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Inspection visit

Follow-up on corrections

GRACE RETIREMENT VILLAGELicense 3060900492 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced case management visit. LPA De Perio explained reason for visit, met with assistant administrator Anna Jung. On August 22, 2023, LPA De Perio conducted a case management visit to the facility to collect random resident physician reports. Physician reports for resident 1 2, 3, 4, 5, and 6 (R1, R2, R3, R4, R5, R6) were completed and indicated that the same doctor had evaluated residents. The doctor was interviewed and presented with copies of those physician reports. The doctor verified of never seeing R1, R2, R3, R4, R5 and R6, denied of ever signing reports for residents R1, R2, R3, R4, R5, and R6 and stated that the signature had be falsified. For this visit, citations were issued according to Title 22 California Code of Regulations. An exit interview was conducted with assistant administrator Jung. A copy of this report and Appeal Rights were provided.

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.

  • 87464(f)(1)Type A

    87464(f)(1) Basic Services(f) Basic services shall... 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 met as evidence by: Based on the documents obtained and interviews conducted, the facility did not obtain a proper medical evaluation for the resident, therefore was unaware of the care and supervision the resident needed, resulting into the resident wandering out of the facility and sustaining injuries. This poses an immediate health and safety risk to residents in care.

  • 87207Type A

    87207 False ClaimsNo licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.This requirement is not met as evidence by: Based on LPA’s observation, records obtained and interviews, it was revealed that the doctor indicated on R1, R2, R3, R4, R5, and R6 physician's report denied of evaluating the residents and stated that the physician signature was falsified. This poses an immediate health and safety risk to residents in care.

  • 87458(a)Type A

    87458 Medical Assessment(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician...This requirement is not met as evidence by: Based on the reviewed documents obtained, interviews conducted, and direct admission from the indicated physician on the reports, facility did not obtain a physician report and medical evaluation for R1, R2, R3, R4, R5, and R6.This poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 2, 2023 inspection of GRACE RETIREMENT VILLAGE?

This was a other inspection of GRACE RETIREMENT VILLAGE on November 2, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to GRACE RETIREMENT VILLAGE on November 2, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87464(f)(1) Basic Services(f) Basic services shall... include:(1) Care and supervision as defined in Section 87101(c)(3)..."

What type of inspection was this?

This was a 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.