FIVE ACRES AT LEISURE TOWN NORTH

5073 VICTOR LANE, Vacaville CA 95688

Facility 486803984 · RESIDENTIAL CARE ELDERLY (740)

11 bedsLatest official report Aug 11, 2026Licensed

Additional info
Licensee
TRINICARE INC.
Administrator
SIROKMAN, JAMES
Contact
SIROKMAN, JAMES
License first date
Aug 26, 2021
License effective date
Aug 26, 2021
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 1 Type B deficiencies for this facility.

Most recent inspection
Aug 11, 2026
Most recent deficiency
Aug 11, 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 2 Solano County facilities licensed for 7 to 15 beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 13 reports for this facility: 9 inspections, 1 complaint investigation, and 3 licensing or administrative records.

Those records contain 1 Type A and 1 Type B deficiencies.

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

Official inspections
9

More than the typical 8

2 in the last 12 months

Recorded deficiencies
2

Fewer than the typical 9

1 in the last 12 months

Type A deficiencies
1

Fewer than the typical 2

0 in the last 12 months

Type B deficiencies
1

Fewer than the typical 4

1 in the last 12 months

Substantiated complaints
1

Fewer than the typical 2

0 in the last 12 months

Repeated topics
1

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.

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
87412(a)(11)
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: (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on Licensee and LPA observation and record review , the licensee did not comply with the section cited above in that LIC503 Health Screening was missing in file for S1,S2,S3,S4 which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/18/2026 Plan of Correction Licensee to send plan on how staff will obtain LIC503 Health Screening for S1,S2,S3 and S4 by Plan of Correction due date 8/18/2026. Licensee to then submit completed LIC503 to CCL.

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

Allegations1 substantiated · 4 unsubstantiated · 0 unfounded · 1 cited

Staffing, personnel, and trainingType A
Official classification
Type A
Official code
87412(c)
Regulation authority
CCR

What the official deficiency says

87412(c):Personnel Records. Personnel records shall contain verification of required staff training and orientation, as specified. This requirement was not met as evidenced by: Based on LPA’s inspection on 6/3/2024 of personnel records that did not include proof of staff training which is an immediate risk to the Health & Safety of residents in care.

Official plan of correction

Licensee/Administrator to ensure that all staff receive the required training as specified in Title 22 and that all records are properly recorded in the personnel records of the facility. Licensee to submit plan for immediate training and documentation to LPA Nakagawa by close of business 6/4/2024.

Deadline recorded: Jun 3, 2024. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jun 3, 2024
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
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