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Inspection visit

Routine inspection

ST JOHN GRANDELicense 1986018172 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst's (LPA) Mario Leon conducted an unannounced Annual required visit with a primary focus on infection control measures. LPA was met by Eguardo Galang, and the purpose of today’s visit was explained. The facility is licensed to serve 51 elderly clients (age 60+) and is licensed to support 38 Non-Ambulatory and 13 Bedridden Residents. The facility has an approved Hospice Waiver on file for 8 Residents. There are currently four (0) Residents on Hospice and zero (0) Residents are receiving wound care treatment. The facility is located in a residential area. The physical plant consists of the following areas: Receptionist Area, LVN Office, Cinema, Game room, Kitchen . The facility’s latest fire inspection was unable to be located by Los Angeles County Fire Department. Administrator will send the fire clearance when it has been found. The front grounds of the facility is well landscaped and has a leveled walkway to the entrance. LPA Leon toured random resident rooms, bathrooms, living /activity rooms, commercial kitchen, dining room, and outdoor area. There are two outdoor common areas with patio tables and chairs available for use and an outdoor patio. The bathrooms were observed to be clean and operational w/ grab bars. The hot water temperature through out the facility was measured between 120.9-126.3 degrees F. The facility has central air and heating accommodations. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations throughout the facility. LPA observed staff and residents were wearing face coverings, personal quarantine rooms and required postings throughout the facility. LPA observed the facility has an ample 30-day supply of Personal Protective Equipment (PPE). See LIC 809C While touring the dining room/kitchen area; LPA observed these areas to be clean and well maintained. LPA observed ample food supply of two (2) days of perishables and seven (7) days of non-perishables. Storage areas for cleaning solutions, toxins, knives, and hazardous items were secured and made inaccessible to Residents in kitchen. LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. During today’s visit there was one (2) deficiencies observed, see LIC 809D. Exit interview held. A copy of the report was provided to Edguardo Galang

Citations

2 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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    "(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:

  • 87303(e)(2)Type A

    Provide resident hot water for personal care

    Based on Licensing Program Analysts observation, the licensee did not comply with the section cited above in "(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).Public bathroom on 2nd floor measured at 126.3 F, 120.9 F in resident room 215 and 125.2 F in model room 306 which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 26, 2022 inspection of ST JOHN GRANDE?

This was an inspection of ST JOHN GRANDE on October 26, 2022. 2 citations were issued: 2 Type A (serious).

Were any citations issued to ST JOHN GRANDE on October 26, 2022?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: ""(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or ..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.