A PLACE OF BLISS

10440 GRASS VALLEY CT, Stockton CA 95209

Facility 392701304 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 31, 2025Licensed

Additional info
Licensee
A PLACE OF BLISS LLC
Administrator
IKISEH, CHUKWUDI
Contact
IKISEH, CHUKWUDI
License first date
Nov 7, 2023
License effective date
Nov 7, 2023
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 2 Type A and 2 Type B deficiencies for this facility.

Most recent inspection
Oct 31, 2025
Most recent deficiency
Oct 31, 2025

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 96 San Joaquin County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 7 reports for this facility: 4 inspections, 1 complaint investigation, and 2 licensing or administrative records.

Those records contain 2 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

Fewer than the typical 5

2 in the last 12 months

Recorded deficiencies
4

More than the typical 2

1 in the last 12 months

Type A deficiencies
2

More than the typical 1

1 in the last 12 months

Type B deficiencies
2

Most this size have none

0 in the last 12 months

Substantiated complaints
1

Most this size have none

0 in the last 12 months

Repeated topics
0

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
Food serviceType A
Official classification
Type A
Official code
87555
Regulation authority
CCR

What the official deficiency says

General Food Service Requirements This requirement is not met as evidenced by: Deficient Practice Statement Based on observation LPA observed there to be a lock on the refrigerator and on the pantry in the kitchen. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/03/2025 Plan of Correction Licensee agrees to remove locks from refrigerator and pantry proof will be sent to LPA Lewis by 11/03/2025 EOD.

Plan of correction recorded
Correction not verified in available records
View official report
Complaint

Allegations1 substantiated · 0 unsubstantiated · 0 unfounded

Not classified in the sourceType B
Official classification
Type B
Official code
80071(a)(1)
Regulation authority
CCR

What the official deficiency says

Each client shall have personal rights which include, but are not limited to, the following:..To be accorded dignity in his/her personal relationships …To be accorded safe, healthful and comfortable accommodations…This requirement was not met as evidenced by: Based on interviews, staff confirmed approval was not gained prior to taking the photo. which poses a potintial Health, Safety or Personal Rights risk to persons in care.

Official plan of correction

staff will complete mandated training with a focus on privacy. Administrator will email proof of training to LPA by COB 04/14/2025.

Deadline recorded: Apr 14, 2025. A deadline is not proof that correction was completed.

Citation dismissed - not a correctionOn Apr 14, 2025

Deficiency Dismissed Type B 04/14/2025 Section Cited CCR 80071(a)(1)

Plan of correction recorded
Correction deadline recordedDeadline Apr 14, 2025
Correction not verified in available records
View official report
Inspection
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(e)(2)
Regulation authority
HSC

What the official deficiency says

(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 observation, R1-R3 had no needs and services plans on file, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/06/2024 Plan of Correction Licensee agrees to provide LPA Lewis with needs and services plans for all residents by POC due date. Kesha.Lewis@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType A
Official classification
Type A
Official code
87005(f)
Regulation authority
CCR

What the official deficiency says

87705 (f) The following shall be stored inaccessible to residents :(1) Knives,...tools and other items that could constitute a danger to the resident(s).(2)... cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, licensee did not comply with the regulation noted above. During inspection of the kitchen and laundry area, LPA observed cleaning supplies in unlocked cabinets and the key to the medication area in the lock. This poses an immediate health and safety

Official plan of correction

POC Due Date: 11/05/2024 Plan of Correction Licensee to submit a written statement of understanding of the regulation cited and submit statement to the Department by POC due date, Licensee also will provide in service training to staff and send proof to LPA by COB on POC date.

Plan of correction recorded
Correction not verified in available records
View official report
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