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Inspection visit

Follow-up on corrections

GRACE RETIREMENT VILLAGELicense 3060900491 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20241023161245. LPA met with Administrator (AD) Michelle Song and explained the reason for today’s inspection. During the course of the investigation, LPA inspected the facility, interviewed AD, residents, staff, and witnesses, and obtained and reviewed copies of the resident roster and staff roster. A witness reported that they observed 15 to 20 residents in one room, all of whom were wearing only diapers. LPA interviewed AD, two additional witnesses, five residents, and six staff and obtained a corroborating statement that residents in the memory care unit are kept only in diapers and a shirt to make it easier for staff to change them over night because there are fewer staff overnight. Based on the information obtained made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.

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.

  • 87468.1(a)(1)Type A

    87468.1 Personal Rights of Residents in All Facilities (a) … (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews, the licensee does not ensure memory care residents’ dignity when they are kept in only diapers and a shirt overnight, which poses an immediate personal rights risk to persons in care.

  • 87303(a)Type B

    87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times… This requirement was not met as evidenced by: Based on observation and interviews, the licensee did not ensure the memory care unit was free for mild bad odors, which poses a potential personal rights risk to persons in care. CIVIL PENALTY ASSESSED.

  • 87355(e)(1)Type A

    87355 Criminal Record Clearance (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: (1) Obtain a California clearance… This requirement was not met as evidenced by: Based on interviews and documents, the licensee did not S1 was background cleared prior to working at the facility for at least 5 days, which poses an immediate safety risk to persons in case. CIVIL PENALTY ASSESSED.

FAQ · About this visit

Common questions about this visit

What happened during the November 6, 2024 inspection of GRACE RETIREMENT VILLAGE?

This was a other inspection of GRACE RETIREMENT VILLAGE on November 6, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GRACE RETIREMENT VILLAGE on November 6, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87468.1 Personal Rights of Residents in All Facilities (a) … (1) To be accorded dignity in their personal relationships ..."

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.