Four Seasons Care Home

Type of visit: POC

Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced at the facility to conduct a Plan of Correction (POC) visit regarding the deficiencies LPA cited the facility on 08/26/2026 during an annual inspection. LPA met with Administrator Ioan Nagy and explained the purpose of the visit. On 08/26/2026,LPA cited the facility on CCR 87412(g), and Licensee agreed upon a POC Due Date of 09/09/2026. Licensee will have staff fill out the LIC501 and send to LPA. Additionally Licensee will audit all staff records to ensure they have all the current documents.Licensee did not ensure that the POC was corrected upon Due Date of 09/09/2026. LPA will be assessing a Civil Penalty of $100/day from 09/10/2026 to 09/15/2026 for this violation and will continue to accrue until POC is corrected. LPA cited facility on CCR 87555(b)(8) and Licensee agreed upon a POC Due Date of 09/09/2026. Licensee is to come up with a schedule of when they need to go through both the perishable and non perishable food items. Licensee will send this schedule to LPA. Additionally Licensee will go through all food items now to ensure there is no expired food. Licensee did not ensure that the POC was corrected upon Due Date of 09/09/2026. LPA will be assessing a Civil Penalty of $100/day from 09/10/2026 to 09/15/2026. Citation was cleared during visit. LPA cited facility on HSC 1569.618(c)(3) and Licensee agreed upon a POC Due Date of 09/09/2026. Licensee is to ensure all staff who are on shift alone are to be CPR certified. Licensee will send all CPR certifications to LPA once completed.During today's visit LPA reviewed current CPR training for all staff. LPA will be assessing a Civil Penalty of $100/day from 09/10/2026 to 09/15/2026. Citation was cleared during visit. Civil Penalties were assessed during this visit for failure to correct the above violations by POC Due Date. Exit Interview was conducted. A copy of the report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Sep 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cheyenne Ratajczak and Cassandra Mikkelson arrived at the facility unannounced to conduct a require one year annual inspection. LPAs met with Administrator Ioan Nagy and explained the purpose of the visit. LPAs and administrator conducted a tour of the facility. Areas toured include but not limited to resident bedrooms, resident bathrooms, kitchen, backyard and common areas. During today's visit, the following deficiencies were observed: LPAs observed expired food Staff on shift does not have CPR LPAs observed unlocked medication stored in the fridge LPAs observed personnel records to be incomplete LPAs observed that residents are taking medications that are not listed on their most recent medication list Deficiencies were observed and cited per Title 22, CCR Regulations as listed on LIC 809-D. Civil penalties shall be assessed if facility does not comply with POC requirements which were issued today. Exit interview conducted. Copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 26, 2026

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Lavinia Muscan and Licensing Program Manager (LPM) Laura Munoz arrived on October 15, 2025 to conduct a case management visit to follow up on the non-compliance conference that was conducted on 07/22/2025. LPA and LPM reviewed food, resident files, physical plant, and spoke with residents. No concerns noted by the department, at this time. No deficiencies cited. Exit interview conducted. A copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Office

On 07/22/25, around 02:00 PM, Regional Manager (RM) Alycia Rayner, Licensing Program Manager (LPM) Laura Munoz, Licensing Program Analyst (LPA) Talwinder Bains, Licensing Program Analyst (LPA) Lavinia Muscan were present for a Non-compliance Conference with Licensee / Administrator Ioan Nagy which was held in-person in the office. This conference does not in any manner excuse past problems or resolve the Department’s case against the licensee if the problems are not corrected. The Non-Compliance Conference may be the last step prior to initiating administrative action following unsuccessful attempts by the Department to gain compliance. Since last office meeting with facility on 10/01/24, the facility has been issued 1- A citations, 6- B citations, civil penalties of amount of $500.00 were issued. Discussed during this conference include: False claims, Administrator Certificate issues, food supply violations, not conducting required fire and disaster drills, Medications management issues, Residents and staff records, staff training, staffing requirements and various other areas related to residents’ health and safety. The licensee shall submit the following by AUGUST 01, 2025: · Implement plan on medications management regulations · Plan on how facility will conduct fire and disaster drills per requirement · Plan to stay complaint with false claims regulations · Conduct staff training for all required areas per Tile 22 Regulations · Plan on how food quality will be monitored and maintained · Implement internal audits for residents and staff records, increase administrative oversight, implement staffing plan. Compliance plan documents shall be submitted to CCL by 08/01/25. Submit all documents to LPA Bains via email. The licensee agreed with the drafted non-compliance plan as outlined in LIC 9111. Citations were issued today per Tile 22 Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 22, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405 · Plan of correction due date: Aug 5, 2025

87405-Administrator - Qualifications and Duties- (d) The administrator shall have the qualifications .......If the licensee is also the administrator, all requirements for an administrator shall apply.(1) Knowledge of the requirements ......(2)Knowledge of and ability to conform to the applicable laws, rules and regulations……this requirement is not met as evidence by; Based on facility's observations and staff's interviews, licensee/ administrator is not complying with applicable laws and regulations resulting in deficiencies and repeat violations which poses a potential health and safety risks to residents in care.the state’s words, verbatim · CDSS document, Jul 22, 2025

Plan of correction: Licensee shall attend 8 hour training on Title 22 regulations no later than 08/05/2025. Licensee shall submit training completion documentation and submit to CCL by POC date.

Type of visit: POC

On 07/16/25, Licensing Program Manager (LPM ) Laura Munoz and Licensing Program Analysts (LPAs) Talwinder Bains and Lavinia Muscan arrived at the facility unannounced to conduct a Plan of Correction (POC) case management and met with Administrator, Ioan Nagy . This POC visit is related to Annual visit conducted on 07/08/25 where citations have been issued and POC requirements were issued for facility. During this visit, Department cleared Citation -A issued on 07/08/25 regarding medications management. Administrator was made aware regarding pending POC requirements for other citations which are due by 07/22/25 and civil penalties might be issued if facility does not comply with POC requirements by POC due date. In-person meeting invite with Department and facility for 07/22/25 was provided during this visit. LPAs and LPM met administrator to review licensing regulations and Department expectations in regards to compliance. No deficiencies are being cited. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jul 16, 2025

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains arrived unannounced to conduct an annual inspection. During the inspection it was determined that Administrator altered the expiration date of his certificate. Based on evidence found, this case management visit was conducted and deficiency was observed and cited. The following deficiency (1) is cited per California Code of Regulations, Title 22. See 809-D for the citation issued. Exit interview done. Copy of report and Appeals Rights were provided.the state’s words, verbatim · CDSS document, Jul 8, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87207 · Plan of correction due date: Jul 15, 2025

False Claims - No licensee, officer or employee of a license shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This required is not met as evidenced by ... Although the Administrator has a current Admin certificate #7005884740 8/28/2024-8/27/2026; the Administrator certificate POSTED has the following altered information: #6019660740 8/28/2022-8/27/2025. The expiration in this case was altered to a later date. This poses a potential healthy and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: Licensee shall print out and post the current Administrator certificate by POC due date 7/15/2025.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Talwinder Bains and Lavinia Muscan arrived on 07/08/25 to conduct the annual inspection. LPAs met with staff , Staff, S1, Gabriela Axini and explained the purpose of today's visit. Staff stated that Administrator, Ioan Nagy was out of town and on vacation for now. Staff reached out to administrator via phone and notified them regarding this visit. S1 assisted LPAs with today's inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed medications of two (2) residents comparing with physician orders . LPA reviewed two (2) residents files and one (1) staff file. LPAs and S1 toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. LPA observed the area used for medication to be locked and inaccessible to residents. LPAs observed smoke detectors and carbon monoxide detector at the care home are operational. Hot water temperature was observed to be 111 degrees F, which is within the regulation range of 105-120 degree. LPAs requested a copy of the LIC308, LIC 500, LIC610E and current liability insurance to be sent to the Department by 07/31/25. Deficiencies were observed and cited per Title 22, CCR Regulations as listed on LIC 809-D. Civil penalties shall be assessed if facility does not comply with POC requirements which were issued today. Exit interview conducted. Copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 8, 2025

Type of visit: Office

On 10/01/2024 at 10:30AM, an informal conference was conducted with Sacramento Regional Office via Microsoft Teams. The purpose of this informal conference meeting is to discuss the deficiencies observed within last 3 years and to address current issues at facility. Present in the meeting were, Licensing Program Manager (LPM) Lauren Crocker, Licensing Program Analyst (LPA) Talwinder Bains, and licensee/administrator, Ioan Nagy. The Administrator was told that this Informal conference is a part of the Administrative Action process, and that further noncompliance may result in an elevation to a formal noncompliance conference, which could lead to a referral to the Department's legal division for possible revocation of license. The informal conference process was explained during this meeting. Issues discussed during the meeting were: - Expired Administrator’s Certificate - Staff’s training records and other required documents in staff’s files - Expired Food Items - Facility’s Operation and Maintenance - Expired fire extinguisher and non-compliant with required fire and disaster quarterly drills - Missing required documents in resident’s files - Issues with medications management The facility has stated they will do the following to achieve continued and substantial compliance: • Submit a letter of understanding of Title 22 by 10/15/24 • Reach out to Community Care Licensing Division (CCLD) as a resource. Technical Support Program (TSP) was offered and accepted. Deficiencies were cited per Title 22 Regulations as listed on LIC809-D. Exit interview conducted. Informal meeting concluded, Appeal Rights and a copy of report was provided to the facility via email. Civil penalties may be assessed if facility does not comply with POC requirements which were issued today. A copy must be signed and returned to the Department by 10/01/24 by 5PM.the state’s words, verbatim · CDSS document, Oct 1, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405 · Plan of correction due date: Oct 31, 2024

87405-Administrator - Qualifications and Duties- (d) The administrator shall have the qualifications .......If the licensee is also the administrator, all requirements for an administrator shall apply.(1) Knowledge of the requirements ......(2)Knowledge of and ability to conform to the applicable laws, rules and regulations……this requirement is not met as evidence by; Based on record review and staff's interviews, facility does not have a qualified Administrator which poses a potential health and safety risks to residents in care.the state’s words, verbatim · CDSS document, Oct 1, 2024

Plan of correction: Licensee shall hire a qualified administrator and shall notify Department by POC date-10/31/24 . Furthermore, if Licensee wishes to work as administrator, Licensee shall fulfill all required compents and shall renew thier administrator's certificate per Department guidelines.

Type of visit: POC

On 09/17/24, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced to conduct a Plan of Correction (POC) case management and met with Administrator, Ioan Nagy . This POC visit is related to Annual visit conducted on 08/08/24 where citations have been issued and POC requirements were issued for facility. During this visit, LPA cleared Citations issued for CCR Regulations, 87202(a) and 87309(a) from 08/08/24 visit. On 08/08/24, LPA cited the facility on CCR regulation, 87506(b)- Residents Records- and facility should have submitted all required documents to clear POC by POC Due Date of 08/31/24. Licensee/administrator did not ensure that the POC was corrected upon Due Date of 08/31/24, therefore, on today's date, LPA will be assessing a Civil Penalty of $100/day from 09/01/24- 09/17/24 ,total of $1700.00 for this violation and will continue to accrue until POC is corrected. On 08/08/24, LPA cited the facility on HSC regulation, 1569.695(c)- Other Provisions- and facility should have submitted all required documents to clear POC by POC Due Date of 09/08/24. Licensee/administrator did not ensure that the POC was corrected upon Due Date of 09/08/24. Administrator stated that facility will conduct fire and disaster drill by 09/17/24 by 5PM and will send proof to LPA upon completion. LPA informed administrator that Department is inviting administrator for Informal Department Meeting which will be held at 9835 ,Goethe Road #100, Sacramento, CA, 95827 on 10/01/24 at 10:30 AM and attendance is Mandatory to discuss on going issues with facility and administrator stated that they understood and accepted the meeting invite. Civil Penalties were assessed during this visit for failure to correct the above violation by POC Due Date. Exit Interview was conducted, Appeal rights were provided, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 17, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 08/08/24 to conduct the annual inspection. LPA met with Administrator, Ioan Nagy and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed medications of two (2) residents comparing with physician orders . LPA reviewed two (2)residents files. Deficiencies were observed during residents files review as listed on 809-D. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Hot water temperature was observed to be 115 degrees F, which is within the regulation range of 105-120 degree. Following issues were observed during today's visit: Expired Food Items, Expired Fire Extinguisher, Accessible chemicals and laundry supplies to residents, No quarterly fire and disaster drills and citations were issued as listed on LIC809-D. LPA requested a copy of the LIC308, LIC 500, LIC610E and current liability insurance to be sent to the Department by 08/30/24. Deficiencies were observed and cited per Title 22, CCR Regulations as listed on LIC 809-D. Civil penalties shall be assessed if facility does not comply with POC requirements which were issued today. Exit interview conducted. Copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 8, 2024

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.