Grand Cru Senior Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Licensee and Administrator Tejpal Sekon arrived later. Tejpal Sekon Administrator Certificate 7036726740 03/08/2028. Facility currently has six (6) residents in care none of which are currently on hospice. LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed food present but not enough for a 2 day supply of perishable or a 7 day supply of non-perishable food sufficient for six (6) people. Licensee explained that his restocking day is on Thursdays. LPA advised, to remain in compliance, the facility should be stocked with enough food to meet regulation on any given day, including days right before restock. LPA found stalks of celery to be brown and yellow and wilted. LPA observed head of lettuce to have black and gray spots as well as wilting, caregiver threw away both lettuce and celery immediately. Caregiver stated that food was to be thrown in the compost but had yet to have a chance to pull it from the refrigerator and put out in the compost. LPA observed bag of cereal to be open and unsealed inside open cardboard box, caregiver immediately put in a ziplock to seal. LPA advised to be sure that all food capable of becoming stale be sealed appropriately. LPA kitchen cabinet under sink to be locked. All other cleaning products and laundry soaps are located in the cabinet and inaccessible to residents in care. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 111.4 degrees F in the kitchen and 110.2 degrees F in the bathroom used by residents, both of which are within the allowable range of 105 to 120 degrees F. Continued on 809C... Continued from 809... Fire extinguishers showing as fully charged. Facility’s last quarterly disaster drill was conducted on July 15, 2026. Facility has a backup generator for use during a power outage. LPA observed light above sink by rooms #5 and #6 to not work. Per caregiver it just broke today. LPA observed kitchen slider door to be missing a screen. Licensee will replace immediately. LPA conducted a review of six (6) out of six (6) resident files and six (6) staff records. Three (3) residents did not have current appraisals on file, all were dated 2024 (deficiency cited, see 809 D). LPA discussed Health and Safety Codes 1569.625 and 1569.69 for staff training requirement hours and subjects as well as and medication training hours as subjects. LPA and licensee conducted a spot check of medication and medication records. Medication is centrally stored in a locked closet. LPA went over requirements for Centrally Stored Medication Log (CSML) and PRN MAR. LPA and licensee discussed ensuring date started is recorded on CSML and on the bottle or bubble pack itself. LPA advised all PRNs must also be listed on the CSML. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with licensee and a copy of this report was given.the state’s words, verbatim · CDSS document, Sep 2, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Sep 16, 2026

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first.... This requriement not met by licensee as evidenced by: R1, R2, and R3 all had appraisals dated 2024, which poses an potential health, safety, and/or personal rights risk to resident in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: Facility to complete current appraisals and send to CCL by plan of correction due date.

Allegation investigated: Licensee refused to allow resident to have visitor Personal Rights

Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced to deliver findings on the above allegations and was greeted by caregiver. LPA spoke to licensee Tejpal Sekon via telephone to advise LPA was here to deliver findings. Licensee arrived later. Complaint alleges licensee refused to allow resident (R1) to have visitor. On 9/23/25, licensee was informed that R1 had exposure to COVID due to exposure from Individual (I1) whom just tested positive for COVID. On 9/24/25 resident (R1) tested positive for COVID, but per licensee R1 did not exhibit any symptoms. On 9/29/25 I1 tried to visit R1 but was denied entry to the facility and access to R1. During investigation, evidence obtained shows that licensee required that I1 prove that they were testing negative for COVID before they would be allowed to visit R1. Complaint alleges personal rights violations of R1. On 9/24/25, licensee isolated R1 in their room for Continued on 9099C... Substantiated Continued from 9099... COVID quarantine. Per licensee, R1 was agitated and fought with the staff to be let out of their room. However, R1’s attempts were unsuccessful and R1 remained confined to their room until at least 9/30/25. During investigation, LPA interviewed staff. Staff report that R1 was isolated to their room between 1-2 weeks. Additionally, complaint alleges violation of personal rights of R1 in that during isolation, R1 was not provided any activities. R1 did not have a TV in their room. Licensee put a TV in R1’s room the 2nd day of isolation. However, the TV only played a screensaver of a fishbowl. During investigation, LPA confirmed through observation that the TV only displayed a fishbowl screensaver. LPA was informed that TV did not work other than the screensaver and that remote was not available or lost. During investigation, LPA made observations of R1’s room. Room did not contain any materials that could be considered an activity such as a book, magazine, word search, tablet, crayons, crafts, or DVD player. Aside from a few photographs on the wall R1 had nothing else in the room except a bed, chair, and lamp. LPA did not observe anything in the form of entertainment or stimuli located in R1’s room. LPA confirmed through interviews that the facility was not having an outbreak of COVID and the R1 was the only resident who had tested positive for COVID. The Department of Public Health did not and does not have any requirement for the limitation of visitation. Additionally, the State of California is not in a state of emergency pertaining to COVID. On 3/11/24, CCL sent out PIN 24-01-ASC which superseded PIN 23-13-ASC issued 6/15/23. PIN 23-13-ASC indicated the latest guidance on isolation and testing, visitation, and infection control requirements including masking guidance and the removal of quarantine recommendations for persons in care and staff pertaining to COVID. However, per the California Department of Public Health, as of 1/9/24, this guidance is for historical purposes only. Therefore, there are no regulatory requirements in place requiring isolation or denial of visitation by those that have tested positive for COVID. So, the licensee cannot of their own volition choose to limit visitation by I1 to the facility to visit with R1. So, based on LPA’s interviews and observation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099D. Continued on 9099C(2)... . Continued from 9099C... Exit interview conducted with licensee and appeal rights given. Note** LPA and Admin discussed concerns regarding COVID safety precautions. Licensee expressed that he is concerned above all things about the safety and health of his staff and residents. Licensee recognizes that the state of California is not in an emergency state pertaining to COVID. However, in order to ensure the safety and health of all residents and staff licensee will provide an addendum to the House Rules stating that any visitors that are identified as being positive for COVID will be allowed to enter the facility but will be required to wear a mask during visitation.the state’s words, verbatim · CDSS document, Nov 20, 2025 · control 21-AS-20250930125229

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(21) · Plan of correction due date: Dec 4, 2025

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1...residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(21) To consent to have their relatives and other individuals of their choosing visit during reasonable hours, privately, and without prior notice. This requriement not met by licensee as evidenced by: R1 was denied access to I1, which poses an potential health, safety, and/or personal rights risk to resident in care.the state’s words, verbatim · CDSS document, Nov 20, 2025

Plan of correction: Facility to self-certify that they will observe the personal rights of all residents at all times, including having and choosing visitors by plan of correction due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87219(a)(3) · Plan of correction due date: Dec 4, 2025

87219 Planned Activities (a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include: (3) Cognitive and mental stimulation activities such as reading, writing, movies, crossword puzzles, board and card games, and using the computer. This requirement not met by licensee as evidenced by: R1 was isolated to their room without any activities or anything that would help aid in cognitive stimulation, which poses an potential health, safety, and/or personal rights risk to resident in care.the state’s words, verbatim · CDSS document, Nov 20, 2025

Plan of correction: Facility to research and implement activties designed specifically to meet the needs of the residents and their cognitve functioning by plan of correction due date. Licensee to send LPA a list of identified activities of at least 5-10 items and implement them by no later than 12/15/25

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Nov 27, 2025

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1...residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement not met by licensee as evidenced by: R1 was isolated to their room without any activities or anything that would help aid in cognitive stimulation, which poses an potential health, safety, and/or personal rights risk to resident in care.the state’s words, verbatim · CDSS document, Nov 20, 2025

Plan of correction: Licensee will add a personal rights poster in facility to make personal rights more visible and in the mind of staff. Licensee to self-certify that they will at all times provide and instruct staff to meet the needs of residents, including providing appropriate activites designed to meet their level of cognitive functioning.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Tejpal Sekhon arrived later. Facility staff roster information was reviewed. At approximately 9:30am LPA toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen drawer with sharp knives locked. LPA observed flooring in kitchen to have small cracks/spaces that do not present as a tripping hazard, yet, but LPA discussed with Admin replacing the floor planks so that they do not present as a tripping hazard in the near future. Floor planks in back of facility by rooms #5 and #6 also have small cracks/spaces; per Admin the flooring in the entire facility is scheduled to be replaced/addressed within the year. While conducting physical plant inspection, LPA observed only one caregiver present at facility. However, LPA observed three residents needing care at the same time. Resident (R1) attempted to get up by themselves to go to the bathroom but started to fall, as they cannot walk properly on their right foot and also having an extremely hard time establishing balance with their walker. Caregiver was down the hall in room #4 assisting resident (R2) with incontinence care. Caregiver had to leave R2 to attend to R1, leaving R2 in their bed. Caregiver assisted R1 on to the toilet, but then had to leave them in order to go back to room #4 and resume attending to R1. While all this was taking place, resident (R3) was in the kitchen requesting help to get out of the recliner chair, as they needed to use the restroom, but caregiver was busy alternating between R1 and R2 such that they could not attend to Continued on 809C... Continued from 809... meeting R3's care needs. LPA discussed staffing with Admin and advised that at all times staff must be sufficient in quantity and qualification such that they are able to meet the care needs of all residents. Admin advised LPA that if he must staff 2 people on each shift, that his staffing overhead would be raised such that it would cause hardship. Additionally, Admin is concerned about staff redundancy. LPA discussed providing residents with activities and outdoor supervision/assistance which would eliminate any redundancy. Throughout visit Admin and LPA continuously discussed staffing ratios. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 111.3 degrees F in the kitchen, 109 degrees F in room #102.1, and 110 degrees F in the main hall bathroom which are all within the allowable range of 105 to 120 degrees F. LPA observed feces soiled brief in half bath across from rooms #5 and #6 in a trash can without a lid. Additionally, LPA observed urine soiled brief and used chucks in main bath garbage can which also did not have a lid (deficiency cited, see 809D). LPA unable to determine when fire extinguishers were last inspected as there are no service tags present. However, all fire extinguishers are showing as charged. LPA and Admin discussed having fire extinguishers inspected annually. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drills were conducted 4/5/25. LPA advised to be sure to do drills quarterly. At approximately 11:00am LPA conducted a review of six [6] resident records. LPA discussed updating Admission Agreements from old facility and making current using current facility licensee and facility name. Adding an addendum/cover page to the existing Admissions Agreement works, but executing an Admission Agreement for the current licensee and facility is ideal. Residents' latest medical assessments are dated 2022, 2023, 2024, and 2025 respectively; some assessments are missing fields of assessment and diagnosis. LPA discussed with Admin change to regulation as of 1/1/25. All residents regardless of diagnosis require an annual medical assessment. Appraisals for residents show a signature date of October of 2024 but an assessment date of March of 2024. LPA advised Admin to complete appraisals annually and be sure to change the assessment date on the front page. LPA advised to not reuse old assessments. Continue on 809C(2)... Continued form 809C... LPA also advised if the responsible party does not sign, be sure to document appraisal was provided via email or fax. Resident (R4) was on hospice but graduated off hospice in January 2025. Per Admin and caregiver, R4 cannot reposition herself with side rails. LPA advised Admin of Care of Bedridden residents regulation. LPA advised since R4 is no longer on hospice he will need to obtain bedridden fire clearance. Admin will update facility sketch and submit to LPA along with written request for bedridden fire clearance. LPA will then initiate request for fire clearance inspection. Per LPA review of R4 appraisal, Admin planned to get hoyer lift in order to transfer R4. However, Admin advised currently a hoyer lift is not needed as caregiver can transfer R4 by themselves. In LPA's observation, caregivers have a small physical stature and it appears would have difficulty transferring residents without alone. LPA review of resident records indicate that three [3] of six [6] residents are fall risks and at least two [3] out of six [6] require assistance with mobility and assistance with toileting needs. Considering LPA's observation of staffing and residents not having a current medical assessment, Admin and LPA discussed resolving questions of adequate staffing by obtaining a current medical assessment for all residents. Admin agrees to obtain current medical assessment specifically using the LIC602A form, in a timely manner. LPA's review of R3's medical assessment shows that they have a foot ulcer. Per Admin, R3 does not have an ulcer but instead as a condition which requires a brace, but resident refuses to wear brace. LPA unable to view R3's foot. When Admin gets current medical assessment for R3, medical assessment to include foot ulcer staging. Admin to forward all medical assessments, in a timely manner, to LPA. LPA may then return to review staffing, fire clearance, and review staging of ulcer for R3, if needed. At approximately 12:30pm LPA conducted review of five [5] staff records. All required documentation present. LPA discussed with Admin training subject matter topics in regulation. LPA advised to be sure that training curriculum includes all subject matters specified in regulation. At approximately 3:00pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked closet. LPA observed bottle of Melatonin to be empty. Admin advised he is waiting on the family to provide more. LPA advised it is the responsibility of the facility to ensure Continues on 809C(3)... Continued from 809C(2)... all residents that do not manage their own medication have their medication administered in line with their current physician's orders, whether or not family has provided it. Admin will forward facility's plan of operation to LPA for review of prescription and medication management policy. LPA discussed with Admin maintenance of a PRN MAR with requirements in regulation, including outcome of PRN administration. LPA also discussed with Admin making sure that Centrally Stored Medication Log (CSML) matches the current physician's orders exactly, including specifications of dosing, grams/milligrams/etc, and administration. Tejpal Sekon Administrator Certificate 6072043740 expires 3/8/26. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. Updates were made recently and Admin will send in updated copies to CCL. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Aug 5, 2025

The state marks this report as 12 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a pre-licensing inspection and was greeted by caregiver. Facility Administrator, Tejpal Sekhon arrived later at approximately 12:00pm. Facility currently has five residents in care. At approximately 12:00pm LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed within regulation emergency supply of non-perishable food. Kitchen has locked cabinet that stores toxins and cleaning products. One locked drawer is dedicated for sharp knives. Facility is a one story residence with six bedrooms, two full and one half bathrooms, and dining and living room common areas. All resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Facility does not have central air but has two portable air coolers. The living room and rooms one, two, five, and six all have ceiling fans. Administrator to have fans available in all bedrooms before licensing. Room four has a hole on the east wall that needs repair. Smoke and carbon monoxide detectors present and functioning. Facility has two fire extinguishers present and charged. Emergency lighting needed in hallway. LPA observed all required postings and posters present. Administrator advised that facility will coordinate with local services to provide emergency transport services in the event of a disaster. Water temperatures read at: 108 F in kitchen, 105.5 F in main bath, 106 F in room one, 112 F in back half bath by rooms five and six, all which are within regulation of 105 & 120 degrees F. Report continued on 809C... Continued form 809... The following items to be corrected prior to LPA submission of facility's application for approval: Right door on kitchen cabinet on right side of refrigerator broken, needs to be repaired Right door of kitchen cabinet under the sink broken, needs to be repaired Street-facing front portion of fence missing a board and loose board leaning against fence. All loose boards to be removed and gap spaces repaired Overgrown weeds and debris present on front facing east side of yard. Weeds and debris need to be removed and facility to ensure landscaping is safe for residents in entire back yard Fence and fence door surrounding garden area in back yard needs to be repaired/replaced such that it is safe for residents; no exposed screws. Fence has broken, half detached boards that must be replaced/repaired Main deck south side gate door needs to be replaced/repaired such that is closes properly and latches properly when closed. Currently, it does not latch and gate does not close without lifting it up and over the bottom portion of the deck. South side back half of perimeter fence is leaning and cannot bear weight safely. Facility to replace/repair back half of perimeter fence so that it is structurally sound and secure for residents Room four has a hole on the east wall that needs repair. Night lights present in hallway LPA reviewed staff and resident files. The following items to be corrected prior to LPA submission of facility's application for approval: Appraisals/Care Plans for all residents to be current. CPR for all staff to be current. Administrator to provide photos and/or videos of repaired/replaced items. Once acceptable photographic and/or video proof of corrections is received by CCL, LPA will submit facility's application for approval. Comp III reviewed and exit interview conducted with Administrator and a copy of this report given.the state’s words, verbatim · CDSS document, Sep 6, 2024

The state marks this report as 7 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 5 COMP II Participants: Tejpal Sekhon (Board Member & Administrator) Interview Method: Virtual interview via Microsoft Teams On August 12, 2024, applicant(s)/administrator participated in COMP II for the below pending facilities: Grand Cru Senior Care Corp/496804250, Grand Cru Senior Care Corp 2/496804251. Identification of the applicant(s) and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant(s) and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Aug 12, 2024