Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
10620 OAK POND LANE, Elk Grove CA 95624
4 bedsLatest official report Oct 2, 2025Licensed
The available records show 3 Type A and 4 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
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.
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 11 reports for this facility: 8 inspections, 1 complaint investigation, and 2 licensing or administrative records.
Those records contain 3 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
More than the typical 5
1 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size have none
1 in the last 12 months
Last 36 months
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.
Cited in 2 reports, with 2 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This is not met as evidenced by: The licensee did not ensure that an updated appraisal was conducted upon identification that R1 had a change of condition. This poses a potential health, safety, and personal rights risks to persons in care.
Licensee shall provide a statement of acknowledgement by POC date.A reappraisal shall be provided to LPA by 10/03/2025.
Deadline recorded: Oct 31, 2025. A deadline is not proof that correction was completed.
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. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not ensure the doors to storage rooms with cleaning supplies were locked, which poses a potential Health, Safety or, Personal Rights risk to persons in care.
Licensee will review and provide an attestation that they understand and will follow the regulation. Proof of correction will be emailed to LPA at jennifer.fain@dss.ca.gov by 10/11/23.
Deadline recorded: Oct 11, 2023. A deadline is not proof that correction was completed.
Prohibited Health Conditions Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. (2) Gastrostomy tubes. (3) Naso-gastric tubes. (4) Staphylococcus aureus ( " staph " ) infection or other serious infection. (5) Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. This requirement was not as evidenced by: (6) Tracheostomies. Based on LPA Fains observation of R1 and a file review for R1 and the Co-Administrators own admission that a resident with prohibited health conditions was accepted. This poses an immediate risk to the health, safety and personal rights of residents in care.
The Licensee agrees to submit a plan to come in to compliance within 24 hours and will email the plan to maja.jensen@dss.ca.gov for review and approval.
Deadline recorded: Sep 1, 2023. A deadline is not proof that correction was completed.
Personal Rights ...each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other person. This requirement was not met as evidenced by: Based on a review of the admission agreement for R1, section 8 states the facility uses audio monitoring when staff are not present in the facility. This poses a potential risk to the health, safety and personal rights of residents in care.
The Licensee agrees to immediately remove audio recording equipment from the interior of the facility and to revise the admission agreements and submit the revision to maja.jensen@dss.ca.gov by 9/7/23.
Deadline recorded: Sep 1, 2023. A deadline is not proof that correction was completed.
Administrator - Qualifications and Duties The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)... Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by: Based on the facility accepting a resident with a prohibited health condition without an exception by the Department. This poses a potential risk to the health, safety and personal rights of residents in care.
The Licensee agrees that the Administrator and the co-administrator will complete an additional 4 hours of training specific to regulations relating to Residential Care Facilities for the Elderly and will submit proof of completion to maja.jensen@dss.ca.gov by POC due date.
Deadline recorded: Sep 29, 2023. A deadline is not proof that correction was completed.
Personnel Requirements - General Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall:... Request a transfer of a criminal record clearance as specified in Section 87355(c) Based on Co-Administrator Arvin Davis' own admission that the staff present during the course of the visit was not associated to the facility. This poses an immediate risk to the health, safety and personal rights of residents in care.
The Licensee agrees to have all staff associated by POC due date.
Deadline recorded: Sep 1, 2023. A deadline is not proof that correction was completed.
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