Fire safety and emergency preparedness
Cited in 2 reports, with 3 deficiencies in total.
IMMACULATE CARE HOME
8892 MONTEREY OAKS DRIVE, Elk Grove CA 95758
6 bedsLatest official report Mar 20, 2026Licensed
Additional info
- Telephone
- (916) 236-7339
- Licensee
- MUIRURI, MARYIMMACULATE
- Administrator
- MUIRURI, MARYIMMACULATE
- Contact
- MUIRURI, MARYIMMACULATE
- License first date
- Apr 29, 2016
- License effective date
- Apr 29, 2016
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 5 Type A and 11 Type B deficiencies for this facility.
- Most recent inspection
- Mar 20, 2026
- Most recent deficiency
- Mar 20, 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 8 reports for this facility: 8 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 5 Type A and 11 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 8
- Recorded deficiencies
- 16
- Type A deficiencies
- 5
- Type B deficiencies
- 11
- Substantiated complaints
- 0
- Repeated topics
- 2
More than the typical 5
1 in the last 12 months
Well above the typical 1
4 in the last 12 months
Most this size have none
2 in the last 12 months
Most this size have none
2 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.
Staffing, personnel, and training
Cited in 2 reports, with 3 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Licensing and administrationType A
- Official classification
- Type A
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on facility observation the licensee did not comply with the section cited above in 3 out of 3 counts which poses an immediate health and safety risk to persons in care. During staff records review, LPA observed staff records for 3 out of 3 facility staff with outdated first aid training.
Official plan of correction
POC Due Date: 03/27/2026 Plan of Correction Licensee agrees to replace missing CPR training certification records for 3 facility staff or provide training resource for re-training of CPR certification for facility staff by 3/27/2026 Licensee agrees to provide proof of CPR certification to LPA via email at shakaricka.hughes@dss.ca.gov by 3/27/2026.
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above which poses an immediate safefty risk to persons in care. Based on records review the facility did not ensure emergency drills were conducted in the facility quarterly. LPA observed the last emergency drill on record 03/27/2025.
Official plan of correction
POC Due Date: 03/27/2026 Plan of Correction The licensee agrees to conduct quarterly training, and maintain records/logs of emergency drill conducted in the facility. Licensee agrees to provide LPA Hughes a recent copy of a fire drill log used in the facility by 3/27/2026 via email at shakaricka.hughes@dss.ca.gov by 3/27/2026.
Plan of correction recorded
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, 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 observation the licensee did not comply with the section cited above in which poses a potential health and safety risk to persons in care. Based on review of staff records, LPA observed 2 out of 3 staff records (S1) and (S3)without Health screening records, including TB testing results.
Official plan of correction
POC Due Date: 03/27/2026 Plan of Correction Licensee agrees to provide LPA with proof of Health Screening LIC 503 records, and TB testing results for facility (S1) and (S3) by 3/27/2026 via email at shakaricka.hughes@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, a personnel record was not maintained on the licensee and facility staff (S2) which poses a potential health, safety or personal rights risk to persons in care. Based on observation of staff records, LPA observed an incomplete record for the 2 out of 3 facility staff. LIC 501, LIC 503, LIC 508, Expired First Aid certification.
Official plan of correction
POC Due Date: 03/27/2026 Plan of Correction Licensee agrees to provide LPA with a scan of Maryimmaculate Muiruri's and Margaret Kamau complete personnel file by POC due date.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87631(a)(3)(B)
- Regulation authority
- CCR
What the official deficiency says
" All aspects of care performed by the medical professional and facility staff shall be documented in the resident's file. " This requirement is not met as evidenced by: Deficient Practice Statement Based on interviews, no documentation from home health care professionals regarding R2's wound were kept on the premises, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/27/2025 Plan of Correction Licensee agrees to provide LPA Moleski with a copy of R2's home health care plan by POC due date. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87202(a)
- Regulation authority
- CCR
What the official deficiency says
(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, a fire extinguisher was not annually serviced, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/14/2025 Plan of Correction Licensee agrees to either schedule maintenance services for the facility fire extinguisher or to purchase a new fire extinguisher by POC due date. Licensee further agrees to provide LPA Moleski with proof of having scheduled said services or a photograph of a receipt for a new fire extinguisher. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, medication was stored in a seven-day tablet dispenser, rather than in originally received packaging, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/14/2025 Plan of Correction Licensee agrees to stop using the seven-day tablet dispenser and to send LPA Moleski a signed statement acknowledging that medications must be stored only in their originally received packages by POC due date. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, a personnel record was not maintained on the licensee, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/27/2025 Plan of Correction Licensee agrees to provide LPA Moleski with a scan of Maryimmaculate Muiruri's complete personnel file by POC due date. Licensee also agrees to provide LPA Moleski with Muiruri's work schedule for this facility for the next three months. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(6)
- Regulation authority
- CCR
What the official deficiency says
(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 observation and interview, centrally stored medication records were not kept up to date or complete, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/27/2025 Plan of Correction Licensee agrees to provide LPA Moleski with centrally stored medication records for current dosages on hand for both residents by POC due date. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, both residents of this facility did not have resident records, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/27/2025 Plan of Correction Licensee agrees to provide LPA Moleski with complete scans for both residents' records by POC due date. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview, fire drills were not conducted or documented, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/27/2025 Plan of Correction Licensee agrees to provide LPA Moleski with a schedule of planned emergency disaster drills for the rest of the year by POC due date. This schedule should also outline the topics to be covered in the drill, and the persons who will be present. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
(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 with blood or urine specimens, 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 is not met as evidenced by: Deficient Practice Statement Based on interview, a staff member performed blood glucose testing for a resident who was not able, which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/14/2025 Plan of Correction Licensee agrees to provide a written statement acknowledging that all residents must perform their own blood glucose testing, if a nurse is not available to do so, by POC due date. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not send in at least one incident report, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/29/2024 Plan of Correction Licensee agrees to send any missing incident reports to CCLD by POC due date. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87457(c)
- Regulation authority
- CCR
What the official deficiency says
(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not ensure two residents had preplacement appraisals on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/29/2024 Plan of Correction Licensee agrees to document appraisals for these residents by POC due date, and to send LPA Moleski copies. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not ensure R3's LIC 602 was kept on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/29/2024 Plan of Correction Licensee agrees to send LPA Moleski R3's LIC 602 by POC due date. vincent.moleski@dss.ca.gov
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.618(c)(3)
- Regulation authority
- HSC
What the official deficiency says
(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review of the staff member's file, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/08/2023 Plan of Correction Licensee will acquire new first aid certification for staff member.
Plan of correction recorded
Correction not verified in available records
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