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GRANT SERENITY HOMES OF PASADENA, INC.

1745 WAGNER STREET, Pasadena CA 91106

Facility 198603270 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jan 8, 2026Licensed

Additional info
Licensee
GRANT SERENITY HOMES OF PASADENA, INC.
Administrator
DIANA CASTELLANOS
Contact
DIANA CASTELLANOS
License first date
Jan 27, 2020
License effective date
Jan 27, 2020
District office
MONTEREY PARK ASC · (323) 980-4934
Regional office
28
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 4 Type A and 6 Type B deficiencies for this facility.

Most recent inspection
Jan 8, 2026
Most recent deficiency
Jan 8, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 4 Type A and 6 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

More than the typical 4

1 in the last 12 months

Recorded deficiencies
10

Well above the typical 1

1 in the last 12 months

Type A deficiencies
4

Most this size have none

1 in the last 12 months

Type B deficiencies
6

Most this size have none

0 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

All report types
All report typesInspectionComplaintLicensing record
Inspection
Background checksType A
Official classification
Type A
Official code
87355(e)
Regulation authority
CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above. During the visit LPA observed that staff Staff 1 (S1) was not have a criminal record clearance, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/08/2026 Plan of Correction Staff 1 left the facility. The licensee will ensure all individuals subjects to a criminal record shall prior to working, residing or volunteering in a licensed facility.

Plan of correction recorded
Correction not verified in available records
View official report
View official source
Inspection
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(5)(B)
Regulation authority
CCR

What the official deficiency says

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance...supports may be used under the following conditions. (5) Under no circumstances shall postural supports ... (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 out of 6 residents, R2's bed was observed with full bed rails which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/23/2025 Plan of Correction Administrator will either switch full bed rails from full bed rails to half bed rails per the physician's half bed rail request or will communicate with family and physician to evaluate the need for hospice care and will submit to the department either pictures of the bed with half bed rails or hospice plan with the full bed rail request to the department by POC due date 1/23/25.

Plan of correction recorded
Correction not verified in available records
View official report
View official source
Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(4)
Regulation authority
CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in medication for R4 was observed without a prescription label which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/04/2023 Plan of Correction Administrator will contact the pharmacy and obtain medication for R4 with prescription label and discard of the medication without a label. Administrator will provide a picture of new medication to the department by POC due date 12/4/23.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(5)
Regulation authority
CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in medication for R4 does not have the original container which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/04/2023 Plan of Correction Administrator will contact the pharmacy and obtain medication for R4 with prescription label and original container and discard of the medication without a label. Administrator will provide a picture of new medication to the department by POC due date 12/4/23.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

87303 Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in water temperature in bathroom was tested at 86.3 degrees F., which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/08/2023 Plan of Correction Administrator adjusted temperature to the required 105-120 degrees F., and will maintained a water temperature log for the next seven days and will submit the log to the department by POC due date 12/8/23.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87456(a)(2)
Regulation authority
CCR

What the official deficiency says

87456 Evaluation of Suitability for Admission (a) Prior to accepting a resident for care and in order to evaluate his/her suitability, the facility shall, as specified in this article 8: (2) Perform a pre-admission appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in R3 does not have a pre-admission appraisal on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/08/2023 Plan of Correction Administrator will create the pre-admission appraisal for R3 and will submit a copy to the department by POC due date 12/8/23.

Plan of correction recorded
Correction not verified in available records
View official report
Resident rightsType B
Official classification
Type B
Official code
87468(c)(2)(A)
Regulation authority
CCR

What the official deficiency says

87468 Personal Rights (c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in Poster (PUB 745) was not posted in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/08/2023 Plan of Correction Administrator will obtain and post PUB 745 and will submit a picture to the department by POC due date 12/8/23.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(1)
Regulation authority
HSC

What the official deficiency says

1569.625 Staff training; legislative findings; contents (b) (1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 4 out of 5 staff files review did not have initial training provided for S2-S5 for review which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/08/2023 Plan of Correction Administrator will submit a copy of initial 40 hours of training provided to S2-S5 either by signing logs that include a topic, duration of training, and signatures or certificates to the department by POC due date 12/8/23.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

1569.625 Staff training; legislative findings; contents (b)(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 4 out of 5 staff files reviewed did not have 20 hours of annual training for S2-S5 to review which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/08/2023 Plan of Correction Administrator will provide copies of 20 hours of annual training by signing logs with training topic, duration of training, or certificates for S2-S5 to the department by POC due date 12/8/23.

Plan of correction recorded
Correction not verified in available records
View official report
View official source
Inspection
Health conditions and treatmentsType A
Official classification
Type A
Official code
87608(a)(3)
Regulation authority
CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 2 out of 6 residents were observed to have half bed rails in their beds for R3 and R4 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/30/2022 Plan of Correction Administrator is to obtained a physician's order for the half bed rails or remove half bed rails and submit a copy of the physician's request or pictures to the department by 11/30/22.

Plan of correction recorded
Correction not verified in available records
View official report
View official source
Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
View official source

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology