Skip to main content

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-20240724111701. LPA met with Administrator (AD) Michelle Song and explained the reason for today’s inspection. During the course of the investigation, Department staff inspected the facility, interviewed staff, and obtained and reviewed copies of the resident roster, staff roster, an Incident Report dated July 15, 2024, and Resident #1’s (R1) UCI Medical Records. Per an Incident Report dated July 15, 2024, on July 15, 2024, at 9:00AM, R1 was found with a right swollen leg and sent to the hospital. R1’s UCI Medical Records and staff interviews revealed that R1 was diagnosed at the hospital with a femur fracture as a result of this incident. However, based on Orange County Regional Office (OCRO) records, the facility did not submit the Incident Report dated July 15, 2024, to the OCRO or submit any other incident reports regarding this injury as required. Based on the observations 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

2 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.

  • 87465(a)(1)Type A

    87465 Incidental Medical and Dental Care (a)… (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews and documents, the licensee did not ensure R1 received proper wound assessment and care for their unstageable pressure injury, which poses an immediate health risk to persons in care. CIVIL PENALTY ASSESSED.

  • 87211(a)(1)(B)Type B

    87211 Reporting Requirements (a) … (1) A written report shall be submitted to the licensing agency … within seven days of the occurrence of … (B) Any serious injury... This requirement was not met as evidenced by: Based on interviews and documents, the licensee did not report R1’s femur fracture to the OCRO, which poses a potential safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 4, 2025 inspection of GRACE RETIREMENT VILLAGE?

This was a other inspection of GRACE RETIREMENT VILLAGE on June 4, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to GRACE RETIREMENT VILLAGE on June 4, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87465 Incidental Medical and Dental Care (a)… (1) The licensee shall arrange, or assist in arranging, for medical and de..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.