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Inspection visit

Follow-up on corrections

GRAND RIVER VILLALicense 5768041731 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Nakagawa arrived to conduct a case management visit regarding an incident report submitted to Community Care Licensing (CCL) for R1 which occurred on 10/03/2025. LPA met with Luceli Soto-Luis, the newly appointed Administrator. R1 eloped while under facility responsibility. Resident R1 has a physician's report dated 02/22/2024 diagnostic of dementia which states that resident is NOT able to leave facility unassisted at any time. Per facility staff resident R1 was found by family member of staff on sidewalk in community and returned to facility; staff were unaware that R1 had eloped. Due to this incident, immediate elopement training for staff will be held, the front gate will be repaired, new walky-talky protocols will be established. Additionally, a wander-guard system is being considered for installation. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided. Appeal of Rights Given.

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.

  • 87464(f)(c)Type A

    87464 Basic Services(f) Basic services shall at a minimum...(c) "Care and supervision" means the facility assumes...safety, personal care.:. This requirement is not met as evidenced by: Based on incident report and staff interview Resident R1 eloped from facility without staff knowledge on 10/03/2025. This poses an immediate risk to the safety and health of residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 15, 2025 inspection of GRAND RIVER VILLA?

This was a other inspection of GRAND RIVER VILLA on October 15, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to GRAND RIVER VILLA on October 15, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87464 Basic Services(f) Basic services shall at a minimum...(c) "Care and supervision" means the facility assumes...safe..."

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

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