Incident reporting
Cited in 3 reports, with 3 deficiencies in total.
IVY PARK AT LAGUNA CREEK
6727 LAGUNA PARK DR, Elk Grove CA 95758
108 bedsLatest official report Jul 20, 2026Licensed
Additional info
- Telephone
- (916) 683-1881
- Licensee
- S-H OPCO LAGUNA CREEK, LLC; OAKMONT MGMT. GRP. LLC
- Administrator
- KARANDEEP BASSI
- Contact
- KARANDEEP BASSI
- License first date
- Aug 29, 2014
- License effective date
- Aug 29, 2014
- District office
- SACRAMENTO SOUTH ASC · (916) 263-4700
- Regional office
- 27
- Clients served
- 935 - ELDERLY
Summary
The available records show 11 Type A and 13 Type B deficiencies for this facility.
- Most recent inspection
- Jul 20, 2026
- Most recent deficiency
- Jul 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 48 Sacramento County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 41 reports for this facility: 22 inspections, 19 complaint investigations, and 0 licensing or administrative records.
Those records contain 11 Type A and 13 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 22
- Recorded deficiencies
- 24
- Type A deficiencies
- 11
- Type B deficiencies
- 13
- Substantiated complaints
- 8
- Repeated topics
- 4
More than the typical 12
5 in the last 12 months
Well above the typical 8
6 in the last 12 months
Well above the typical 4
2 in the last 12 months
Well above the typical 5
4 in the last 12 months
Well above the typical 3
2 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.
Records and plan of operation
Cited in 3 reports, with 3 deficiencies in total.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Licensing and administration
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.
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
87506 Resident Records (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 was not met as evidenced by: The facility did not ensure that resident records were complete, organized, and readily available to facility staff during emergencies.
Official plan of correction
The facility stated that a plan has been implemented to ensure that resident records are readily available for facility staff to assist emergency personnel in any event of emergency.
Deadline recorded: Jul 22, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 22, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(f)
- Regulation authority
- CCR
What the official deficiency says
" (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. " This requirement was not met as evidenced by: Based on record review and interview, all terms and conditions of residents' admission agreements and/or modifications were not adhered to, which poses a potential health, safety, and/or personal rights risk.
Official plan of correction
Licensee agrees to provide LPA Moleski with updated admissions documents for R1 and R2 by POC due date. vincent.moleski@dss.ca.gov
Deadline recorded: Oct 24, 2025. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 24, 2025
Deficiency Dismissed Type B 10/24/2025 Section Cited CCR 87507(f)
Plan of correction recorded
Correction deadline recordedDeadline Oct 24, 2025
Correction not verified in available records
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(c)(1)
- Regulation authority
- CCR
What the official deficiency says
" (c) All information and records obtained from or regarding residents shall be confidential ... (1) The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents... " This requirement was not met as evidenced by: Based on observation, confidential resident records were not stored or safeguarded in a manner which protected their confidentiality, which poses a potential health, safety, and/or personal rights risk.
Official plan of correction
Licensee agrees to provide LPA Moleski with inservice training records regarding safeguarding confidential records 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
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.657(a)
- Regulation authority
- HSC
What the official deficiency says
“(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges.” This requirement was not met as evidenced by: Based on interview and record review, no notification was provided to R1’s RP after rates were raised due to an increase in level of care, which poses a potential health, safety, and/or personal rights risk.
Official plan of correction
Licensee agrees to write a statement acknowledgement of the requirements and that they will be adhered to in the future. vincent.moleski@dss.ca.gov
Deadline recorded: Jun 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 13, 2024
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Sep 12, 2024 · Control 27-AS-20240404121416
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 2 cited
Records and plan of operationType A
- Official classification
- Type A
- Official code
- 87506(d)(H)
- Regulation authority
- CCR
What the official deficiency says
87506 Resident Records (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours...(H) Records of current medications as specified in Section 87506(b)(12)...This was not met as evidenced by: On 9/15/2023 the Department representative LPA visited the facility to investigate complaint allegations. While at the facility LPA requested resident medical documents and files. The Licensee did not ensure staff could provide documents requested by the Department as required by Title 22 Regulations. This poses an immediate Health and Safety risk to residents in care.
Official plan of correction
Licensee states they will ensure the documents from previous years are readily available by providing LPA a photo of where the documents are kepty No Later Than (NLT) 10/11/2023.
Deadline recorded: Oct 10, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 10, 2023
Correction not verified in available records
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(4)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications...This was not met as evidenced by: Based on facility medical record review and witness statements, Licensee did not ensure R1 recieved medication as prescribed. This poses an immediate Health and Safety risk to persons in care.
Official plan of correction
Licensee states on October 3, 2023 there has been a full med tech retraining regarding ordering medication, transcribing medication as well as proper use of physicain phone calls and reminders. Trainnig provided by disctrict nurse for Pegasis Inc. Training documentation will be provided to LPA NLT 10/11/2023
Deadline recorded: Oct 10, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 10, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
22 CCR Section 87465(a)(4) - Incidental Medical and Dental Care: " (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. " This requirement was not met as evidenced by: Based on interviews and review of incident reports and resident records, medications were not administered as required by R1's and R6's doctor's orders, which poses an immediate health and safety risk.
Official plan of correction
Licensee previously conducted staff training regarding medication administration. Licensee agrees to send LPA Moleski training records. vincent.moleski@dss.ca.gov
Deadline recorded: Aug 2, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 2, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(5)(A)
- Regulation authority
- CCR
What the official deficiency says
22 CCR Section 87465(a)(5)(A) – Incidental Medical and Dental Services: “(5) … Assistance with self-administered medications shall be limited to the following: (A) Medications usually prescribed for self-administration which have been authorized by the person's physician.” This requirement was not met as evidenced by: Based on review of R1’s MARs showing an increase of dosage on October 27, 2022, and based on interviews with administrator Morgan Whinery in which she stated that she could not find a doctor’s order to account for the increase, dosages of this prescribed medication were increased without proper authorization from R1’s physician.
Official plan of correction
Licensee previously conducted training regarding proper medication procedures. LPA Moleski received a copy of this training on May 11, 2023.
Deadline recorded: May 26, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 26, 2023
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
- 80075(b)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
80075(b)(5)(B)Health Related Services (b) Clients shall be assisted as needed with self-administration...(5) If the client's physician has stated in writing that the client is unable to determine...(B) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not ensure residents medication was dispensed as prescribed. This poses a potential health and safety risk to residents in care.
Official plan of correction
The licensee stated the staff that were involved in the med error are no longer with community and community wellness director on site will provide in service training to med techs on expectations regarding centrally stored medication and maintaining medication on site per doctors orders. Licensee will provide LPA with training documentation by COB 10/12/2022.
Deadline recorded: Oct 11, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 11, 2022
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(16)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (16) To receive or reject medical care or other services. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not ensure residents call button was answered in timely manner. This poses a potential health and safety risk to residents in care.
Official plan of correction
The licensee stated the facility has hired additional staff, including a float staff member, fixed the call button system, and will continue to make repairs to the call button system. Licensee to send a detailed summary regarding staff plan and call button system by POC due date.
Deadline recorded: Oct 13, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 13, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Sep 16, 2021 · Control 27-AS-20210730151636
No deficiencies recorded in this reportSource 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