Licensing and administration
Cited in 3 reports, with 3 deficiencies in total.
LEGACY SENIOR CARE III
9279 ORANGE CREST CT., Elk Grove CA 95624
6 bedsLatest official report Aug 3, 2026Licensed
Additional info
- Telephone
- (916) 701-7737
- Licensee
- LEGACY SENIOR CARE LLC
- Administrator
- KALOULASULASU, TEVITA
- Contact
- KALOULASULASU, TEVITA
- License first date
- Sep 16, 2025
- License effective date
- Sep 16, 2025
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 2 Type A and 8 Type B deficiencies for this facility.
- Most recent inspection
- Aug 3, 2026
- Most recent deficiency
- Aug 3, 2026
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 13 reports for this facility: 6 inspections, 2 complaint investigations, and 5 licensing or administrative records.
Those records contain 2 Type A and 8 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 10
- Type A deficiencies
- 2
- Type B deficiencies
- 8
- Substantiated complaints
- 1
- Repeated topics
- 1
More than the typical 5
6 in the last 12 months
Well above the typical 1
10 in the last 12 months
Most this size have none
2 in the last 12 months
Most this size have none
8 in the last 12 months
Most this size have none
1 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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(a)
- Regulation authority
- CCR
What the official deficiency says
87405 Administrator - Qualifications and Duties (a)The administrator...shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility..this requirement was not met as evidenced by: Based on observations and interviews, the licensee did not ensure a certified administrator was present in the facility, which poses an immediate health, safety and personal rights risk
Official plan of correction
The licensee to submit 40 hour Administrator plan by POC due date.
Deadline recorded: Aug 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 4, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on LPA Valerio's observations, The licensee did not ensure to keep the facility clean, sanitary and free of pest for the well-being of the residents in care. This posed a potential health and safety risk to residents in care
Official plan of correction
Licensee stated they will contact pest control services to come conduct a service. LPA Valerio to receive copy of proof of service and copies of pest control invoices for March, April, and May of 2026 by POC due date
Deadline recorded: Jun 11, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 11, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportLicensing recordNot an inspection of the operating facility
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87755(c)
- Regulation authority
- CCR
What the official deficiency says
Inspection Authority of the Licensing Agency: The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours This requirement is not met as evidenced by: Based on interviews, the licensee has not provided the requested records as of today, after several attempts to request these records for a period of approximately one month. This poses a potential health, safety, and personal risks to persons in care.
Official plan of correction
Per disucsison, licensee Adi Lina agreed to submit a written plan outlining how the facility will improve documentation retention and accessibility, including procedures to ensure that requested documents can be produce in a timely manner. Plan must be submitted by POC due date.
Deadline recorded: Mar 13, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 13, 2026
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87205(a)
- Regulation authority
- CCR
What the official deficiency says
87205 Accountability of Licensee Governing Body The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility ...This requirement is not met as evidenced by: Based on LPA observation, the licensee did not ensure 2 staff are working at the facility at all times, as agreed upon during NCC meeting. This poses a potential health, safety, and personal rights risks to persons in care.
Official plan of correction
Licensee stated she would submit an updated LIC 500, which was collected during today's visit. Licensee stated she would send LPA copies of the employee packet for the new hire, which would be the second staff on shift. LPA to receive documents by POC due date
Deadline recorded: Feb 16, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 16, 2026
Correction not verified in available records
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87205(a)
- Regulation authority
- CCR
What the official deficiency says
The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This requirement is not met as evidenced by: Per observation, the licensee did not ensure 2 staff are working at the facility at all times, as agreed upon during NCC meeting. This poses a potential health, safetly, and personal rights risks to persons in care.
Official plan of correction
Licensee agreed to submit a written plan to ensure two staff are present at the facility at all times, as agreed upon during NCC meeting. Plan should include times when there is staff call outs and emergencies. Plan to be submitted to the Department by POC due date.
Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2026
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(25)
- Regulation authority
- CCR
What the official deficiency says
Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. This requirement is not met as evidenced by: Based on observation, LPA found hygiene wipes stored in the pantry with food items. This poses a potential health, safetly, and personal rights risks to persons in care.
Official plan of correction
Corrected on site: staff removed the hygeine wipes and stored them in a different storage away from food items.
Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2026
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(9)
- Regulation authority
- CCR
What the official deficiency says
Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement is not met as evidenced by: Based on observation, LPA observed some open food items in the kitchen refrigerator and freezer without lable and dates. This poses a potential health, safety and personal rights risks to persons in care.
Official plan of correction
Licensee agreed to submit a written plan for proper food storage. Per licensee, she will conduct staff training. Submit plan and proof of training to the Department by POC due date.
Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2026
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(27)
- Regulation authority
- CCR
What the official deficiency says
All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement is not met as evidenced by: Based on observation of the kitchen area, LPA observed red ants in one of the kitchen drawer and licensee do not have pest control service at this time. This poses a potential health, safety and personal rights risks to persons in care.
Official plan of correction
Licensee agreed to obtain a pest control service and submit contract to the Department by POC due date.
Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2026
Correction not verified in available records
Hazardous items and storageType A
- Official classification
- Type A
- Official code
- 87309(a)
- Regulation authority
- CCR
What the official deficiency says
the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage. This requirement is not met as evidenced by: Based on observation, 2 kitchen knives were observed in the dishwasher and 2 meat thermometers were observed in a kitchen drawer. This poses an immediate health, safety and personal rights risks to persons in care.
Official plan of correction
Corrected on site: staff immediately stored the sharp objects in locked drawer.
Deadline recorded: Jan 17, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 17, 2026
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87633(b)
- Regulation authority
- CCR
What the official deficiency says
: A current and complete hospice care plan shall be maintained in the facility for each hospice resident. This requirement is not met as evidenced by: Per record review and interviews, hospice care plan for R1 was not available for review during this visit. This poses a potential health, safety and personal rights risks to persons in care.
Official plan of correction
Licensee agreed to obtain a copy of R1's hospice care plan and submit plan to the Department by POC due date.
Deadline recorded: Jan 23, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 23, 2026
Correction not verified in available records
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
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