Staffing, personnel, and training
Cited in 3 reports, with 3 deficiencies in total.
CARLTON PLAZA OF DAVIS
2726 5TH STREET, Davis CA 95618
150 bedsLatest official report Apr 30, 2026Licensed
Additional info
- Telephone
- (530) 564-7002
- Licensee
- CARLTON SENIOR LIVING, LLC.
- Administrator
- BLAINE LYONS
- Contact
- BLAINE LYONS
- License first date
- Mar 21, 2014
- License effective date
- Mar 21, 2014
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 935 - ELDERLY
Summary
The available records show 5 Type A and 6 Type B deficiencies for this facility.
- Most recent inspection
- Apr 30, 2026
- Most recent deficiency
- Apr 21, 2026
2 later reports, from Apr 24, 2026 through Apr 30, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
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 4 Yolo County facilities licensed for 50 or more 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 28 reports for this facility: 19 inspections, 8 complaint investigations, and 1 licensing or administrative record.
Those records contain 5 Type A and 6 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 19
- Recorded deficiencies
- 11
- Type A deficiencies
- 5
- Type B deficiencies
- 6
- Substantiated complaints
- 4
- Repeated topics
- 2
More than the typical 7
7 in the last 12 months
Well above the typical 2
2 in the last 12 months
More than the typical 2
1 in the last 12 months
Most this size have none
1 in the last 12 months
Most this size 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.
Incident reporting
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
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87608 Postural Supports (a)...Postural supports may be used under the following conditions. (1) ....used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement including, but not limited to, preventing a resident from falling out of bed, a chair, etc. This requirement not met by licensee as evidenced by: LPA observation of bench and postural support used as a restraint, which poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
Admin to submit self-certifying all facility staff will immediately cease using postural supports as a restraint by plan of correction due date of 4/22/2026.
Deadline recorded: Apr 21, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 21, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411(a) Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by: Based on incident report and interview, facility failed to maintain line of sight, which was a lack of supervision to R1 resulting in an elopement. The absence of supervision is an immediate risk to the Health, Safety and Rights of resident in care.
Official plan of correction
Administrator submitted plan to CCL on 11/18/2025 re: conducting ongoing in-service training about elopement procedures, and will self-certify that all alarms, delayed egress, and sensors for Wander Guard are functioning at each shift change.
Deadline recorded: Nov 18, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 18, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations2 substantiated · 2 unsubstantiated · 1 unfounded · 2 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to meet resident needs.....for the provision of adequate services. This requirement was not met as evidenced by: Based on interviews and record review,LPA observed Call Light logs from January 20, 20253 through February 19, 2025 in which residents would push the call buttons and the response times were exceeding over 60+ minutes. This is a potential health, safety and personal rights risk to the residents in care.
Official plan of correction
Plan of Correction shall include a plan for retraining Memory Care staff as it relates to answering call lights in a timely manner. In addition, Administrator discussed with LPA a plan for going forward with re-training completed by 7/8/2025.
Deadline recorded: Jul 1, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 1, 2025
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.2(b)
- Regulation authority
- HSC
What the official deficiency says
Health and Safety Code section 1569.2(b):(b) " Care and supervision " means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This requirement was not met as evidenced by: Based on interviews, staff ignored company policy of using 2-person assist when care plan called for a 2-person assist and worked independently, not waiting for assistance.
Official plan of correction
Plan of Correction shall include a plan for retraining Memory Care staff as it relates to 2-person assists. Administrator will submit proof of training to LPA by 7/8/2025.
Deadline recorded: Jul 1, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 1, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411(a) Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by: Based on incident report and interview, facility failed to provide supervision to R1 resulting in an elopement. The absence of supervision is an immediate risk to the Health, Safety and Rights of resident in care.
Official plan of correction
Administrator submitted plan to CCL on 5/6/25 re: conducting ongoing in-service training about elopement procedures, and will self-certify that all alarms, delayed egress, and sensors in memory Care are functioning by submitting a check-off list for Evening Supervisor to complete each shift to ensure lights and sensors are 100% operational. Also, a plan was submitted to CCL on 5/6/2025 for the maintenance of all alarms, delayed egress and sensors in Memory Care. ****A civil penalty is being assessed for $500.00.
Deadline recorded: May 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 6, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Incident reportingType A
- Official classification
- Type A
- Official code
- 87211(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87211 (a)A written report shall be submitted to the licensing agency...within seven days of the occurrence of.. (2)Occurrences, such as epidemic outbreaks, poisonings, catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. This requirement was not met as evidenced by: Based on reporting records Licensee did not report outbreak within the required 24 hours.
Official plan of correction
Administrator discussed plan for training with LPA on 5/6/2025. Administrator to conduct in-service training with all care staff and management team on the proper reporting requirements as outlined in CCR 87211. Administrator will submit a signed training log with names of attendees, date, time, location and subject of the training, and who conducted the training to CCL by POC due date 05/12/25.
Deadline recorded: May 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 6, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportLicensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements:(a)Each licensee shall furnish to the licensing agency such reports as the Department may require...:(1)A written report shall be submitted to the licensing agency... within seven days of the occurrence of any of the events specified... This report shall include the resident's name, age, sex and date of admission; date d disposition of the case. (B)Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement is not met as evidenced by: **Based on records reviewed which indicate that Incident Report was not sent in timely manner which poses a possible threat to the health and safety of residents in care.
Official plan of correction
Administrator to submit the protocols staff will use to asssure that faxes and emails are sent correctly and in timely manner. POC due by 1/10/2024 to CCL.
Deadline recorded: Jan 9, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 9, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 1569.269(a)(6)
- Regulation authority
- HSC
What the official deficiency says
(a) Residents…shall have…the following rights: (6) To care, supervision, and services that meet their individual needs and are delivered by staff…sufficient in number… **Based on records reviewed & interviews facility didn't comply w/reg above when R1 accessed patio unsupervised, fell, and sustained injury which posed an immediate risk to the health and safety of residents in care. **Immediate civil penalty of $500.00 was issued today for serious bodily injury.
Official plan of correction
Licensee to submit a statement of understanding & submit a written plan of how they will ensure clients individual needs are met. Statement and detailed plan to be submitted to CCL by POC due date 01/10/2024.
Deadline recorded: Jan 9, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 9, 2024
Correction not verified in available records
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation:(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 has not been met as evidenced by: Based on repair records lighting in patio area of Memory Care went unrepaired and contributed to the fall and injury of R1. This posed an immediate risk to the health and safety of the resident.
Official plan of correction
Licensee to submit proof of repair to CCL by 1/10/2024, and submit plan of how repairs will be taken care of in a timely manner by 1/10/24.
Deadline recorded: Jan 9, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 9, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87470(b)(2)(B)
- Regulation authority
- CCR
What the official deficiency says
87470 Infection Control Requirements (b) (2)All staff...providing direct care to resident who has a communicable disease shall wear appropriate... PPE ...(B)PPE shall be...discarded in the nearest... receptacle with... immediately upon completing a task. This requirement has not been met as evidence by: Based on photos, observation, interviews and record review Licensee did not follow mandated guidance of mitigation plan and failed to discard PPE in a tightly-lidded container as required which poses a potential health, safety, and personal rights risk to clients in care.
Official plan of correction
Licensee to submit proof of training of staff on proper PPE donning, doffing and proper disposal following mitigation plan submitted to CCL on 01/20/2021. Proof submitted to LPA during visit 03/23/22.
Deadline recorded: Mar 23, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 23, 2022
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(a)(3)(C)
- Regulation authority
- CCR
What the official deficiency says
87307 Personal Accommodations and Services (a)(3)(a)...Living accommodations..The following provisions shall apply:(3) Equipment... personal care and maintenance...each resident...provide the following.. (C)Clean linen, including... bottom bed sheets,...The linen shall be in good repair. This requirement has not been met as evidence by: Based on photos, observation, Licensee failed to provide the resident required bottom bed sheet in 2 out of 2 days which poses a potential health, safety, and personal rights risk to clients in care.
Official plan of correction
LIcensee to submit proof of supply of the proper bed linens required and photos documenting that beds are made correctly with the required bed linens submitted to CCL by 03/23/22. Proof submitted to LPA during visit on 03/23/22.
Deadline recorded: Mar 23, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 23, 2022
Correction not verified in available records
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