Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
WELL CARE HOME
538 MARIA DRIVE, Petaluma CA 94954
5 bedsLatest official report Apr 14, 2026Licensed
Additional info
- Telephone
- (707) 762-9296
- Licensee
- LUELLEN, LADANA B.
- Administrator
- LUELLEN, LADANA B.
- Contact
- LUELLEN, LADANA B.
- License first date
- Apr 23, 1996
- License effective date
- Apr 23, 1996
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 13 Type B deficiencies for this facility.
- Most recent inspection
- Apr 14, 2026
- Most recent deficiency
- Apr 14, 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 111 Sonoma County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 0 Type A and 13 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 13
- Type A deficiencies
- 0
- Type B deficiencies
- 13
- Substantiated complaints
- 0
- Repeated topics
- 3
About the same as most this size
1 in the last 12 months
Well above the typical 4
9 in the last 12 months
Fewer than the typical 1
0 in the last 12 months
Well above the typical 2
9 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.
Dementia care
Cited in 2 reports, with 2 deficiencies in total.
Fire safety and emergency preparedness
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.
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(a)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
(2) Environmental cleaning and disinfection activities shall be performed following the manufacturers'instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (B) Walls and window coverings in resident care areas shall be dusted or cleaned on a regular schedule to ensure they are safe and sanitary and when they are visibly contaminated or soiled. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in window sill in room #3 has many dots of black and gray fuzzy substance,which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Facility to submit pictures of window sill free from black and gray fuzzy substances by plan of corerction due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in Main bathroom has electrical outlet is disrepair. Sink in kitchen and in room #1 leaking, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/28/2026 Plan of Correction Facility to submit work order for leaking sinks and submit pictures of repaired or replaced vanity cabnit in room #1 and picture of repaired electrial outlet in bathroom by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(3)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation the licensee did not comply with the section cited above in that room #2 did not have chest of drawers for resident, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Facility to submit picture of chest of drawers present in room #2 by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S1 and S2 did not have a Health Screen on file or TB clearance on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Facility to submit health screen with TB clearance for S1 and S2 by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(1)
- Regulation authority
- CCR
What the official deficiency says
(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S1 and S2 did not have first aid on file, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Facility to submit proof of !st Aid certification for S1 and S2 by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 1569.626(a)(2)
- Regulation authority
- HSC
What the official deficiency says
(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: (2) Eight hours of in-service training per year on the subject of serving residents with dementia. This training shall be developed in consultation with individuals or organizations with specific expertise in dementia care or by an outside source with expertise in dementia care. In formulating and providing this training, reference may be made to written materials and literature on dementia and the care and treatment of persons with dementia. This training requirement may be satisfied in one day or over a period of time. This training requirement may be provided at the facility or offsite and may include a combination of observation and practical application. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA record review, the licensee did not comply with the section cited above in that S1 and S2 did not have the rewuried number of hours compelted for training, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/28/2026 Plan of Correction Facility to submit proof of completed training hours for S1 and S2 in the requierd duration and required subject matters by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(8)
- Regulation authority
- CCR
What the official deficiency says
(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation], the licensee did not comply with the section cited above in that Food was found to be open, uncovered, and many items expired. Facility has a pantry in room #3 and food pantry in the kitchen. LPA observed expired food items in both. Expired items include: two 920 boxes of Stove Top expired 9/2/2022, two (2) boxes of Shake and Bake expired 2/9/2016, Betty Crocker Mashed potatoes expired 3/15/2015, sunflower seeds expired 3/4/2019, Jello pudding expired 7/16/2023, Jello gelatin expired 1/19/2019, Mrs. Grass noodles soup expired 8/9/2022, boiled oysters 7/4/2017, sardines expired 12/2024, luncheon loaf expired 3/15/2020, corn muffin mix expired 11/3/2018, salad dressings respective expired 10/30/2024, 3/2022, and 12/22/2021 which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Facility to submit LIC9098 self-certifying they will immediately remove all expired food items from facility by plan of correction due date. Additionally, facility to submit picture of pantries.
Plan of correction recorded
Correction not verified in available records
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(23)
- Regulation authority
- CCR
What the official deficiency says
(23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the licensee did not comply with the section cited above in that LPA observed in pantry in room #3 open bag of grits not sealed or rolled shut, and one container of spicy ranch salad dressing 7/12/2025 and strawberry fruit spread 6/8/2019 open, not refrigerated and stored in pantry closet, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Facility to submit LIC9098 self-certifying they will store all food items appropriately and at the appropriate temperature by plan of correction due date.
Plan of correction recorded
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87458(c)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA, the licensee did not comply with the section cited above in that R1 did not have TB clearance on file poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/21/2026 Plan of Correction Facility to submit TB clearance for R1 by plan of correction due date.
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 Based on interview with Licensee & unknown record review, the licensee did not comply with the section cited above in not conducting a disaster drill quarterly and or recording them, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/11/2025 Plan of Correction Licnesee to conduct and log disaster drill and send with LIC9098 Proof of correction and indicate they understand the regulation by POC due date 4/11/2025 to clear citation.
Plan of correction recorded
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(c)
- Regulation authority
- CCR
What the official deficiency says
(c) The licensee shall arrange a meeting with the resident, the resident's representative, if any, appropriate facility staff, and a representative of the resident's home health agency, if any, when there is significant change in the resident's condition, or once every 12 months, whichever occurs first, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA/Administrator's file review showing that resident's care plans for 1 out of 5 residents (R1) was not performed and signed by the resident of their representative within last 12 months. This is a potential risk to the health and safety of residents in care.
Official plan of correction
POC Due Date: 02/29/2024 Plan of Correction Administrator agreed to review all resident's care plans, update them accordingly and send self-certification that this process had been done to CCL by POC due date.
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 & interview, the licensee did not comply with the section cited above in not conducting a drill since 2/2/2023 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 02/29/2024 Plan of Correction Licensee to conduct and log disaster drill and send LIC9098 Proof of correction and indicate they understand the regulation.
Plan of correction recorded
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(j)
- Regulation authority
- CCR
What the official deficiency says
87705(j)Care of Persons with Dementia. The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee failed to have auditory devices turned on on 3 of 5 auditory devices which poses an immediate health, & safety risk to residents in care. LPA toured the facility with staff on 2/20/24 and tested all auditory devices in the facility; 3 of the auditory devices at the facility weren't activated; front door, backyard door from dinning room, & Room #1 at the time of the visit.
Official plan of correction
POC Due Date: 02/29/2024 Plan of Correction Licensee to ensure all door alarms are on & working appropriately at all times. Licensee to turn all auditory devices on, and to provide form LIC 9098 proof of certification with a written statement signed that facility staff understands that auditory devices must be turned on at all times, and that all auditory devices are working properly to CCL by POC due date 2/29/2024.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
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