborating concerns regarding S6’s conduct. The preponderance of evidence supports that staff behavior was inconsistent with providing respectful and appropriate care and constitutes verbal abuse. This violation poses a potential risk to the resident’s emotional well-being and personal rights. Therefore, the allegation is substantiated . An exit interview is conducted, and a copy of the appeal rights and report is provided via email.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87468.1(a)(1)Type B

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement is not met as evidenced by: Base on information obtained through these interviews determined that staff engaged in verbal abuse toward a resident. Witness statements from W1 and W9 indicated that they observed and heard staff member S6 speak in an inappropriate and verbally aggressive manner toward R1.

  • 87468.2(a)(4)Type B

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:This requirement is not met as evidenced by:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. Based on information obtained through interviews, it was determined that the staff did not provide adequate care and supervision for a resident. Witness statements from W1 and W9 indicated that they observed and heard that staff member S6 did not respond when R1 called for assistance.

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  • 87355(d)(3)Type B

    87355(d)(3) Criminal Record Clearance(d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility.This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by having staff working without finger print clearance which poses a potential health and safety risk to persons in care.

  • 1569.269(a)(2)Type B

    §1569.269(a)(2)Enumerated rights; severability(a) Residents of residential care facilities for the elderly shall have all of the following rights:(2) To be granted a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the internet, and meetings of resident and family groups.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by

FAQ · About this visit

Common questions about this visit

What happened during the March 17, 2026 inspection of GRAND OAK MANOR SUITE II LLC?

This was a complaint inspection of GRAND OAK MANOR SUITE II LLC on March 17, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to GRAND OAK MANOR SUITE II LLC on March 17, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly s..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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