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Inspection visit

Follow-up

GRACE RETIREMENT VILLAGELicense 3060900492 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit. LPA met with Administrator Michelle Song and explained the reason for the visit. During the 10-day visit for complaint #22-AS-20241010093603 LPA observed the following which is not directly related to the complaint being investigated. LPA and the Administrator toured the facility. LPA observed the See Something, Say Something Poster (PUB 475) measures 10 inches by 16 1/4 inches. LPA observed resident room 233 where Resident 1 lives did not have a smoke detector. LPA observed wires hanging from the ceiling where the smoke detector goes. The Administrator reported that Resident 1 is moving to room 321 and the staff is in the process of moving Resident 1's belongings. LPA informed the Administrator all resident rooms are required to have a smoke detector. The Administrator verified that the there is no smoke detector in room 233. Room 233 still has Resident 1's clothes and personal items. LPA interviewed Staff 1 and LPA reviewed the facility Guardian roster. Staff 1 is not associated to the facility. LPA informed the Administrator and Staff 1 that they cannot be at the facility until they are associated to the facility. Staff 1 does have a background clearance but is not associated to the facility. LPA observed Staff 1 leave the facility. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Civil penalties being issued for the deficiencies cited; CCR 87203 and CCR 87355(e)(2). An exit interview was conducted and a copy of the report LIC 809, LIC 809D, LIC 421 IM, LIC 421 BG, provided along with appeal rights.

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.

  • 87203Type A

    All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not being met as evidenced by: LPA observed Resident 1's room, 233 did not have a smoke detector. This poses an immediate Health and safety risk to residents in care.

  • 87355(e)(2)Type A

    (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(2)Request a transfer of a criminal record clearance as specified in Section 87355(c) This requirement was not met as evidenced by, through record review LPA observed Staff 1 has a background clearance but is not associated to the facility. This poses an immediate health and safety and personal rights risk to residents in care.

  • 87415(a)(5)Type A

    In facilities required to have a signal system, specified in Section 87303, Maintenance Operation, at least one night staff person shall be located to enable immediate response to the signal system. If the signal system is visual only, that person shall be awake. This requirement is not being met as evidenced by record review and interviews verified the facility does not have a staff person monitoring the signal system to provide immediate response. This poses an immediate health, safety and personal rights risk to residents in care.

  • 87555(b)(8)Type A

    All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not being met as evidenced by, LPA observed 49 boxes of cereal stored in the kitchen that have expired. 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 October 16, 2024 inspection of GRACE RETIREMENT VILLAGE?

This was a other inspection of GRACE RETIREMENT VILLAGE on October 16, 2024. 2 citations were issued: 2 Type A (serious).

Were any citations issued to GRACE RETIREMENT VILLAGE on October 16, 2024?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protecti..."

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.