SIGNATURE LIVING ON CAMELIA AVENUE

904 CAMELIA AVE, Roseville CA 95678

Facility 315002853 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Nov 25, 2025Licensed

Additional info
Licensee
SIGNATURE LIVING ON CAMELIA AVENUE, LLC
Administrator
OCAMPO, JESSE
Contact
OCAMPO, JESSE
License first date
Dec 29, 2021
License effective date
Dec 29, 2021
District office
SACRAMENTO NORTH ASC · (916) 263-4700
Regional office
59
Clients served
935 - ELDERLY

Summary

The available records show 3 Type A and 11 Type B deficiencies for this facility.

Most recent inspection
Nov 25, 2025
Most recent deficiency
Nov 25, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 205 Placer County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 11 reports for this facility: 8 inspections, 2 complaint investigations, and 1 licensing or administrative record.

Those records contain 3 Type A and 11 Type B deficiencies.

3 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
8

More than the typical 5

1 in the last 12 months

Recorded deficiencies
14

Most this size have none

4 in the last 12 months

Type A deficiencies
3

Most this size have none

0 in the last 12 months

Type B deficiencies
11

Most this size have none

4 in the last 12 months

Substantiated complaints
2

Most this size have none

1 in the last 12 months

Repeated topics
3

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Complaint

Allegations2 substantiated · 0 unsubstantiated · 1 unfounded · 2 cited

Medical and dental careType B
Official classification
Type B
Official code
87465(a)(4)
Regulation authority
CCR

What the official deficiency says

Incidental Medical and Dental Care (a) (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met for R1 based on records and interviews. This posed a potential risk to R1.

Official plan of correction

At this visit, LPA observed that R1 is receiving medications as prescribed. POC cleared by visit.

Deadline recorded: Oct 23, 2025. A deadline is not proof that correction was completed.

Official record says corrected or clearedRecorded in report dated Oct 22, 2025
Correction deadline recordedDeadline Oct 23, 2025
View official report
Food serviceType B
Official classification
Type B
Official code
87555(b)(7)
Regulation authority
CCR

What the official deficiency says

General Food Service Requirements (b) (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met for R1 based on records and interviews. This posed a potential risk to R1.

Official plan of correction

At this visit, LPA observed that R1 is receiving required and preferred foods as prescribed. POC cleared by visit.

Deadline recorded: Oct 23, 2025. A deadline is not proof that correction was completed.

Official record says corrected or clearedRecorded in report dated Oct 22, 2025
Correction deadline recordedDeadline Oct 23, 2025
View official report
Complaint

Allegations1 substantiated · 1 unsubstantiated · 3 unfounded · 1 cited

Health conditions and treatmentsType B
Official classification
Type B
Official code
87625
Regulation authority
CCR

What the official deficiency says

Managed Incontinence (b)(3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement was not met based on statements by resident and staff. This posed a potential risk to R1.

Official plan of correction

The licensee has corrected this situation by instituting scheduling changes to ensure adequate number of qualified staff are present for resident needs. This POC is cleared by this visit.

Deadline recorded: May 2, 2025. A deadline is not proof that correction was completed.

Official record says corrected or clearedRecorded in report dated May 1, 2025
Correction deadline recordedDeadline May 2, 2025
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology