Inspection
No deficiencies recorded in this report
GOOD SAMARITAN CARE FACILITY
4406 BARRETT ROAD, Carmichael CA 95608
6 bedsLatest official report Dec 4, 2025Licensed
Additional info
- Telephone
- (916) 458-2615
- Licensee
- GOOD SAMARITAN CARE FACILITY
- Administrator
- DANIELYAN, DANIEL
- Contact
- DANIELYAN, DANIEL
- License first date
- Feb 22, 2023
- License effective date
- Feb 22, 2023
- District office
- SACRAMENTO NORTH ASC · (916) 263-4700
- Regional office
- 59
- Clients served
- 985 - RCFE / HOSPICE
Summary
The available records show 2 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Dec 4, 2025
- Most recent deficiency
- Feb 9, 2024
2 later reports, from Feb 6, 2025 through Dec 4, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 8 reports for this facility: 5 inspections, 0 complaint investigations, and 3 licensing or administrative records.
Those records contain 2 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 6
- Type A deficiencies
- 2
- Type B deficiencies
- 4
- Substantiated complaints
- 0
- Repeated topics
- 0
About the same as most this size
1 in the last 12 months
Well above the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size also have none
0 in the last 12 months
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.
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.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. 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 LPA observed two fire extinguishers to be last serviced 11/30/2022 which posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/23/2024 Plan of Correction Licensee is to service fire extinguishers immediately and submit proof of service. Additionally, Licensee will submit a plan on how to service fire extinguishers in a timely manner to be in compliance to fire safety.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(a)
- Regulation authority
- CCR
What the official deficiency says
87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on file review, the licensee did not comply with the section cited above in two out of four residents did not have a LIC 602 on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/23/2024 Plan of Correction Licensee is to contact residents' primary care physicians for complete LIC 602. Informal meeting will be scheduled to discuss this matter.
Plan of correction recorded
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, and firearms and other dangerous weapons shall be locked. 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 LPA observed the presence of power tools, cleaning supplies and medications to be unsecured and accessible which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/10/2024 Plan of Correction Cleaning supplies were immediately recovered and stored. Licensee will stored power tools immediately. All medications will be secured. This matter will be discussed in an informal office meeting.
Plan of correction recorded
Correction not verified in available records
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 or This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and file review, the licensee did not comply with the section cited above as LPA observed S1 to be working without a criminal clearance which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/10/2024 Plan of Correction S1 is to be removed from schedule and facility immediately. Licensee is to complete fingerprint process LIC 9163 for S1. This matter will be discussed during an informal office meeting.
Plan of correction recorded
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
§1569.618 Administration and management of residential care facilities; substituted qualifications; employee scheduling (c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on file review, the licensee did not comply with the section cited above as only 1 out of 7 staff has a CPR/first aid certificate on file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/23/2024 Plan of Correction Staff are to complete first aid/CPR training. This matter will be discussed during an informal office meeting.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(3)(A)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (A) A bed for each resident, except that married couples may be provided with one appropriate sized bed. Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. Fillings and covers for mattresses and pillows shall be flame retardant. Rubber sheeting shall be provided when necessary. 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 LPA observed R4's to have no bed which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/23/2024 Plan of Correction Licensee will submit exception request is to be submitted for R4. This matter will be discussed during an informal office meeting.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this 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