Skip to main content

Inspection visit

Routine inspection

GRACE RETIREMENT VILLAGELicense 30609004910 citations on this visit
10 citations recorded

Inspector’s narrative

What the inspector wrote

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with staff James Lee and Administrator (AD) Michelle Song and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 7:45AM, LPA and staff James Lee conducted a preliminary inspection of the facility. At about 1:30PM, LPA, AD, and staff James Lee conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and medication room and observed the following: Structure: this is a large commercial facility. Facility is a 170-bedroom, 180-bathroom, 3 story building. There is 1 large patio with patio covers for the residents. Resident Bedrooms: the 19 resident bedrooms inspected are spacious and will easily accommodate the residents’ furnishings. Furniture for 19 resident bedrooms inspected. LPA tested the call button in multiple resident rooms in assisted living and memory care and noted prompt staff responses. LPA tested the delayed egress system in the first floor memory care and observed it to be functioning properly. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 105 degrees and 122 degrees F, before corrections, in the 12 resident bathrooms inspected. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed. Appliances: stove burners, microwave, washers, and dryers inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the storage rooms. Medication room: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. The facility’s licensing fees have not been paid but are not yet due. At about 9:00AM, LPA reviewed 10 resident files and 10 staff files, interviewed 6 residents and 5 staff, and inspected medications for 10 residents. Facility does not handle resident money. During the inspection, LPA and AD observed the following: based on observation, out of the 12 bathroom faucets tested, all were within range except Room 123 which tested at 122 degrees F; based on documents, S3's health screening is dated more than 6 months before their association date, S4 did not have a health screening in their file, and S9's health screening states they are positive for tuberculosis which S9 states is a mistake and S9's doctor stated over the phone they believe is a false positive and they will order a chest x-ray to confirm; based on documents, S5, S6, and S9 did not have records of their 40 hour initial training; based on documents, S2, S3, S4, S7, and S8, did not have records of their 20 hour continuing training; based on documents, S4 and S5 did not have current first aid certificates in their files; based on documents, the facility has a memory care unit but their training records indicate that no staff has received 12 hours of dementia initial training or 8 hours of dementia continuing training; based on documents, medication technician S8's medication training records do not document the number of hours or type of training and medication technician S9 had no medication training at the facility; based on documents, the physician's reports for R1 through R10 are on the old form and do not include required information, such as descriptions of behavioral expressions; based on documents, the appraisals for R2, R6, R7, R8, R9, and R10 are more than a year old; and based on documents, the admission agreement in R2's file was blank. 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

10 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.

  • 1569.625(b)(2)Type B

    Based on documents, S2, S3, S4, S7, and S8, did not have records of their 20 hour continuing training, which poses a potential health and safety risk to persons in care.

  • 1569.626(a)(1)Type B

    Based on documents, the facility has a memory care unit but their training records indicate that no staff has received 12 hours of dementia initial training or 8 hours of dementia continuing training, which poses a potential safety risk to persons in care.

  • 1569.69(a)(1)Type B

    Based on documents, medication technician S8's medication training records do not document the number of hours or type of training and medication technician S9 had no medication training at the facility, which poses a potential health risk to persons in care.

  • 87303(e)(2)Type B

    Based on observation, out of the 12 bathroom faucets tested, all were within range except Room 123 which tested at 122 degrees F, which poses a potential safety risk to persons in care.

  • 87411(c)(1)Type B

    Based on documents, S4 and S5 did not have current first aid certificates in their files, which poses a potential health risk to persons in care.

  • 87411(f)Type B

    Based on documents, S3's health screening is dated more than 6 months before their association date, S4 did not have a health screening in their file, and S9's health screening states they are positive for tuberculosis which S9 states is a mistake and S9's doctor stated over the phone they believe is a false positive and they will order a chest x-ray to confirm, which poses a potential health and safety to residents in care.

  • 87458(c)(7)Type B

    Based on documents, the physician's reports for R1 through R10 are on the old form and do not include required information, such as descriptions of behavioral expressions, which poses a potential safety risk to persons in care.

  • 87507(c)Type B

    Based on documents, the admission agreement in R2's file was blank, which poses a potential personal rights risk to persons in care.

  • 87463(a)Type B

    Based on documents, the appraisals for R2, R6, R7, R8, R9, and R10 are more than a year old, which poses a potential safety risk to persons in care.

  • 1569.625(b)(1)Type B

    Based on documents, S5, S6, and S9 did not have records of their 40 hour initial training, which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 12, 2026 inspection of GRACE RETIREMENT VILLAGE?

This was a inspection inspection of GRACE RETIREMENT VILLAGE on February 12, 2026. 10 citations were issued: 10 Type B.

Were any citations issued to GRACE RETIREMENT VILLAGE on February 12, 2026?

Yes, 10 citations were issued (0 Type A, 10 Type B). The first citation was for: "Based on documents, S2, S3, S4, S7, and S8, did not have records of their 20 hour continuing training, which poses a pot..."

What type of inspection was this?

This was a inspection inspection. inspection 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.