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Inspection visit

Routine inspection

GRACE HOME ATHENALicense 3318806241 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 08/11/2025, Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with staf, Bea Francisco and introduced self and stated the purpose of the visit. Administrator, Jennifer Hahn was contacted via telephone and informed of the purpose of the visit. LPA was informed that there are currently six (6) residents in care. The facility has six (6) bedrooms, four (4) bathrooms, kitchen, dining area, living room, office, laundry, attached garage and backyard. LPA completed a walk through of facility, review of records and medication audit. Physical Plant: The facility is operating as a Residential Care Facility for the Elderly, in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. LPA observed grab bars and non-slip mats in resident bathrooms. Water temperatures tested at 117 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarm, charged fire extinguishers and first aid kit. Postings : Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. LPA observed potentially dangerous first aid liquids in an unlocked cabinet in the hallway. A deficiency was cited. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There is no swimming pool, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service : Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, one side gate with self-latching handle on the right side of the house that leads into the backyard. Record Review: LPA did not observe staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Administrator will submit documents to LPA via email. LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. Three (3) Technical Violations, one (1) Technical Assistance were given and a deficiency was cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC09D, LIC9102 and Appeal Rights were discussed and copies were provided to staff, Bea Francisco.

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.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above by not ensuring that potentially dangerous first aid items such as Normal saline, liquid wound cleanser, hydrogen peroxide, and betadide were kept inaccessible to residents in care, which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 11, 2025 inspection of GRACE HOME ATHENA?

This was a inspection inspection of GRACE HOME ATHENA on August 11, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GRACE HOME ATHENA on August 11, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above by not ensuring that potentially dangerou..."

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

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