LIVING GRACE ASSISTED LIVING AND MEMORY CARE

Official classification

Type A

Official code

87468.1(a)(1)(2)

Regulation authority

CCR

What the official deficiency says

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This facility was found to be deficient as evidenced by the rough handling of facility residents and instances of putting residents in hazardous situations by facility staff. This posed an immediate threat to the Health, Safety, and Personal Rights of all residents in care.

Official plan of correction

The facility designated Administrator stated that all facility staff will be in-serviced, for no less than 2 hours in duration, on the topics of proper transfer of residents and maintaining the integrity of personal rights at all times. A statement of correction, along with proof of proper training, will be completed and submitted into CCL by the due date for review by this LPA. Proper Training will include the topics of training with duration, name of trainer(s), and a list of all attendees.

Deadline recorded: May 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(b)

Regulation authority

CCR

What the official deficiency says

(b) The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. This is not met as evidenced by: Based on record review, the licensee did not ensure that the facility administrator had the responsibility and authority to ensure that the facility was financially solvent. This poses a potential health, safety, and personal rights risks to persons in care.

Official plan of correction

The facility has been placed on quarterly financial audit monitoring for 6 months. The Licensee will send the department documentation including: bank statements, profit & loss statements, balance sheets, utility bills, gas bills, worker’s compensation insurance. Documentation for the first quarter of the year will be sent to the LPA by 05/07/2026.

Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87205(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This is not met as evidenced by: Based on record review, the licensee did ensure that the facility was financially solvent. This poses a potential health, safety, and personal rights risks to persons in care.

Official plan of correction

The facility has been placed on quarterly financial audit monitoring for 6 months. The Licensee will send the department documentation including: bank statements, profit & loss statements, balance sheets, utility bills, gas bills, worker’s compensation insurance. Documentation for the first quarter of the year will be sent to the LPA by 05/07/2026.

Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87213

Regulation authority

CCR

What the official deficiency says

The licensee shall have a financial plan that conforms to the requirements of Section 87155, Application for License, and that assures sufficient resources to meet operating costs for care of residents; shall maintain adequate financial records; and shall submit such financial reports as may be required upon the written request of the licensing agency. Such request shall explain the need for disclosure. The licensing agency reserves the right to reject any financial report and to request additional information or examination including interim financial statements. This is not met as evidenced by: Based on record review, the licensee did not ensure that the licensee had a financial plan and sufficient resources to meet operating costs for the facility, this poses a potential health, safety, and personal rights risks to persons in care.

Official plan of correction

The facility has been placed on quarterly financial audit monitoring for 6 months. The Licensee will send the department documentation including: bank statements, profit & loss statements, balance sheets, utility bills, gas bills, worker’s compensation insurance. Documentation for the first quarter of the year will be sent to the LPA by 05/07/2026.

Deadline recorded: May 7, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87412(c)

Regulation authority

CCR

What the official deficiency says

(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. 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 that [2] out of [6] facility personnel files did not contain updated annual training topics and hours which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2026 Plan of Correction The facility designated Administrator stated that an audit of all personnel files will be conducted to make sure that facility staff providing care and supervision to the residents in care are properly updated with the necessary training topics and obtain the required number of hours. A statement of correction, along with updated proof of training, will be completed and submitted into CCL for review by this LPA by the due date.

Official classification

Type A

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 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 that [2] out of [6] facility personnel files did not have updated First Aid training which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/18/2026 Plan of Correction The facility designated Administrator stated that an audit of all personnel files will be conducted to make sure that facility staff providing care and supervision to the residents in care are properly updated with the necessary training for First Aid. A statement of correction, along with updated proof of training, will be completed and submitted into CCL for review by this LPA by the due date.

Official classification

Type A

Official code

87370(a)

Regulation authority

CCR

What the official deficiency says

(a) A licensee shall ensure that infection control practices are maintained as follows: This is not met as evidenced by: Based on observation, interview, and record review, the facility did not ensure that infection control practices were followed as stated in the facilities infection control plan.

Official plan of correction

A statement of correction, along with proof of staff training from an outside vendor for no less than (1) hour in duration, for the cited section will be completed and submitted to the LPA's email at arielle.pascua@dss.ca.gov. by the due date. Information submitted must include attendees, trainers, and information discussed.

Deadline recorded: Feb 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87211(a)(2)

Regulation authority

CCR

What the official deficiency says

(2) Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This is not met as evidenced by: Based on observation, interview, and record review, the facility did not ensure that the facility outbreak was reported to licensing within 24 hours upon notification of suspected scabies outbreak. This poses an immediate health, safety, and personal rights risks to persons in care.

Official plan of correction

A statement of correction, along with proof of staff training from an outside vendor for no less than (1) hour in duration, for the cited section will be completed and submitted to the LPA's email at arielle.pascua@dss.ca.gov. by the due date. Information submitted must include attendees, trainers, and information discussed.

Deadline recorded: Feb 11, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This is not met as evidenced by: Based on observation, interview and record review the licensee did not maintain proper fire clearance by padlocking the outside emergency gate near the parking lot. This poses an immediate health, safety, and personal rigths risks to persons in care.

Official plan of correction

Administrator shall provide a statement of acknowledgement to this LPA by POC date. LPA Pascua acknowledged that the padlock was removed prior to this visit.

Deadline recorded: Feb 11, 2026. A deadline is not proof that correction was completed.