St John Grande

Type of visit: Required - 1 Year

On 7/9/2026, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced annual visit to conduct an annual inspection. During the visit, LPA met with Administrator Mary Aguirre who was informed of the purpose of the visit. The facility is licensed to serve 38 non-ambulatory residents and 13 bedridden residents, all aged 60 and above. Additionally, the facility has an approved hospice waiver for 8 residents. Currently, there are 44 residents residing in the facility. The facility is a three- story building situated in a residential neighborhood. It includes a reception area, a clinic/medication room, a cinema room, a game room, a kitchen, a dining room, a laundry room, staff offices, and a spacious, shaded patio and garden area. At 8:30 AM, LPA also reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings which all appeared to be current. LPA also reviewed five (5) residents files for admission agreements, updated physician reports, and needs and services plan which appeared to be current. LPA also conducted an audit of five (5) residents’ medications, and it appears that residents are given their medications as prescribed by their physicians. Continued At 1:05 PM, LPA toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected bedrooms: #102, #108, #202, #207, #302, and #319. LPA inspected a total of six (6) bedrooms. The beds and bedding supplies appeared to be in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms appeared to be in good condition with crab bars and operational. The water temperature ranged from 105°F to 120 °F. The kitchen was inspected, and there was a 5-day supply of perishable and a 7day supply of non-perishable food items available, which was adequately maintained/stored. There was a menu available for review that appeared to be a balanced meal plan. LPA also observed a current activity schedule for the month of July 2026. The fire extinguishers were fully charged; carbon monoxide detectors and smoke detectors were fully charged and operable. The last Fire/Disaster drill were conducted on 4/22/2026. LPA observed that the facility appeared to be clean, sanitary, and appropriately furnished. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided to Administrator Mary Aguirre at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 9, 2026

Type of visit: Required - 1 Year

On August 23, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual visit using the CARE tool. During the visit, LPA Dabuet met with Jhoanna Banagan, the Med-Tech who was explained the purpose of the visit. The facility is licensed to serve 38 non-ambulatory residents and 13 bedridden residents, all aged 60 and above. Additionally, the facility has an approved hospice waiver for 8 residents. Currently, there are 46 residents residing in the facility. The facility is a three-story building situated in a residential neighborhood. It includes a reception area, a clinic/medication room, a cinema room, a game room, a kitchen, a dining room, a laundry room, staff offices, and a spacious, shaded patio and garden area. LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #102; #108; #201; #202; #314 and #319. The water temperature range from 105.0 - 119.6 degrees F. and room temperature range from 72 - 74 degrees F., and smoke and carbon monoxide are all in operating condition. LPA observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged. Evaluation Report continues on LIC 809C Several working landline phones are available on-site. During the visit LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters, including the Activities Calendar and Food Menu, were posted. An audit of resident's service records for resident #1-#5 (R1-R5) were accurate and complete. The facility is current on Community Care Licensing annual fees. The facility has a current administrator certificate on file for Mary Arjene Aguirre #6070084740 5/23/2024 through 5/22/2026. No Deficiencies were identified during this inspection visit. Technical Advisory were issued (see LIC 9102) An exit interview was conducted, and a copy of this report was provided to Jhonna Banagan.the state’s words, verbatim · CDSS document, Aug 23, 2025

Type of visit: Required - 1 Year

On 06/17/24, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual required visit using the CARE tool. LPA met with Arjene Aguirre, Assistant Administrator, and the purpose of today’s visit was explained. The facility is licensed to serve 38 non-ambulatory and 13 bedridden residents ages 60 and above and has a hospice waiver approved for 8. Currently there are 51 residents in the facility. The facility is a three-story structure located in a residential neighborhood. It consists of the following: a receptionist area, clinic/medication room, cinema room, game room, kitchen, dining room, laundry room, staff offices and a large, shaded patio/garden area. LPA and Assistant Administrator toured the physical plant inside and out. Bedrooms 103, 105, 201, 208, 316, 319 were checked. Beds and bedding were in good condition, adequate lighting provided, storage for resident’s personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be complying within Title 22 regulations and were clean and operational. The water temperature measured between 105.0 F and 120.0 F in all bathrooms. A comfortable temperature is maintained in the facility. LPA observed the facility to be clean and appropriately furnished at the time of visit. The kitchen was inspected and observed to be within Title 22 regulations. Sharps, toxins, cleaning solutions, hazardous items, and medications were secured and inaccessible to residents. Medications were centrally stored and properly locked. Smoke detectors and carbon monoxide detectors were operational and working properly. Fire extinguishers were fully charged. LPA observed a stocked First Aid kit along with manual locked and inaccessible to residents. Outside grounds were toured and no bodies of water were observed. Walkways around the facility were clear of hazards. Continued on LIC809-C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. LPA observed all mandated inspection control postings throughout the facility. During this inspection LPA did not observe any deficiencies, therefore no citations were issued at this time. An exit interview was conducted, and a copy of the Report and Appeal Rights was provided to Assistant Administrator Arjene Aguirre.the state’s words, verbatim · CDSS document, Jun 17, 2024