Medical and dental care
Cited in 2 reports, with 4 deficiencies in total.
9823 GAVIRATE WAY, Elk Grove CA 95757
6 bedsLatest official report Feb 11, 2026Licensed
The available records show 5 Type A and 9 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 8 reports for this facility: 5 inspections, 1 complaint investigation, and 2 licensing or administrative records.
Those records contain 5 Type A and 9 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
About the same as most this size
1 in the last 12 months
Well above the typical 1
7 in the last 12 months
Most this size have none
3 in the last 12 months
Most this size have none
4 in the last 12 months
Most this size also have none
0 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 4 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
(a) Except as specified in subsection (b), 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 and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited. The closet that stores cleaning supplies and the cabinet that stores laundry detergents can be unlocked without a key and accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/12/2026 Plan of Correction Per administrator, she stated she will get a lock with a key. Administrtor will submit a photo of the new locks by POC due date.
(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above. During medication reviews, the dosage of one resident's medication did not match with the physician's order which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/12/2026 Plan of Correction Administrator will submit a written plan on how to ensure the right medication is received. Plan to be submitted by POC due date.
(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above. Resident medications were observed in the kitchen refrigerator, unlocked and accessible to residents, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/12/2026 Plan of Correction Corrected on site: administrator put a padlock on the medication box.
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. LPA observed furniture bllocking the exit door for Room #5, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/18/2026 Plan of Correction Corrected on cite: Administrator removed the furniture (lounge chair and ottoman) away from the exit sliding door.
(b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above. Residents did not have PRN Authorization on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/18/2026 Plan of Correction Per Administrator, she will obtain a PRN Authorization Letter for each residents in care signed by their physician. Submit proof of completed PRN Authorization Letter by POC due date.
(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. 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. During one resident's medication review, there was no proper documentation of PRNs that were administered, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/18/2026 Plan of Correction Per Administrator, she will retrain staff on documenting PRN administrations. Submit staff training by POC due date.
(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: 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. One resident who is receiving hospice did not have their hospice care plan avaialbe for review, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/18/2026 Plan of Correction Per Administrator, she will obtain a copy of resident's hospice care plan. Submit care plan by POC due date.
" residents in privately operated residential care facilities for the elderly shall have all of the following personal rights ... To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. " This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not ensure residents had a reasonable level of privacy in the common areas of the facility, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/22/2025 Plan of Correction Licensee agrees to submit a written plan concerning the future use of video surveillance, such as discontinuance or requesting approval of an updated plan of operation permitting the use of video surveillance, by POC due date. Licensee shall provide a written acknowledgement that audio surveillance is not permitted under any circumstances by POC due date. vincent.moleski@dss.ca.gov
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, start dates were not recorded for multiple medications, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/22/2025 Plan of Correction Licensee agrees to provide a schedule of planned staff trainings regarding medication documentation by POC due date. vincent.moleski@dss.ca.gov
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health 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. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, one staff member did not have a health screening on file, while another did not possess documentation of tuberculosis clearance, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025 Plan of Correction Licensee agrees to provide LPA Moleski with S1 and S2's outstanding health screening documents by POC due date. vincent.moleski@dss.ca.gov
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the facility administrator did not have a current first aid/CPR certification on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025 Plan of Correction Licensee agrees to provide LPA Moleski with an updated first aid/CPR certification by POC due date. vincent.moleski@dss.ca.gov
(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, a resident did not have a needs and services plan on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025 Plan of Correction Licensee agrees to provide LPA Moleski with R4's needs and services plan by POC due date. vincent.moleski@dss.ca.gov
(b) Each resident's record shall contain at least the following information: (15) The admission agreement and pre-admission appraisal, specified in Sections 87507, Admission Agreements and 87457, Pre-admission Appraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review of 2 residents files, the licensee did not comply with the section cited above in 1 out 2 files reviewed, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/01/2024 Plan of Correction Licensee to review 87506(b)(15), review regulations with all staff, submit a statement of acknowledgement to LPA Valerio by POC due date. Licensee to go through all resident files to ensure all files are within compliance by POC due date.
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with the section cited above in 2 out of 2 resident files, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/01/2024 Plan of Correction Licensee will ensure all resident files have up to date appraisals and Needs and Service Plans. Licensee to send LPA Valerio notification of completion by POC due date.
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportCalifornia 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