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Inspection visit

complaint

GRACE RETIREMENT VILLAGELicense 3060900491 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

It was alleged that multiple staff at the facility have been working at the facility without a criminal record clearance. LPA inspected the facility, including the assisted living section and memory care unit, multiple bedrooms, kitchen, medication room, and common areas and observed no health and safety issues. LPA observed 17 staff present, obtained their names and dates of birth, and checked their background clearance status on the Licensing Information System (LIS). Out of the 17 staff present, LPA determined using LIS that staff Sung Ae Byun and Carlota Olguin were not background cleared. AD confirmed neither had been background cleared and that Sung Ae Byun had started working at the facility on March 3, 2025, and Carlota Olguin had started working at the facility on March 5, 2025. LPA reviewed the facility’s staff roster and staff schedule and did not note any additional background clearance issues. During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegation mentioned above. The preponderance of evidence standard has been met; therefore, the above allegation is Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. Immediate civil penalties are being assessed. See LIC421BG. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.

Citations

1 citation 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.

  • 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 admission and documents, the licensee did not ensure staff Sung Ae Byun and Carlota Olguin were background cleared prior to working at the facility, 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 March 6, 2025 inspection of GRACE RETIREMENT VILLAGE?

This was a complaint inspection of GRACE RETIREMENT VILLAGE on March 6, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GRACE RETIREMENT VILLAGE on March 6, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Co..."

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.