Inspection Reports for Grand River Villa

509 Michigan Blvd, West Sacramento, CA 95691, CA, 95691

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Inspection Report Annual Inspection Census: 23 Capacity: 43 Deficiencies: 0 Jul 14, 2025
Visit Reason
The visit occurred as an unannounced annual inspection to evaluate compliance with licensing requirements at the facility.
Findings
The facility was found to be clean, well organized, and in compliance with regulations including kitchen safety, resident room conditions, water temperature, medication storage, and fire safety. No deficiencies were cited during the inspection.
Report Facts
Residents present: 25 Caregivers present: 2 Med tech present: 1 Fire extinguisher last charged: Nov 23, 2024 Last fire drill date: Apr 15, 2025 Last fire inspection date: Jun 9, 2025 Water temperature range: 115.3-116.9
Employees Mentioned
NameTitleContext
Magda LuisAdministratorMet with during inspection and discussed First Aid/CPR training
Jill NakagawaLicensing Program AnalystConducted the inspection visit
Maria OrtizResident Care CoordinatorGreeted the Licensing Program Analyst upon arrival
Inspection Report Follow-Up Census: 29 Capacity: 43 Deficiencies: 0 Nov 14, 2024
Visit Reason
The visit was conducted to follow up on the plan of correction for a previous deficiency and to perform a health and safety check.
Findings
The facility's kitchen was inspected and found to have an ample supply of perishable and non-perishable foods as required. The plan of correction for the deficiency cited on 11/05/2024 has been met, and no new deficiencies were cited.
Employees Mentioned
NameTitleContext
Maria OrtizResident Care CoordinatorMet during inspection and participated in exit interview.
Robert GodfreyAdministratorFacility Administrator, participated via phone during inspection.
Jill NakagawaLicensing Program AnalystConducted the inspection visit.
Inspection Report Original Licensing Census: 29 Capacity: 43 Deficiencies: 1 Nov 5, 2024
Visit Reason
The inspection was an unannounced Post-Licensing visit conducted to evaluate compliance with licensing requirements for Grand River Villa.
Findings
The facility was generally well-maintained with appropriate safety features and furnishings. However, a deficiency was cited for failing to maintain an adequate supply of perishable and non-perishable foods as required by regulation.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Failure to ensure adequate perishable and non-perishable foods available for the required time frame for a minimum of 29 residents.Type B
Report Facts
Residents present: 29 Total capacity: 43 Deficiencies cited: 1
Employees Mentioned
NameTitleContext
Jill NakagawaLicensing Program AnalystConducted the inspection and authored the report
Maria OrtizResident Care CoordinatorMet with the Licensing Program Analyst during the inspection
Kimberley MotaLicensing Program ManagerSupervisor and Licensing Program Manager overseeing the inspection
Inspection Report Original Licensing Census: 27 Capacity: 43 Deficiencies: 0 Jul 29, 2024
Visit Reason
The inspection was an unannounced pre-licensing visit to evaluate Grand River Villa for initial licensing as a Resident Care Facility for the Elderly.
Findings
The facility met all requirements under Title 22, California Code of Regulations, with no deficiencies cited. The environment was clean, safe, and well-equipped, and required postings were observed. Resident and employee files were complete.
Report Facts
Residents present: 27 Total licensed capacity: 43 Fire clearance capacity: 43 Rooms: 23 Fire extinguisher last inspection date: Oct 18, 2023 Water temperature range: 112-116 Resident files reviewed: 3 Employee files reviewed: 3
Employees Mentioned
NameTitleContext
Diana PazAdministratorMet via phone during inspection and mentioned in relation to facility operations
Jill NakagawaLicensing Program AnalystConducted the pre-licensing inspection
Kimberley MotaLicensing Program ManagerNamed as Licensing Program Manager overseeing the report
Inspection Report Original Licensing Census: 27 Capacity: 43 Deficiencies: 0 Jul 15, 2024
Visit Reason
The visit was conducted as a pre-licensing readiness evaluation and COMP II interview to verify the applicant/administrator's understanding of community care facility licensing laws and readiness for licensing.
Findings
The applicant/administrator demonstrated understanding of licensing laws, facility operation, medication storage, fire drills, transportation, and filling vacancies. Identification was verified and required documentation was obtained.
Employees Mentioned
NameTitleContext
Diana PazAdministratorApplicant/administrator participating in COMP II interview and verification
Mark CiminoMemberParticipant in COMP II interview
Julia KimLicensing Program ManagerNamed in report header and signature section
Dianne RamosLicensing Program AnalystNamed in report header and signature section

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