Inspection Reports for Aging Grace Senior Living
11539 Hawthorne Ave, Hesperia, CA 92345, United States, CA, 92345
Back to Facility Profile
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Mar 19, 2025
Visit Reason
Licensing Program Analysts conducted an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly to assess compliance with licensing regulations.
Findings
The facility was found to be operating within its licensed capacity with no deficiencies cited. The physical plant, food service, health-related services, and record reviews were all satisfactory and compliant with regulations.
Report Facts
Facility capacity: 6
Census: 6
Hot water temperature: 116.2
Inspection start time: 12.55
Inspection end time: 14.4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittany Martin | Administrator | Facility Administrator present during inspection and named in report |
| Magda Malcore | Licensing Program Analyst | Conducted inspection and signed report |
| Eldin Serrano | Licensing Program Analyst | Conducted inspection |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Apr 4, 2024
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, in good repair, and operating safely with no deficiencies cited. Two technical violations were issued related to a locked refrigerator and medication audit procedures.
Report Facts
Technical violations: 2
Residents in care: 5
Facility capacity: 6
Water temperature: 105.2
Fire drill date: Feb 20, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittany Martin | Administrator | Facility administrator met during inspection and received report |
| Michelle Echeverria | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Casey Kaler | Staff member met by Licensing Program Analyst during inspection |
Inspection Report
Capacity: 6
Deficiencies: 0
Sep 7, 2022
Visit Reason
The visit was a case management visit to approve the facility's request for a change from ambulatory to non-ambulatory status for six residents.
Findings
The Licensing Program Analyst toured the facility and inspected bedrooms, finding them in good repair with required furniture and approved the status change. No deficiencies were cited during the visit.
Report Facts
Non-ambulatory status request: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittany Martin | Licensee | Met with Licensing Program Analyst during the visit and assisted with the facility tour |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the case management visit and facility inspection |
| Karen Clemons | Licensing Program Manager | Named in the report header |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Mar 15, 2022
Visit Reason
This was an announced pre-licensing visit conducted to evaluate the facility's readiness for licensure and to confirm that all required corrections had been made.
Findings
The facility was found to be in compliance with all required regulations, with all previously noted corrections verified as completed. The facility was deemed ready for licensure.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittany Martin | Administrator | Applicant/Administrator who assisted in the tour and was involved in the pre-licensing visit. |
| Melody Brown | Licensing Program Analyst | Conducted the announced pre-licensing visit and evaluation. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 12
Feb 15, 2022
Visit Reason
The visit was a prelicensing inspection conducted to evaluate the facility for initial licensing as a Residential Care Facility for the Elderly.
Findings
The facility was a one-story house with adequate structure and safety features, but the pre-licensing inspection was incomplete due to several deficiencies that must be resolved by 03/10/2022, including posting required notices, providing emergency supply bags, personal hygiene supplies, PPE, and COVID-19 signage and logs.
Deficiencies (12)
| Description |
|---|
| Missing Let-Us-No poster |
| Missing Ombudsman poster |
| No space for Family Councils on a prominent bulletin board |
| No emergency supply bag(s) for each resident |
| No personal hygiene supplies in a caddy for each resident |
| Missing personal protective equipment supplies (gown, face shield, N95 masks, surgical masks, gloves) |
| No garbage can with tight cover in bathrooms |
| Missing printed and posted COVID-19 signages |
| Missing posted visitor policy procedure |
| Missing temperature/COVID-19 symptoms questions logs |
| Missing visitor vaccination verification log |
| No First Aid Book in first aid kit |
Report Facts
Total licensed capacity: 6
Current census: 0
Water temperature: 113
Deficiency resolution deadline: Mar 10, 2022
Fire extinguishers: 3
Carbon monoxide alarms: 2
Smoke detectors: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the prelicensing inspection and authored the report |
| Brittany Martin | Administrator | Facility administrator and applicant met during inspection |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Loading inspection reports...
