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Inspection visit

complaint

CASCADES OF GRASS VALLEYLicense 2927005631 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Staff did not provide adequate supervision resulting in resident wandering away from facility. Interviews conducted and LIC624 incident report submitted indicated that Resident R1 wandered out of the facility on 10/29/2025 and was found down the street by a staff member coming to work. R1 resides in the memory care unit at the facility. Therefore, the allegation that staff did not provide adequate supervision resulting in resident wandering away from facility is substantiated. Based on the information obtained for the allegations above, the allegation is SUBSTANTIATED- A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Exit interview conducted with Executive Director and a copy of the report and appeal rights was provided.

Citations

1 citation 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.

  • 87411(a)Type B

    87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports... This requirement was not met by evidenced by: On 10/29/2025, Resident R1 eloped from the facility and was found by a staff member who was coming in to work.

FAQ · About this visit

Common questions about this visit

What happened during the November 7, 2025 inspection of CASCADES OF GRASS VALLEY?

This was a complaint inspection of CASCADES OF GRASS VALLEY on November 7, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to CASCADES OF GRASS VALLEY on November 7, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent..."

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