CYPRESS HOME CARE

4801 CYPRESS AVENUE, Carmichael CA 95608

Facility 347005212 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 14, 2025Licensed

Additional info

Telephone: (916) 993-8479
Licensee: DINA BISCOS
Administrator: BISCOS, DINA
Contact: BISCOS, DINA
License first date: Oct 20, 2014
License effective date: Oct 20, 2014
District office: SACRAMENTO NORTH ASC · (916) 263-4700
Regional office: 59
Clients served: 983 - RCFE / DEMENTIA

Summary

The available records show 3 Type A and 5 Type B deficiencies for this facility.

Most recent inspection: Oct 14, 2025
Most recent deficiency: Oct 14, 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 598 Sacramento County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 3 Type A and 5 Type B deficiencies.

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

Official inspections: 5
Recorded deficiencies: 8
Type A deficiencies: 3
Type B deficiencies: 5
Substantiated complaints: 0
Repeated topics: 0

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.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

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

Oct 14, 2025Inspection

Staffing, personnel, and trainingType B

Official classification: Type B
Official code: 87412(a)
Regulation authority: CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as one (1) staff member did not have a medical assessment or TB test in their personnel file, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/28/2025 Plan of Correction Facility will provide LPA proof of medical assessment and TB test by the POC due date of 10/28/25.

Plan of correction recorded

Correction not verified in available records

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Fire safety and emergency preparednessType B

Official classification: Type B
Official code: 1569.69(a)(2)
Regulation authority: HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (2) In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as one (1) staff did not have their training in their personnel file, which posesa potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/28/2025 Plan of Correction Facility will provide proof of training to LPA by the POC due date of 10/28/25.

Plan of correction recorded

Correction not verified in available records

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Oct 23, 2024Inspection

Background checksType A

Official classification: Type A
Official code: 87355(d)(3)
Regulation authority: CCR

What the official deficiency says

(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the facility did not ensure to obtain a criminal background clearance for one (1) caregiver, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/24/2024 Plan of Correction Caregiver was removed from the schedule until they obtain their criminal background clearance. Fingerprints were already submitted for caregiver pending clearance. Facility is in understanding of the regulation. Facility will ensure to obtain a criminal record clearance for all staff prior to their employment at the facility.

Plan of correction recorded

Correction not verified in available records

View official report

Dementia careType B

Official classification: Type B
Official code: 87705(c)(5)
Regulation authority: CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as two residents' files did not include an updated LIC602A that is required annually, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/06/2024 Plan of Correction Facility agrees to obtain current LIC602As for residents with Dementia and provide a copy to LPA by the POC due date of 11/6/24.

Plan of correction recorded

Correction not verified in available records

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Aug 29, 2023Inspection

Staffing, personnel, and trainingType A

Official classification: Type A
Official code: 87411(a)
Regulation authority: CCR

What the official deficiency says

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above as there was no staff members present when LPA arrived at the facility, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/30/2023 Plan of Correction A staff member arrived approximately 10 minutes after LPA arrived at the facility. The Administrator and Assistant Administrator arrived shortly after. Administrator provided an updated LIC500 (Personnel Report) to LPA during visit. Administrator will provide a statement of understanding and hold a staff meeting to explain responsibilities of staff and send documentation of agenda/attendees to LPA by the POC due date of 8/30/23.

Plan of correction recorded

Correction not verified in available records

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Oct 27, 2022Inspection

Dementia careType B

Official classification: Type B
Official code: 87705(f)(2)
Regulation authority: CCR

What the official deficiency says

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as a bottle of hydroperoxide was left accessible in R1's bathroom, which posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/04/2022 Plan of Correction Licensee immediately removed the product and placed it in a secured area. Licensee agrees to read Regulation 87705 with staff and submit a signed statement that the regulation is understood. Submit by 11/4/22 via fax or email.

Plan of correction recorded

Correction not verified in available records

View official report

Medication handling and storageType B

Official classification: Type B
Official code: 87465(h)(5)
Regulation authority: CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in 1 out of 3 resident's medication was weekly pre-poured and not in original containers, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/04/2022 Plan of Correction Licensee will submit their medication procedures to not pre-pour medications for greater that 24 hours to CCL via fax or email by the POC date of 11/04/22.

Plan of correction recorded

Correction not verified in available records

View official report

Background checksType A

Official classification: Type A
Official code: 87355(e)(1)
Regulation authority: CCR

What the official deficiency says

87355 Criminal Record Clearance. (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review and interview, Licensee did not comply with the section cited above in as 1 individual is not associated to the facility on Guardian. Licensee stated S2 has been living at the facility for a " few " days and has no where else to go, which poses/posed an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/28/2022 Plan of Correction Licensee agrees to remove the individual from the facility immediately. Licensee is to submit proof of S2's fingerprinting to CCL and their plan of ensuring all individuals living at the facility is to be associated and fingerprint cleared.

Plan of correction recorded

Correction not verified in available records

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Sep 8, 2021Inspection

No deficiencies recorded in this report

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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