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Inspection visit

Follow-up on corrections

GRACES HOMELicense 3060054703 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On today's date, Licensing Program Analyst (LPA) Michael Tea conducted this case management in conjunction with the continued Complaint visit Control #:22-AS-20230203140953. LPA Tea met with Caregiver (CG) Quy "Anna" Mai and discussed purpose of today's case management visit - Deficiencies visit. Administrator Ngoc "Nick" Mai was not present but LPA spoke to AD Mai over the phone. During the visit LPA Tea was greeted and granted entry by a new staff, Sau Nguyen. LPA observed that AD was not present and just the staff was alone with the residents at the facility. LPA was able to talk to AD Mai over the phone and asked where he was. AD Mai said he is far away from the facility in San Bernardino obtaining cooking utensils for the facility and that the residents are being supervised by the present staff who is AD Mai's cousin, who he plans to hire as a caregiver for the facility. AD Mai said that he was testing him out with the residents. LPA Tea asked AD Mai if he had the staff fingerprinted and passed background clearance. AD Mai said he just started the paperwork. LPA explained that all staff whether test trial or not is required to have full background clearance to be at the facility. AD Mai understood and said that he will have his sister, Quy "Anna" Mai an on-call caregiver come to facility within in half an hour. LPA observed there is not enough staff to care for residents, especially when AD Mai is away. Based on this inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC 809-D for the deficiencies. An exit interview was conducted with Caregiver staff Quy "Anna" Mai and Administrator Nick Mai over the phone a copy of this report LIC809 and LIC809D and appeal rights were provided at exit.

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.

  • 87464(f)(1)Type A

    Care and supervision as defined by statute and rules

    Basic Services ... Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not being met as evidenced Based on interview and review of documents licensee failed to supervise R1 in which they left the facility unassisted and ended up at emergency at hospital.

  • 87355(e)Type A

    Address and clearance obligations before facility work

    (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:This requirement is not met as evidenced by: Based on LPA's observation, new staff does not have background clearance to be at the facility. This poses an immediate health and safety risk to residents in care.

  • 87405(a)Type A

    Certified administrator requirements and substitute coverage

    Administrator - Qualifications and Duties ... facilities shall have a qualified and currently certified administrator. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. This requirement is not met as evidenced by:Based on LPA's observation, facility lacks enough staffing and back up administrator while away, which poses an immediate health and safety risk to residents in care.

    Read full inspector narrative
  • 87211(a)(1)Type A

    Report specified resident events within seven days

    Reporting Requirements ... (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to ...This requirement is not met as evidenced by: Based on LPA's observation, licensee can not recall if the incident on 02/01/2023 was reported to CCLD. LPA searched past SIRs during the time of incident and there is no LIC624 reporting the incident from the facility.

FAQ · About this visit

Common questions about this visit

What happened during the September 26, 2024 inspection of GRACES HOME?

This was an other inspection of GRACES HOME on September 26, 2024. 3 citations were issued: 3 Type A (serious).

Were any citations issued to GRACES HOME on September 26, 2024?

Yes, 3 citations were issued (3 Type A, 0 Type B). The first citation was for: "Basic Services ... Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3)..."

What type of inspection was this?

This was an other inspection. other 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.