Pre-licensing visit·July 29, 2024

Licensing Program Analyst (LPA)Jill Nakagawa arrived unannounced to conduct a Pre-Licensing inspection for Grand River Villa, previously Grand River Care Center-West. There are currently 27 residents at this Resident Care Facility for the Elderly, with an approved fire clearance for 36 non-ambulatory and 7 bedbound residents. It is a single story building with 23 rooms, an activity room, dining room, living room and enclosed backyard. There were no accessible bodies of water or firearms. The fire extinguishers were last inspected on 10/18/2023 and fully charged. LPA observed locked box for knives and other sharps in the storage closet in the kitchen and a container in the medication room. Kitchen was clean and well-equipped with an adequate supply of dishes and utensils. Two refrigerators and one freezer were clean, with an adequate supply of perishable and non-perishable foods. Bathrooms had slip mats and grab-bars for resident safety. Hand washing supplies and paper products were available in sinks used by residents. Water temperature was between 112-116 degrees F, which is within regulation. A tour of residents' bedrooms was conducted and bedrooms inspected have lighting & appropriate furnishings and linens. LPA observed the required postings including: emergency disaster plan, the Let Us Know Complaint poster and See Something Say Something poster. Continued on 809-C Continued from 809.... A sample of 3 resident and 3 employee files were reviewed and found to be complete. LPA waived the COMP 3 with ; some of Administrator as they have been with the facility for several years and has a good understanding of Title 22 regulations as well as reporting requirements. . The pre-licensing evaluation has been completed. Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulations. License will be granted upon completion of a final review and approval from the Licensing Program Manager. This report will be forwarded to the Licensing Program Manager and Centralized Application Unit for continued processing. This report was signed by Administrator's representative and a copy was provided. No deficiencies were cited during today's visit.