Fire safety and emergency preparedness
Cited in 2 reports, with 2 deficiencies in total.
PROVIDENCE HOME OF VALLEJO
1391 OAKWOOD AVE, Vallejo CA 94591
6 bedsLatest official report Jun 3, 2026Licensed
Additional info
- Telephone
- (707) 805-0784
- Licensee
- PROVIDENCE HOME OF VALLEJO, INC.
- Administrator
- JANGAR, MICHELLE
- Contact
- JANGAR, MICHELLE
- License first date
- Jul 29, 2019
- License effective date
- Jul 29, 2019
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 935 - ELDERLY
Summary
The available records show 1 Type A and 5 Type B deficiencies for this facility.
- Most recent inspection
- Jun 3, 2026
- Most recent deficiency
- Jun 3, 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 13 reports for this facility: 11 inspections, 1 complaint investigation, and 1 licensing or administrative record.
Those records contain 1 Type A and 5 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 11
- Recorded deficiencies
- 6
- Type A deficiencies
- 1
- Type B deficiencies
- 5
- Substantiated complaints
- 0
- Repeated topics
- 1
More than the typical 5
1 in the last 12 months
Well above the typical 1
3 in the last 12 months
Most this size have none
1 in the last 12 months
More than the typical 1
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.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
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 LPA's/administrator interviews & file review the licensee failed to ensure that two out of two residents (R1 & R4) are diabetic were retained at the facility while not able to perform a glucose testing as per physician's report, but the facility did not ensure R1’s & R2's glucose levels were monitored, which poses an immediate risk to the health and safety of residents in care.
Official plan of correction
POC Due Date: 06/04/2026 Plan of Correction The Administrator agrees to ensure blood glucose testing is performed by an appropriately skilled medical professional or contact R1’s & R2's physician for current blood glucose order and submit proof that they have reached out to the physician's and ensure a skilled medical professional is performing the test by POC due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/administrator observation, interview and record review, the licensee did not comply with the section cited above in two out of five residents (R3 & R4) do not have a current care plan which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2026 Plan of Correction Administrator agrees to review all residents care plans and updated them accordingly including care needs indicated in their physician's report. Administrator will submit self certification form (LIC9098) ensuring to the department that care plans were updated as stated per regulation by POC due date 06/17/26.
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 l[(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/17/2026 Plan of Correction Administrator agrees to conduct a quarterly disaster drill for each shift. Administrator will submit self certification form (LIC9098) ensuring to the department that disaster drill was performed for each shift as stated per regulation by POC due date 06/17/26.
Plan of correction recorded
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
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 record review, the licensee did not comply with the section cited above in 4 of 4 staff records. Records did not contain evidence of required annual training, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2025 Plan of Correction Licensee shall develop a training plan to ensure staff receive annual training and how facility will document. Completed plan to be submitted to CCL by 06/20/2025.
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 record review, the licensee did not comply with the section cited above. Records did not contain documentation of completed quarterly drills, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 06/20/2025 Plan of Correction Licensee shall conduct and document an emergency drill and shall develop a plan showing how facility will ensure quarterly drills will be conducted and documented. Evidence of completed drill and the completed plan shall be submitted to CCL by 06//202025.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Inspection
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- 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: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons.(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on today's visit LPA had to request that staff take her temperature, LPA also observed the visitor that arrived a few minutes earlier had no documentation of temperature, staff S1 went over to take the temperature while visitor was in residents room. LPA also observed there were several dates on the sign in log book where temperature docuumentation was missing. 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: 07/01/2022 Plan of Correction Facility to send in written plan on how they will follow regulation and infection Control practices. Facility to send in proof all staff have been trained and how Administrator will ensure it is being followed. POC due date 7/1/2022 to LPA Araceli Canela
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