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Inspection visit

Complaint

GRACES HOMELicense 3060054701 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Edward Tapia and Michelle Reed arrived at the facility to discuss the complaint allegation. Upon arrival LPAs met with Staff He Le. Administrator (AD) Nick Mai was contacted and arrived at approximately 9:00 am. A tour of the physical plant was conducted. There were 3 residents present and the following was observed: Staff He Le was present by himself and stated that he is the only staff working at the facility. Records were reviewed and interviews were conducted. Resident 1 and 2 present were non-ambulatory, had limited mobility and needed assistance with all ADL's due to their cognitive ability. Resident 3 did not have required paperwork present and LPAs noted that he needed assistance. Based upon observation, a review of records and interviews, the preponderance of evidence standard has been met and this allegation is substantiated. See LIC9099D for cited deficiencies. An exit interview was conducted and a copy of this report and appeal rights were given to AD Nick Mai

Citations

3 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.

  • 87411(a)Type A

    Facility personnel sufficiency and competence

    Personel Requirements-General-Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidenced by; Records reviewed and interviews conducted disclosed that residents present during the visit were non-ambulatory, had limited mobility and needed assistance with all ADL's due to their cognitive ability. LPAs observed only 1 staff present during the visit.This poses an immediate health and safety risk to residents in care.

  • 87307(2)(C)Type B

    Personal Accomations and Services- Resident bedrooms shall meet the following requirements; No bedroom of a resident shall be used as a passageway to another room, bath or toilet.This requirement was not met as evidenced by Residents are being showered in the master bedroom that is being occupied by Resident #3.

  • 87355(e)(1)(2)Type A

    Criminal Record Clearance-All individuals subject to a criminal record review shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption (2) Request a transfer of a criminal record clearance. This requirement was not met as evidence by; Staff #1 has been working at the facility for approximately 1 month and does not have a criminal record clearance through the Department.This poses an immeidate health and saftey risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2022 inspection of GRACES HOME?

This was a complaint inspection of GRACES HOME on April 26, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GRACES HOME on April 26, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Personel Requirements-General-Facility personnel shall at all times be sufficient in numbers, and competent to provide t..."

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.