Inspection visit
Complaint
Inspector’s narrative
What the inspector wrote
Citations
2 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.
- 87211(c)Type A
Report suspected non-serious physical abuse within 24 hours
87211(c) Reporting Requirements (c) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1). This requirement was not met as evidenced by: Record review where 1 of 19 significant Incident reports selected randomily from the period of june 2025 to July 2025 described an incident where one resident physically assaulted another resident 6/27/25, ccl informed and recived report 7/20/25. Interview with a previous administrator who described a period of june 2025-July 2025 where the cacility was not staffed adequately to communicate with cclNot following this requirement poses a immediate risk to the health, safety, and personal rights clients in care.
Read full inspector narrative - 87466Type A
Regular observation and documentation of resident changes
87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as ...deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met as evidenced by: record review where 5 of 19 Significant Incident Reports selected randomly from the period of June 2025 to July 2025 where the facilities observed chanage in condition did not also document a notification of the residents responsible person. Interview with a previous administrator who described a period in June 2025-July 2025 where the facility was not staffed adequately to communicate with representatives.Not following this requirement poses an immediate risk to the health, safety, and personal rights clients in care.
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FAQ · About this visit
Common questions about this visit
What happened during the February 25, 2026 inspection of LEGACY OAKS OF SACRAMENTO?
This was a complaint inspection of LEGACY OAKS OF SACRAMENTO on February 25, 2026. 2 citations were issued: 2 Type A (serious).
Were any citations issued to LEGACY OAKS OF SACRAMENTO on February 25, 2026?
Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87211(c) Reporting Requirements (c) Any suspected physical abuse that does not result in serious bodily injury of an eld..."
What type of inspection was this?
This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.
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