Skip to main content

Inspection visit

Routine inspection

SACRAMENTO SENIOR LIVING IIILicense 3427016184 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/19/2026, Licensing Program Analyst (LPA) Cynthia Tamayo arrived at Sacramento Senior Living III for the purpose of conducting a required 1 year annual inspection. LPA met with Staff, Atelaite Peti (S3). Upon arrival, the Administrator (S1) was not present at the facility, S3 contacted S1 to inform them of the purpose of today's visit. An entrance interview was conducted. Sacramento Senior Living III is a residential care elderly (RCFE) licensed to serve 6 adults age range 60 and over. Approved for 6 non-ambulatory. Waiver/granted for hospice care for (2). LPA observed there to be one staff and and five residents in care, of which none are in hospice. LPA toured the facility with S3 and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 71 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. S1 will ensure the thermostat is operating at all times and the temperature is set to a comfortable temperature for residents within regulation limits. The facility's water temperature measured 104 degrees Fahrenheit in restroom #1 and measured 104.7 degrees Fahrenheit in restroom #2, which is not within the required range of 105 and 120 degrees. LPA Tamayo observed first aid supplies, a fully- charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Tamayo observed a minimum 2- day supply of perishable food and a minimum 7-day supply of nonperishable food. Continued on 809-C LPA observed a locked cabinet for the storage of medication. LPA Tamayo observed locked cabinets for the storage of cleaning solutions and knives. Medicine lock box in the refrigerator was locked and inaccessible to residents in care. LPA also observed some electrical outlets thought the home were loose and there is a toilet paper/towel holder in disrepair in bathroom #2. LPA observed the trash bins were emptied out. S3 stated the trash is taken out everyday 1-2 times per day. The exterior of the building was inspected by the LPA. LPA observed a pool in the back yard that is fully enclosed by fencing that meets regulations and is inaccessible to residents without supervision, the yard was completely fenced in. LPA observed broken glass piled on the ground, S3 did not know where it was from nor the plan for disposal. Facility will ensure to have someone remove the pile of shards by end of day. There was also a sitting area for residents in the backyard. LPA observed there is one chair that is in need of repair or disposal. LPA observed lunch was provided for 4 of 5 residents, it was a turkey sandwich. 1 out 1 resident did not have lunch due to there not being a vegetarian or diabetic appropriate option. LPA observed S3 prepare chicken which will be used for dinner and an alternative option with vegetables and tofu will be offered. At around 3:00PM LPA observed groceries were delivered. LPA compared the LIC 500 with the roster of staff obtained from Guardian to ensure that all staff had the appropriate background clearances to be working with the residents in care. The posted LIC 500 did not list S3. LPA provided guidance on ensuring LIC 500 is updated each time there is a staffing change. LPA reviewed 3 staff records and 5 resident records. Administrator certificate # 7027423740 and it expires 8/8/26. LPA provided guidance regarding Administrator oversight. LPA requested the following documents: LIC 500: Personnel Report , received LIC 308: Designation of Administrative Responsibility, received LIC 402: Surety Bond, if applicable LIC 610E: Emergency Disaster Plan, received LIC 309: (for any LLC or Corp) if applicable Copy of Liability Insurance As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiency can be found on the LIC 809-D page. An exit interview was conducted with S3 and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.

Citations

4 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.618(c)Type B

    Based on observation, interview, and record review, the licensee did not comply with the section cited above in which there is only one staff scheduled which is not enough to ensure all care needs are being met timely. LPA observed inconsistent meal times and/or missed meals for 1 out of 1 residents during multiple visits poses/posed a potential health, safety or personal rights risk to persons in care.

  • Provide resident hot water for personal care

    Based on observation) (interview) (record review, the licensee did not comply with the section cited above in due to water being under 105 degrees which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    Maintain separate complete record for each resident

    Based on (record review)], the licensee did not comply with the section cited above in which records including incident reports, discharge paper work, complete LIC 601, and the most updated LIC 602 is avialble for review which poses/posed a potential health, safety or personal rights risk to persons in care.

  • Modified diets for medical necessity

    Based on observation, interview, record review, the licensee did not comply with the section cited above in ensuring there are diabetic and or vegetarian options available at each meal time. LPA observed only turkey sandwitches were prepared for residents and 1 of 1 resident ate their own snacks/food due to not having an option available to them which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 19, 2026 inspection of SACRAMENTO SENIOR LIVING III?

This was an inspection of SACRAMENTO SENIOR LIVING III on February 19, 2026. 4 citations were issued: 4 Type B.

Were any citations issued to SACRAMENTO SENIOR LIVING III on February 19, 2026?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "Based on observation, interview, and record review, the licensee did not comply with the section cited above in which t..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.