<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700721
Report Date: 02/04/2025
Date Signed: 02/05/2025 07:59:32 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/05/2025 07:59 AM - It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:DIAMOND CARE INC.FACILITY NUMBER:
392700721
ADMINISTRATOR/
DIRECTOR:		CARIE SNODGRASSFACILITY TYPE:
740
ADDRESS:7910 BRIGHT RDTELEPHONE:
(209) 914-2859
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY: 16TOTAL ENROLLED CHILDREN: 0CENSUS: 13DATE:
02/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Amber RichardsonTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct a required annual inspection. LPA met with Office Administrator. Four of four staff observed on site with criminal record clearance in Licensing Information System.

LPA toured physical plant with office administrator inside and outside to ensure the safety of the residents. LPA observed two facilities on two properties housing residents. LPA observed kitchen, garage, restrooms, bedrooms, and common living areas to be clean and in good repair. The temperature inside the facility was measured at 74*F which is within the required range of 68*F and 85*F, or in areas of extreme heat the maximum shall be 30*F less than the outside temperature. The hot water was measured at 119.8*F and 110.5*F within regulatory range of is not less than 105*F and not more than 120*F. LPA observed the centrally stored medications, toxins, and knives stored in the locked garage office to be locked inaccessible to residents. The first aid kit was found in compliance.

LPA observed fire extinguishers which were last inspected on 1/2025. Smoke and carbon monoxide detectors, central heating and air in the facility. LPA observed food supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days which shall be maintained on the premises at all times.

LPA observed signs posted, restrooms stocked with paper towels, hand soap and touchless covered trash cans. LPA observed bacterial analysis of private water supply is not being conducted annually. the last analysis was completed on 9/21/2021. The facility has an approved Mitigation Plan.
Lisa RiosTELEPHONE: (916) 969-9685
Albert JohnsonTELEPHONE: (916) 217-1390
DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: DIAMOND CARE INC.
FACILITY NUMBER: 392700721
VISIT DATE: 02/04/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA reviewed seven resident and four staff files, including criminal record clearances. All staff are fingerprint cleared and associated to the facility. During the resident file review LPA observed and outdated physician report for R1, no orders for half rails for R2 and R3.

During the medication review, the department discovered that the facility is per pouring medication 24 hours in advance, no PRN letters for any resident in care, observed missing medications for R4 and half pill for R5 with no record of destruction or purpose for splitting the pill and medication not being given according to doctor's orders for R6.

Per California Code of Regulations, Title 22 there were deficiencies cited during today's inspection. An exit interview was conducted with administrator.

A copy of this report was left at the facility.

SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Albert JohnsonTELEPHONE: (916) 217-1390
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/05/2025 07:59 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827


FACILITY NAME: DIAMOND CARE INC.
FACILITY NUMBER: 392700721

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/05/2025
Section Cited
CCR
87465(a)4(b-d)(h)5

1
2
3
4
5
6
7
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self administered medications as needed.(b) If the resident's physician has stated in writing that the resident is able to determine and communicate his/her need for a prescription or nonprescription PRN medication, facility staff shall be permitted to assist the resident with self-administration of his/her PRN medication. The following requirements shall apply to medications which are centrally stored:(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.




1
2
3
4
5
6
7
Licensee/Administrator shall submit a plan of action and conducted in-service training to all those staff responsible for medication administration, including the staff members responsible for the medications errors. POC due 2/5/2025
8
9
10
11
12
13
14
This requirement is not met as evidenced by the department discovered that the facility is per pouring medication 24 hours in advance, no PRN letters for any resident in care, observed missing medications for R4 and half pill for R5 with no record of destruction or purpose for splitting the pill and medication not being given according to doctor's orders for R6.
8
9
10
11
12
13
14
Type B
02/18/2025
Section Cited
CCR87303(e)1(A&B)

1
2
3
4
5
6
7
(e) Water supplies and plumbing fixtures shall be maintained as follows:

(1) All residential care facilities for the elderly where water for human consumption is from a private source shall:

(A) As a condition of initial licensure, provide evidence of an on-site inspection of the source of the water and a bacteriological analysis by a local or state health department or other qualified public or private laboratory which establishes the safety of the water.

(B) Following licensure, provide a bacteriological analysis of the private water supply as frequently as is necessary to assure the safety of the residents, but no less frequently than the time intervals shown in the table below. However, facilities licensed for six or fewer residents shall be required to have a bacteriological analysis subsequent to initial licensure only if evidence supports the need for such an analysis to protect residents.
1
2
3
4
5
6
7
The licensee will have the well head tested by POC date and will send the results to the department with the findings of the analysis
8
9
10
11
12
13
14
This requirement was not met as evidenced by LPA observed bacterial analysis of private water supply is not being conducted annually. the last analysis was completed on 9/21/2021.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lisa RiosTELEPHONE: (916) 969-9685
Albert JohnsonTELEPHONE: (916) 217-1390

DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025

LIC809 (FAS) - (06/04)
Page: 3 of 3