Senior Care Records.

Facility Evaluation Report

Gracious Care INC #2, Eastvale10/25/2024Licence 331880716

Capacity6
Census5
Date signed10/25/2024 12:33:25 PM
The inspector’s account

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the facility to verify clearance of Plan of Correction from visit on 10/18/2024. LPA Rico met with staff Juan M. Estrada Barajas and was granted entry to the facility. During today's visit, Licensee Sandy Zhao and House Manager Brandon Marquez as contacted and informed of the visit.

The following deficiencies were not cleared during the time of the visit:

The Licensee was cited on 10/18/2024 for 87208(a) Plan of Operation . During today's visit and based on record review and interview, LPA Rico observed that the Licensee did not have Plan of Operation located in facility file. The Plan of Correction was sending proof to LPA Rico the facility has Plan of Operation maintain in facility file. Therefore, the POC was not cleared at the time of the visit. Civil penalties will be assessed in the amount of $100 per day for four (4) days.

The Licensee was cited on 10/18/2024 for 87303(e)(2) Maintenance and Operation. During today’s visit and based on interview and observation. LPA Rico observed that the Licensee did not fix the water temperature. The Plan of Correction was for the licensee to send LPA Rico proof the water temperature has been fixed. Therefore, the POC was not cleared at the time of the visit. Civil penalties will be assessed in the amount of $100 per day for four (4) days

The Licensee was cited on 10/18/2024 for 87307(a)(3)(B) Personal Accommodations and Services. During today’s visit, LPA Rico observed bedroom number one had broken dresser. The Plan of Correction was for the Licensee to replace the drawer and send proof to LPA Rico. Therefore, the POC was no not cleared at the time of the visit. Civil penalties will be assessed in the amount of $100 per day for four (4) days.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction