Inspection
No deficiencies recorded in this report
PALM VALLEY CARE III
8725 THETFORD COURT, Elk Grove CA 95624
6 bedsLatest official report Jan 22, 2026Licensed
Additional info
- Telephone
- (916) 714-8580
- Licensee
- MANTUPAR, JOSE D.
- Administrator
- AIDA GATCHALIAN
- Contact
- AIDA GATCHALIAN
- License first date
- Jan 28, 2003
- License effective date
- Jan 28, 2003
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Jan 22, 2026
- Most recent deficiency
- Dec 20, 2024
1 later report, on Jan 22, 2026, 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 6 reports for this facility: 6 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 1 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 4
- Type A deficiencies
- 1
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 5
1 in the last 12 months
More than 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
Background checksType A
- Official classification
- Type A
- Official code
- 87355(e)(3)
- Regulation authority
- CCR
What the official deficiency says
(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: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the regualtion cited above. S2 is not associated to this facility but has fingerprint clearance. Per review of the posted Personnel Report dated 8/1/24, S2 was employed on 8/1/24. Per interview, S2's transfer request documents were submitted to the Department via mail and email. However, License and/or Administrator did not confirm with the Department if S2 was associated prior to working at this facility. This which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 12/23/2024 Plan of Correction Licensee to resubmit S2's transfer request documents to the Department to be process and to remove S2 from the schedule until S2 is offically associated to this facility.
Plan of correction recorded
Correction not verified in available records
Inspection
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care: (a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interview and observation, the licensee did not ensure 6 of 6 residents' medication administration record that staff signatures were absent from 1/2/24 to morning of 1/3/24 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
If medication administration record is being utilized, licensee will ensure staff signature are mark on the medication record ensuring medications were given to the correct residents and in the correct time. Licensee to submit a statement of understanding of the CCR 87465(4) to the Department by the POC due date.
Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel...shall be in good health, and...shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. This requirement is not met as evidenced by: Based on record review and interview, licensee did not ensure that 1 of the 8 staff files reviewed had a valid health screen report. This posed a potential health and safety risk to resident in care.
Official plan of correction
Licensee will ensure all personnel have a valid health screen report not more that 6 months prior to or 7 days after employing staff. Licensee to submit recent health screen report of the staff to the Department by the POC due date. Licensee to submit a statement of understanding of the CCR 87411(f) to the Department by the POC due date.
Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(b)(1)
- Regulation authority
- CCR
What the official deficiency says
87458(b)(1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Based on record review and interview, licensee did not ensure 1 of 6 resident had a TB test done prior to acceptance to this facility. This posed a potential health and safety risk to resident in care.
Official plan of correction
Licensee will ensure that TB test is done prior to admitting resident to this facility. Licensee will submit a statement of understanding of the CCR 87458 to the Department by the POC due date.
Deadline recorded: Jan 10, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
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