Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSERENITY CARE MANOR
1833 KOLOB DRIVE, Fairfield CA 94534
6 bedsLatest official report May 12, 2026Licensed
Additional info
- Telephone
- (707) 389-4092
- Licensee
- SERENITY CARE MANOR
- Administrator
- SALAS, EMMANUEL PATRICIO
- Contact
- SALAS, EMMANUEL PATRICIO
- License first date
- Jun 14, 2017
- License effective date
- Jun 14, 2017
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 2 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- May 12, 2026
- Most recent deficiency
- May 12, 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 147 Solano County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.
Those records contain 2 Type A and 3 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 5
- Type A deficiencies
- 2
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 0
About the same as most this size
1 in the last 12 months
More than the typical 1
1 in the last 12 months
Most this size have none
0 in the last 12 months
More than the typical 1
1 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.
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
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 in three (3) out of three (3) staff members did not have proper complete annual training records avaliable which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/22/2026 Plan of Correction Licensee/Administrator agrees to submit completed training records for all staff members by the plan of correction (POC) due date 05/22/2026.
Plan of correction recorded
Correction not verified in available records
Inspection
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 Per review of records and interview with staff, the facility hasn't held the disaster drills quarterly as required, and couldn't provide a record of any fire/disaster drills conducted at the facility by staff, 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: 06/09/2025 Plan of Correction Licensee/Administrator agrees to send CCL written verification that disaster drill will be conducted quartly and facility shall retain records as proof that the disaster drills were conducted. Administration agrees to conduct a drill in by 06/09/2025 and send proof of disaster drill to CCL.
Plan of correction recorded
Correction not verified in available records
Inspection
Background checksType A
- Official classification
- Type A
- Official code
- 87355(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(3) The licensee shall submit these fingerprints to the California Department of Justice, along with a second set of fingerprints for the purpose of searching the records of the Federal Bureau of Investigation, or comply with Section 87355(c), prior to the individual's employment, residence, or initial presence in the facility. 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 a total of one (1) staff not properly fingerprint cleared which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2024 Plan of Correction Licensee has immediately removed individual I1 from the faciltiy. Licensee also agrees to confirm I1's fingerprint clearance before I1 returns to work for the facility. Deficiency cleared at the time of visit. Civil penalty issued under Title 22 Regulation 87355(d)(3) for a total of $100 due to staff not fingerprint cleared.
Official record says corrected or clearedOn or before Jun 19, 2024
Plan of correction recorded
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 is not met as evidenced by: Deficient Practice Statement Based on LPA observation and medication count, the licensee did not comply with the section cited above in 2 out of 2 medications for resident (R1) which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2024 Plan of Correction Licensee agrees to submit incident report for missed medication to CCLD within 10-day from 6/19/2024. Licensee also agrees to contact R1's physician indicating any observations or changes of condition. LIC9098 Proof of Correction form to be submitted to CCLD by POC date 6/20/2024 confimring completion of items.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
This requirement is not met as evidenced by: the following shall be stored inaccessible to residents with dementia. Over-the-counter medication, nutritional supplements, or vitamins...and disinfectants. Deficient Practice Statement Based on LPA's observations, Staff Room was unsecured with vitamins in bottles accessible to residents. Administrator did not comply with the section cited above in five of five vitamin bottles which poses a potential health and safety risk to residents in care.
Official plan of correction
POC Due Date: 05/18/2022 Plan of Correction Administrator to ensure Staff Living spaces are not accessible to residents by keeping Staff Room locked at all times. Administrator to submit Training Inservice reviewing Regulation for all staff with the following information: In-service Training date, In-service Topic, and Training Roster with signatures and job role by POC date 5/18/2022.
Plan of correction recorded
Correction not verified in available records
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