Walnut House is a residential care home for the elderly (RCFE) in Carmichael, Sacramento County, California — state license #342700186, licensed for 110 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It appears on the DHCS Assisted Living Waiver participant list checked August 9, 2026, so Medi-Cal may help pay for care services here. California has 87 dated inspection and complaint documents on file for this home going back to 2020, the most recent dated June 19, 2026 — published below in full, verbatim and unscored.

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Walnut House

No photo on file yet

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Residential care home for the elderly (RCFE) · Large community, 110 residents · Carmichael, CA · Sacramento County
LicensedWheelchairMemory careHospiceBedridden not on file
No openings reportedBeds change hands in days ·
License #342700186, held since 2018 · read from the California state record on August 2, 2026 ·See on State Site →
3401 Walnut Ave · Carmichael, Sacramento County
Phone
(916) 483-6612
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
Print tour sheet →

Wheelchair / non-ambulatoryApproved for 110 residents
Dementia / memory careVerified in record
Hospice careApproved for 8 residents
Bedridden careNot on file — ask the home

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
AGE RANGE 60 AND OVER. 110 NON-AMBULATORY. HOSPICE WAIVER FOR 8.State service designation983 - RCFE / DEMENTIAthe CDSS license record, verbatim · checked August 2, 2026

“RCFE / Dementia” is the state’s designation for a home with an approved Dementia Care Plan of Operation — it’s recorded separately from the comments above, which is why the memory-care approval may not appear in that text.

Since 2020, the state has visited this home 114 times and filed 87 documents. The most recent is a complaint investigation report, dated June 19, 2026.

Most recent state visit
June 19, 2026
Occupancy at the January 11, 2024 visit
67 of 110 beds

The state's published file for this home includes 25 documents with transcribed findings, dated July 1, 2021 to January 11, 2024. 25 of the 25 carry the state's recorded outcome word: “Substantiated” (15), “Unfounded” (6), “Unsubstantiated” (4). 25 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 25 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 62 of 87 documentsFull record on the state’s site →
20263 state visits · 6 documents
Jun 19, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 19, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jun 19, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 11, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 2, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 2, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

202510 state visits · 16 documents
Nov 13, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 15, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 15, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 7, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 7, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 13, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 16, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 8, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 8, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 8, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 27, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 25, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 25, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 21, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 21, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 21, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

202416 state visits · 23 documents
Dec 5, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 29, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 2, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 23, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Sep 6, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 14, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 14, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 24, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 24, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 3, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 22, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 15, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 15, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 24, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 24, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 7, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 7, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 22, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 22, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 31, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 25, 2024Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 11, 2024Complaint investigation reportSubstantiated

Allegation investigated: Staff are not following residents care plans.

On 01/11/2023, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to open the complaint the Department received regarding the allegation cited above. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the investigation, LPA conducted file reviews and interviews. Please continue on LIC 9099-C... Substantiatedthe state’s words, verbatim · CDSS document, Jan 11, 2024 · control 59-AS-20230829093013
Jan 11, 2024Complaint investigation reportUnfounded

Allegation investigated: Staff are not properly trained.

On 1/11/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to deliver the finding for the allegation cited above. LPA met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of investigation, LPA conducted file review of S1, S2 and S3 training. The result is as follow, please see LIC 9099-C. Unfoundedthe state’s words, verbatim · CDSS document, Jan 11, 2024 · control 59-AS-20230829093013
20237 state visits · 17 documents
Dec 6, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 8, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Oct 11, 2023Complaint investigation reportSubstantiated

Allegation investigated: Facility is in disrepair and unsanitary

On 10/11/2023, Licensing Program Analyst (LPA) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to open the complaint the Department received regarding the allegation cited above. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the investigation, LPAs conducted an inspection of three bathrooms, interviewed two residents, and took 13 photos. The result of the investigation is as follow. Please continue on LIC 9099-C... Substantiatedthe state’s words, verbatim · CDSS document, Oct 11, 2023 · control 59-AS-20231010142402
Oct 11, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff did not ensure that medications are inaccessible to residents in care.

On 10/11/2023, Licensing Program Analyst (LPA) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to open the complaint the Department received regarding the allegation cited above. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the investigation, LPAs conducted an inspection of R1's room and conducted file review of R1's records. The result of the investigation is as follow. Please continue on LIC 9099-C... Substantiatedthe state’s words, verbatim · CDSS document, Oct 11, 2023 · control 59-AS-20230829093013
Sep 28, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff dispensed the wrong medication to a resident while in care.

Licensing Program Analaysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived unannounced to continue the investigation for the complaint the Departmenet received on 9/5/2023. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted interviews, file reviews and a medication audit of R1. The result of the investigation is as follow. Please continue on LIC 9099-C** Substantiatedthe state’s words, verbatim · CDSS document, Sep 28, 2023 · control 59-AS-20230905164434
Sep 7, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 24, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff are mismanaging residents medication.

On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver finding of the allegation cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews, file review, and conducted a medication audit. The result of the investigation is as follow. **Please continue on LIC 9099-C** Substantiatedthe state’s words, verbatim · CDSS document, Aug 24, 2023 · control 25-AS-20220926150347
Aug 24, 2023Complaint investigation reportUnfounded

Allegation investigated: Facility is not following resident care plan.

Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrievd unannounced at the facility to deliver findings of the allegations cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews and file review. The result of the investigation is as follow. Please continue on LIC 9099-C** Unfoundedthe state’s words, verbatim · CDSS document, Aug 24, 2023 · control 59-AS-20230428133225
Aug 24, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff mismanaged resident medication. Resident not being provided medication as prescribed.

On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver findings of the allegations cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews, file review, and conducted a medication audit. The result of the investigation is as follow, please continue on LIC 9099-C** Substantiatedthe state’s words, verbatim · CDSS document, Aug 24, 2023 · control 59-AS-20230405141003
Aug 24, 2023Complaint investigation reportSubstantiated

Allegation investigated: Staff do not treat residents with dignity and respect.

On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver finding for the allegation cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews. The result of the investigation is as follow. **Please continue on LIC 9099-C** Substantiatedthe state’s words, verbatim · CDSS document, Aug 24, 2023 · control 25-AS-20230120114145
Aug 24, 2023Complaint investigation reportUnfounded

Allegation investigated: Resident was verbally abused by staff. Facility does not ensure that residents are adequately fed. Resident being served raw food.

On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver findings of the allegations cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews and observations. The result of the investigation is as follow. Please continue on LIC 9099-C** Unfoundedthe state’s words, verbatim · CDSS document, Aug 24, 2023 · control 59-AS-20230505093715
Aug 23, 2023Complaint investigation reportUnfounded

Allegation investigated: Staff do not keep the facility clean and sanitary.

Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint findings to a complaint the Department received on 12/08/2022. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of the investigation, the Department interviewed Administrator, Long Term Care Ombudsman (LTCO) Ronald Carrera, (2) residents (R1 and R2) and (2) family member of resident (R1). Additionally, the Department conducted extensive record reviews, including but not limited to, R1’s physician report for RCFE, R1’s Needs and Service Plan, R2’s physician report for RCFE, R2’s Needs and Service Plan, LTCO’s complaint report and Sacramento County Sheriff Department Report. **Please continue on LIC 9099-C** Unfoundedthe state’s words, verbatim · CDSS document, Aug 23, 2023 · control 25-AS-20221208121756
Aug 23, 2023Complaint investigation reportUnfounded

Allegation investigated: Staff do not keep the facility clean and sanitary.

Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint finding to a complaint the Department received on 02/14/2023. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During this investigation, the Department conducted extensive interviews and file review. The result of the investigation is as follow, please continue on LIC 9099-C** Unfoundedthe state’s words, verbatim · CDSS document, Aug 23, 2023 · control 25-AS-20230214135709
Aug 23, 2023Complaint investigation reportSubstantiated

Allegation investigated: Facility staff are restricting resident's personal activities.

Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint findings to a complaint the Department received on 01/23/2023. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During this investigation, the Department conducted interviews and file review. The result of the investigation is as follow, please continue on LIC 9099-C** Substantiatedthe state’s words, verbatim · CDSS document, Aug 23, 2023 · control 25-AS-20230123151735
Aug 23, 2023Complaint investigation reportUnfounded

Allegation investigated: Facility did not issue a refund. Facility did not notify responsible party that resident relocated to another facility.

Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint findings to a complaint the Department received on 01/18/2023. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. Please note, this report is amended to reflect current allegations. During this investigation, the Department conducted interviews and file review. The result of the investigation is as follow. **Please continue on LIC 9099-C** Unfoundedthe state’s words, verbatim · CDSS document, Aug 23, 2023 · control 25-AS-20230118170306
Aug 23, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 23, 2023Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Beside homes the same size
Type A citations8typical 1
Type B citations13typical 1
Substantiated complaints28typical 2
Total complaints43typical 7
State visits on file114typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2018.
Year-by-year trend
YearVisitsDocumentsSubstantiated2026360202510160202416231202313237202291152021121222020110
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

See an error in these counts? Report it — free →

≈ $5,000–$7,500 /mo
our estimate — Sacramento County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home is on the DHCS waiver list (checked August 9, 2026). Details →

Free for families · We never sell your information · Homes never pay to appear, and rankings are never affected by fees.

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What dementia training does staff have, and is the area secured?
Non-ambulatory approval — whole home or specific rooms, and is a spot open?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
Claim your home → · See something wrong? → · How we source every fact →
Call (916) 483-6612

Is Walnut House licensed?

Yes — Walnut House is a licensed residential care home for the elderly (RCFE) in Carmichael (Sacramento County): California license #342700186, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 110 residents. State records list 87 inspection and complaint documents since 2020; the most recent, a complaint investigation report dated June 19, 2026, appears in the inspection record on this page.

Can Walnut House care for dementia, hospice, bedridden, or non-ambulatory residents?

From the CDSS license record, checked August 2, 2026.

The CDSS license record checked August 2, 2026 lists Walnut House with clearances for wheelchair / non-ambulatory, dementia / memory care, and hospice care; it does not list bedridden. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER. 110 NON-AMBULATORY. HOSPICE WAIVER FOR 8.

How much does Walnut House cost?

California's public licensing record does not include Walnut House's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Sacramento County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.

Does Walnut House accept Medi-Cal or the Assisted Living Waiver?

Yes — Medi-Cal can help pay for care at Walnut House through California's Assisted Living Waiver (ALW): the home appears on the Department of Health Care Services participant list checked August 9, 2026. The waiver pays for assisted-living care services — not room and board — for eligible Medi-Cal members, and each home takes a limited number of waiver residents, so ask the home about a current ALW opening.

Medi-Cal / ALW homes in Sacramento County →Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

67 of 110 beds occupied (61%) when the state visited on January 11, 2024. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Walnut House?

Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.

The CDSS state record checked August 2, 2026 lists 114 state visits and 87 dated documents since 2020 for Walnut House; 25 complaint-investigation narratives are transcribed verbatim below. The most recent, dated January 11, 2024, records an allegation the state marked “Substantiated”. Open any entry to read the state's full finding, word for word.

Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.

25 transcribed reports on file

2024

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are not following residents care plans.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 01/11/2023, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to open the complaint the Department received regarding the allegation cited above. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the investigation, LPA conducted file reviews and interviews. Please continue on LIC 9099-C... Substantiated— CDSS inspection report, January 11, 2024 · control 59-AS-20230829093013
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedStaff are not properly trained.
State's findingUnfoundedThe state investigated and found the allegation to be false.
On 1/11/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to deliver the finding for the allegation cited above. LPA met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of investigation, LPA conducted file review of S1, S2 and S3 training. The result is as follow, please see LIC 9099-C. Unfounded— CDSS inspection report, January 11, 2024 · control 59-AS-20230829093013

2023

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility is in disrepair and unsanitary
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 10/11/2023, Licensing Program Analyst (LPA) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to open the complaint the Department received regarding the allegation cited above. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the investigation, LPAs conducted an inspection of three bathrooms, interviewed two residents, and took 13 photos. The result of the investigation is as follow. Please continue on LIC 9099-C... Substantiated— CDSS inspection report, October 11, 2023 · control 59-AS-20231010142402
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff did not ensure that medications are inaccessible to residents in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 10/11/2023, Licensing Program Analyst (LPA) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to open the complaint the Department received regarding the allegation cited above. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the investigation, LPAs conducted an inspection of R1's room and conducted file review of R1's records. The result of the investigation is as follow. Please continue on LIC 9099-C... Substantiated— CDSS inspection report, October 11, 2023 · control 59-AS-20230829093013
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff dispensed the wrong medication to a resident while in care.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analaysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived unannounced to continue the investigation for the complaint the Departmenet received on 9/5/2023. LPAs met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted interviews, file reviews and a medication audit of R1. The result of the investigation is as follow. Please continue on LIC 9099-C** Substantiated— CDSS inspection report, September 28, 2023 · control 59-AS-20230905164434
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are mismanaging residents medication.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver finding of the allegation cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews, file review, and conducted a medication audit. The result of the investigation is as follow. **Please continue on LIC 9099-C** Substantiated— CDSS inspection report, August 24, 2023 · control 25-AS-20220926150347
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedFacility is not following resident care plan.
State's findingUnfoundedThe state investigated and found the allegation to be false.
Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrievd unannounced at the facility to deliver findings of the allegations cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews and file review. The result of the investigation is as follow. Please continue on LIC 9099-C** Unfounded— CDSS inspection report, August 24, 2023 · control 59-AS-20230428133225
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff mismanaged resident medication. Resident not being provided medication as prescribed.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver findings of the allegations cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews, file review, and conducted a medication audit. The result of the investigation is as follow, please continue on LIC 9099-C** Substantiated— CDSS inspection report, August 24, 2023 · control 59-AS-20230405141003
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff do not treat residents with dignity and respect.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver finding for the allegation cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews. The result of the investigation is as follow. **Please continue on LIC 9099-C** Substantiated— CDSS inspection report, August 24, 2023 · control 25-AS-20230120114145
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedResident was verbally abused by staff. Facility does not ensure that residents are adequately fed. Resident being served raw food.
State's findingUnfoundedThe state investigated and found the allegation to be false.
On 08/24/2023, Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced at the facility to deliver findings of the allegations cited above. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of this investigation, the Department conducted extensive interviews and observations. The result of the investigation is as follow. Please continue on LIC 9099-C** Unfounded— CDSS inspection report, August 24, 2023 · control 59-AS-20230505093715
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedStaff do not keep the facility clean and sanitary.
State's findingUnfoundedThe state investigated and found the allegation to be false.
Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint findings to a complaint the Department received on 12/08/2022. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During the course of the investigation, the Department interviewed Administrator, Long Term Care Ombudsman (LTCO) Ronald Carrera, (2) residents (R1 and R2) and (2) family member of resident (R1). Additionally, the Department conducted extensive record reviews, including but not limited to, R1’s physician report for RCFE, R1’s Needs and Service Plan, R2’s physician report for RCFE, R2’s Needs and Service Plan, LTCO’s complaint report and Sacramento County Sheriff Department Report. **Please continue on LIC 9099-C** Unfounded— CDSS inspection report, August 23, 2023 · control 25-AS-20221208121756
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedStaff do not keep the facility clean and sanitary.
State's findingUnfoundedThe state investigated and found the allegation to be false.
Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint finding to a complaint the Department received on 02/14/2023. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During this investigation, the Department conducted extensive interviews and file review. The result of the investigation is as follow, please continue on LIC 9099-C** Unfounded— CDSS inspection report, August 23, 2023 · control 25-AS-20230214135709
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedFacility staff are restricting resident's personal activities.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint findings to a complaint the Department received on 01/23/2023. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. During this investigation, the Department conducted interviews and file review. The result of the investigation is as follow, please continue on LIC 9099-C** Substantiated— CDSS inspection report, August 23, 2023 · control 25-AS-20230123151735
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedFacility did not issue a refund. Facility did not notify responsible party that resident relocated to another facility.
State's findingUnfoundedThe state investigated and found the allegation to be false.
Licensing Program Analyst (LPA) Cassie Yang and Licensing Program Manager (LPM) Laura Munoz arrived unannounced to deliver complaint findings to a complaint the Department received on 01/18/2023. LPA and LPM met with Administrator, Lacy Berry, and explained the purpose of the visit. Please note, this report is amended to reflect current allegations. During this investigation, the Department conducted interviews and file review. The result of the investigation is as follow. **Please continue on LIC 9099-C** Unfounded— CDSS inspection report, August 23, 2023 · control 25-AS-20230118170306
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident was hit by another resident in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Lacy Berry, to deliver findings into the complaint allegation listed above. During the investigation, LPA conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Resident was hit by another resident in care ** Report continued on 9099-C ** Unsubstantiated— CDSS inspection report, May 4, 2023 · control 25-AS-20221201083301

2022

Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResidents call bells are not being answered timely
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Sabrina Calzada and LPA Cassie Yang arrived at the facility unannounced to deliver findings to a complaint received on 7/19/22. LPA's met with Lacy Berry, Adminstrator and explained the purpose of the visit. Prior to initiating the complaint visit, LPA's completed the required COVID-19 protocols. LPA's wore a surgical or N95 mask and were screened by facility staff upon entering the facility. During the investigation, LPA Calzada interviewed the Administrator, Resident Care Coordinator (RCC) in July 2022, (4) staff, and (11) residents. LPA Calzada reviewed the facility Call Light Report provided for period July 1, 2022 - July 21, 2022 (12: 41 am). LPA received 93 of 126 pages of July 2022 Call Light report by email on 8/4/22. The results of the investigation are as follows: cont on 9099C(1).. Substantiated— CDSS inspection report, November 17, 2022 · control 25-AS-20220719143307
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff did not provide a comfortable temperature for resident in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 09/20/2022, Licensing Program Analyst (LPA) Jacob Williams arrived at the facility and met with Lacy Berry regarding a complaint investigation into the allegation listed above. LPA wore a surgical mask and was screened by facility upon entry. Facility staff wore masks while on the premises. During the investigation, the Department toured the facility and conducted interviews pertinent to the investigation. The results of the investigation are as follows: ** Report continued on 9099-C ** Unsubstantiated— CDSS inspection report, September 20, 2022 · control 25-AS-20220913162033
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident's requests for assistance are not responded to. Resident's clothing is not being laundered. Resident's showering needs not being met. Resident's administration of medications is being mismanaged.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 6/15/22, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with clinical staff. Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms.Upon arrival, completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened with temperature at the facility. LPA conducted records review and interviews. LPA interviewed R1 again today 6/15/22 LPA is unable to find and or meet the preponderance, per policy. R1 maintained that they are not filing a complaint, they only wish to have improved communication. R1 requests to have their Service plan updated with details that would better assist her— CDSS inspection report, June 15, 2022 · control 25-AS-20220404130057
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResident rights violated regarding wheel chair use. Resident personal information posted in the dining room.
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 4/26/22 to deliver complaint findings. LPA met with Administrator and explained the purpose of the visit. Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA completed a facility risk assessment upon arrival. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by facility staff upon entering the facility. The department reviewed client/resident records and conducted extensive interviews. The department finds that the allegations cited above are substantiated. Report continued. Substantiated— CDSS inspection report, April 26, 2022 · control 25-AS-20220311100957
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedNeglect of basic care. Facility retained a resident who became bedridden and with
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kevin Mknelly arrived unannounced to deliver complaint findings to the above allegations for a complaint received on 5/19/2021. LPA met with Lacy Berry, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 protocols. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured he applied hand sanitizer before entering the facility and wore the following Personal Protective Equipment (PPE): Surgical mask. During the course of the investigation, Licensing Program Analyst (LPA) Sabrina Calzada interviewed multiple facility personnel, including the Administrator, (3) caregivers/med-techs, (1) housekeeper, (2) family members of resident (R1), (1) friend who visited resident (R1), Ombudsman, and (3) home health care staff. LPA reviewed documentation pertaining to resident R1 including, but not limited to, initial assessment, care plans, Medicat— CDSS inspection report, April 1, 2022 · control 25-AS-20210519103650
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff are not responding to residents alerts timely Staff does not follow the disaster plan as required
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on to deliver complaint findings. LPA met with and explained the purpose of the visit. Prior to initiating the complaint visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA completed a facility risk assessment upon arrival. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical Mask. Additionally, LPA was screened by facility staff upon entering the facility. The department reviewed client/resident records and conducted extensive interviews. The department finds that the allegations cited above are substantiated. During the course of the investigation, LPA Sabrina Calzada requested the facility’s call alarm logs and was told by the Administrator that they did not have access to them. LPA Kevin Mk— CDSS inspection report, April 1, 2022 · control 25-AS-20210721115341
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedResidents' toileting needs not met
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analysts (LPA) Kevin Mknelly arrived unannounced to deliver complaint findings to the above allegations for a complaint received on 1/6/2021. LPA met with Lacy Berry, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive Covid-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured he applied hand sanitizer before entering the facility and wore the following Personal Protective Equipment (PPE): N-95 mask. During the course of the investigation, the Department reviewed documentation including, but not limited to, Medication Administration Record (MAR) for (3) residents for Dec 2020 and/or Jan 2021, photos (2) submitted to the Depart— CDSS inspection report, February 10, 2022 · control 27-AS-20210106155437

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 114 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.

Type A citations
8
typical for this size: 1
Type B citations
13
typical for this size: 1
Substantiated complaints
28
typical for this size: 2
Total complaints
43
typical for this size: 7
State visits on file
114
typical for this size: 19
See the full inspection record on the state's site →
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