Basic services and supervision
Cited in 2 reports, with 2 deficiencies in total.
GOLDEN HERITAGE SENIOR CARE IV
3801 LAKE TERRACE DR, Elk Grove CA 95758
6 bedsLatest official report Jul 1, 2026Licensed
Additional info
- Telephone
- (916) 667-9761
- Licensee
- GOLDEN HERITAGE SENIOR CARE LLC
- Administrator
- BIGELOW, YELENA
- Contact
- BIGELOW, YELENA
- License first date
- Jul 7, 2025
- License effective date
- Jul 7, 2025
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 935 - ELDERLY, 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 6 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Jul 1, 2026
- Most recent deficiency
- May 22, 2026
2 later reports, from Jun 16, 2026 through Jul 1, 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 11 reports for this facility: 4 inspections, 5 complaint investigations, and 2 licensing or administrative records.
Those records contain 6 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 4
- Recorded deficiencies
- 9
- Type A deficiencies
- 6
- Type B deficiencies
- 3
- Substantiated complaints
- 3
- Repeated topics
- 2
Fewer than the typical 5
4 in the last 12 months
Well above the typical 1
9 in the last 12 months
Most this size have none
6 in the last 12 months
Most this size have none
3 in the last 12 months
Most this size have none
3 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.
Health conditions and treatments
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jun 16, 2026 · Control 27-AS-20260211112902
No deficiencies recorded in this reportInspection
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)All facilities shall have a qualified and currently certified administrator...The administrator shall have sufficient...premises a sufficient number of hours to permit adequate attention...administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility This requirement was not met as evidenced by: As the facility did not ensure arrangements were made to maintain staffing and supervision for residents after (S1) indicated they were leaving the facility without relief staff present.
Official plan of correction
Licensee agrees that they wil ensure the facility has sufficient staffing at all times. Licensee stated that they secured relief staffing on 05/22/2026- 05/25/2026 while they are in the process of hiring additional staffing for the facility. Licensee will provide an updated LIC 500 Personnel Report of staffing changes in the facility. The licensee agrees that all new staff working inside of the facility will require background clearance, association, and training.
Deadline recorded: May 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2026
Correction not verified in available records
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)(c)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f) Basic services shall at a minimum include (1) Care and supervision (c) " Care and supervision " means the facility assumes responsibility for, or provides…which the resident’s physical health, mental health, safety, or welfare would be endangered.... This requirement was not met as evidenced by: Based on interviews and observations during the visit, the facility failed to ensure proper care and supervision at all time. (S1) stated that intended to leave the facility prior to relief staff or facility administrator arriving. This poses a potential health and safety risk to residents in care.
Official plan of correction
The licensee will ensure sufficient staffing for the facility by identifying staffing shortages in the facility. The licensee will re-train all staff on Care and Supervision of residents. residents, and send LPA training documents, and sign-in sheet used for training.
Deadline recorded: May 26, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
87628(a)The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing... and is able to administer his/her own medication including medication administered orally or through injection, or has it administered by an appropriately skilled professional. This requirement was not met as evidenced by: The facility did not ensure that resident (R1) was able to independently perform blood glucose monitoring. Due to the residents medical diagnosis R1 was unable to safely conduct self- glucose checks without assistance.
Official plan of correction
The licensee agrees to remain in compliance with Title 22 regulation 87628 at all times. The licensee agrees to stop accepting and retaining residents whose medical care exceed the facilities scope of care. The licensee agrees to ensure all residents care needs which fall outside of the facilities scope of care... are referred to appropriate services when necessary. The licensee review RCFE Prohibited Health Conditions and Title 22 regulation 87628 and send LPA Hughes a statement of acknowledgement of review of the policy by 1/6/2025.
Deadline recorded: Feb 19, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 19, 2026
Correction not verified in available records
Complaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
" (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. " This requirement was not met as evidenced by: Based on interviews and record review, S1 did not treat R1 with dignity, which poses an immediate health, safety, and/or personal rights risk.
Official plan of correction
Licensee agrees to provide LPA Moleski with a training plan by POC due date. vincent.moleski@dss.ca.gov
Deadline recorded: Oct 24, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 24, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.153(c)
- Regulation authority
- HSC
What the official deficiency says
" (c) Documentation of lost and stolen resident property with a value of twenty-five dollars ($25) or more within 72 hours of the discovery of the loss or theft ... The documentation shall include, but not be limited to, the following... " This requirement was not met as evidenced by: Based on interviews and record review, documentation was not maintaned as required by Health and Safety Code.
Official plan of correction
Licensee agrees to review the applicable sections of HSC and to provide LPA Moleski with an acknowledgement. vincent.moleski@dss.ca.gov
Deadline recorded: Oct 30, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 30, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
" (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. " This requirement was not met as evidenced by: Based on record review and interviews, a resident's physician-ordered diet was not adhered to on at least one occasion, which poses an immediate health, safety, and/or personal rights risk.
Official plan of correction
Licensee previously provided staff training regarding restricted diets. Licensee agrees to provide LPA Moleski with training sign-in sheets by POC due date. vincent.moleski@dss.ca.gov
Deadline recorded: Sep 10, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 10, 2025
Correction not verified in available records
Complaint
Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
" (4) The licensee shall assist residents with self-administered medications as needed. " This requirement was not met as evidenced by: Based on interviews, observation, and record review, at least one resident's medications were mismanaged, which poses an immediate health, safety, and personal rights risk.
Official plan of correction
Licensee agrees to provide a plan regarding staff training by POC due date. After completing trainings, licensee shall provide LPA Moleski with training sign-in sheets. vincent.moleski@dss.ca.gov
Deadline recorded: Sep 10, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 10, 2025
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
" (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: ... (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. " This requirement was not met as evidenced by: Based on interviews, observation and record review, the facility contained strong incontinence odors on at least one occasion, which poses a potential health, safety, and/or personal rights risk.
Official plan of correction
Licensee agrees to provide a written plan by POC due date. vincent.moleski@dss.ca.gov
Deadline recorded: Sep 16, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 16, 2025
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87219(a)
- Regulation authority
- CCR
What the official deficiency says
" (a) Residents shall be encouraged to maintain and develop their quality of life through participation in a variety of planned activities. The activities made available shall include: " This requirement was not met as evidenced by: Based on interviews and observation, activities were not provided to residents in care, which poses a potential health, safety, and/or personal rights risk.
Official plan of correction
Licensee agrees to provide LPA Moleski with a written plan to implement activities as of POC due date. vincent.moleski@dss.ca.gov
Deadline recorded: Sep 16, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 16, 2025
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
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