Inspection Report Summary for Carlton Senior Living Sacramento

Carlton Senior Living Sacramento (facility number 342701213) has been repeatedly inspected by the California Department of Social Services, Community Care Licensing Division (CCLD). Initial pre‑licensing visits in September 2022 confirmed that the administrator, Kasie Wimmer, and the facility’s staff understood Title 22 regulations, maintained adequate food storage and supply levels, and kept medication, toxin, and sharp‑knives rooms locked and inaccessible to residents. The kitchen, dining, and living areas were deemed compliant, and fire safety equipment met inspection requirements. The first unannounced inspection on 16 September 2022 reported a census of 170 residents, including four bedridden and four hospice residents, with all physical plant areas in good repair and safety measures—such as grab bars, non‑skid surfaces, and delayed egress gates—properly maintained.

A subsequent case‑management visit on 26 July 2023 addressed a serious elopement incident that occurred on 23 July 2023. Resident R1, deemed by medical staff unable to leave the facility unassisted, exited through the rear courtyard by triggering the delayed‑egress alarm. The event highlighted a failure to enforce proper redirect protocols for residents with dementia. The Licensing Program Analyst cited a Title 22 deficiency (Section 87468) and imposed a $500 civil penalty. A corrective action plan was required, underscoring the need for stronger supervision and alarm‑reset procedures.

The most recent annual inspection on 6 September 2023 reiterated overall compliance. The facility remained free of odor, maintained appropriate lighting and furniture in resident rooms, and continued to meet food, medication, and fire‑safety standards. While the facility consistently meets structural and safety requirements, the elopement incident reveals a recurring lapse in the care of residents with dementia. Continued monitoring and prompt corrective action are essential to safeguard resident safety and uphold licensing standards.