All Grace Senior Care

Allegation investigated: Staff is sleeping during shifts Staff did not administer medication as prescribed.

Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 03/13/2026 to complete and deliver findings to a complaint received on 09/19/2025. LPA met with Caregiver, Teddie Santiago and explained the purpose of the visit. Throughout the course of the investigation, the department conducted interviews and record reviews. Please continue to LIC9099C.. Unsubstantiated Allegation: Staff is sleeping during shifts. Based on interview statements obtained, there is insufficient and inconsistent information available. LPA received statements from R2 and R3 which indicated that they have not experienced staff sleeping during their shift. R1 stated staff were taking naps during the day, but could not remember the day or time this occurred. S1, S2, R2, and R3 all stated they have not experienced staff sleeping during their shift. Allegation: Staff did not administer medication as prescribed. LPA arrived at the facility on 09/23/2025 and conducted a medication count for R1, comparing the residents’ CSM and Medication Administration Record (MAR) with medications centrally stored for the residents. LPA observed no medications were refused. LPA observed medications given as prescribed. S1 provided documentation with R1’s doctor requesting a refill. Based on this information, the allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. Exit interview conducted and a copy of the report was emailed to Administrator. Allegation: Staff yells at a resident in care. During the investigation LPA conducted interviews with staff and residents in care. In an interview with R2 and R3 both residents had stated they enjoyed living at the facility. R2 had stated they have never heard staff yelling at other residents in the facility. R3 stated that they have not heard any yelling throughout the facility by staff or by any other residents. Allegation: Staff did not give a resident an admission agreement. Based on records reviewed and interviews conducted, R1 did receive an Admission Agreement. On 09/23/2025 the Department observed a signed contract between R1 and the facility. Further, the Department was notified by R1 that they received the admission agreement when they moved into the facility. Therefore, the allegation is UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of the report was emailed to Administrator.the state’s words, verbatim · CDSS document, Mar 13, 2026 · control 59-AS-20250919153853

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Ana Marie Martin during today's inspection. Currently there are 3 residents at the facility. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 4 resident rooms, 1 staff room, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. Hot water temperature was measured at 112 degrees. LPA reviewed 2 of 3 resident files and 2 staff files. LPA reviewed medications of two residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Feb 11, 2026

Type of visit: Prelicensing

On 02/03/25, Licensing Program Analyst (LPA) Talwinder Bains met with applicant, Ramsey Martin, to conduct an announced Pre- Licensing visit. Facility has no residents during today's visit. Applicant holds a current administrator certificate ( # 7009626740 with expiration date 10/13/2026). LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. Facility inspection is done for these areas but not limited to four (4) residents bedrooms , one (1) staff room, two (2) bathrooms, common area , kitchen, laundry room, outside area and laundry area . Bathrooms and bedrooms were in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detectors at the care home are operational. Fire extinguisher is ready for emergency use. Facility was approved for six (6) non-ambulatory residents, as indicated by fire department , dated -10/22/24. Water temperature reading was within compliance. All required postings were observed. Facility shall notify Department once first consumer will admit to the facility. Component III for RCFE was completed during this visit. LPA will forward findings to the Centralized Application Bureau (CAB) that facility met all the pre-licensing components. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations on today's pre-licensing inspection. A copy of this report was provided to the facility. Exit interview conducted.the state’s words, verbatim · CDSS document, Feb 3, 2025