Inspection Reports for
Elim Place

1808 5th St., Sanger, CA 93657, CA, 93657

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

25% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025
2026

Census

Latest occupancy rate 70% occupied

Based on a February 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

21 28 35 42 49 Apr 2025 May 2025 Aug 2025 Nov 2025 Feb 2026

Inspection Report

Complaint Investigation
Census: 31 Capacity: 44 Deficiencies: 1 Date: Feb 12, 2026

Visit Reason
The visit was a Case Management visit regarding an incident report received on 2026-02-06 about an incident on 2026-01-31 where resident R1 was given a double dosage of the same medication.

Complaint Details
The visit was complaint-related due to an incident report about a medication error involving resident R1 receiving a double dosage of medication. The deficiency was substantiated and cited.
Findings
A deficiency was cited for failure to meet the requirement that the licensee assist residents with self-administered medications as needed, evidenced by R1 receiving multiple doses of the same medication, posing an immediate health and safety risk.

Deficiencies (1)
Failure to develop and implement a plan for incidental medical care that assists residents with self-administered medications as needed, resulting in R1 being given multiple doses of the same medication.
Report Facts
Capacity: 44 Census: 31 Plan of Correction Due Date: Feb 13, 2026

Employees mentioned
NameTitleContext
Maria CeballosAdministrator/Executive DirectorMet with Licensing Program Analyst during visit and discussed plan of corrections
Kamaldeep KaurLicensing Program AnalystConducted the Case Management visit and authored the report
See MouaLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 28 Capacity: 44 Deficiencies: 1 Date: Nov 4, 2025

Visit Reason
The inspection was a case management deficiency visit triggered by an incident report received regarding a medication error where resident R1 was given the wrong dose of morphine on 2025-10-06.

Complaint Details
The visit was complaint-related due to an incident report about a medication error involving resident R1. The medication error was substantiated by a hospice nurse's review.
Findings
The investigation found that R1 was given the wrong dose of morphine, posing an immediate health and safety risk. A citation was issued for failing to administer medications as prescribed.

Deficiencies (1)
Failure to administer medications as prescribed for resident R1, specifically giving the wrong dose of morphine.
Report Facts
Capacity: 44 Census: 28 Plan of Correction Due Date: Nov 5, 2025

Employees mentioned
NameTitleContext
Jacques LeffallLicensing Program AnalystConducted the case management deficiency visit and signed the report
Maria CeballosAdministratorFacility administrator met during the inspection

Inspection Report

Complaint Investigation
Census: 26 Capacity: 44 Deficiencies: 1 Date: Aug 18, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2025-08-13 regarding the facility's failure to take appropriate measures to safeguard a resident's cash resources.

Complaint Details
The complaint was substantiated based on interviews and record reviews. The allegation involved missing cash ($200) from a resident's P&I money. The facility agreed to reimburse the resident.
Findings
The investigation substantiated the allegation that $200 was missing from resident #1's personal and incidental (P&I) money. The facility will reimburse the resident for the missing amount. The evidence met the preponderance of evidence standard and the deficiency was cited under CCR 87217(a).

Deficiencies (1)
Failure to safeguard resident's cash resources as required by CCR 87217(a).
Report Facts
Missing cash amount: 200 Facility capacity: 44 Census: 26 Plan of Correction due date: Aug 25, 2025

Employees mentioned
NameTitleContext
Les XiongLicensing Program AnalystConducted the complaint investigation visit
Maria CeballosAdministratorFacility administrator met during investigation
Melinda HoffmannSupervisorSupervisor overseeing the investigation

Inspection Report

Original Licensing
Census: 26 Capacity: 44 Deficiencies: 0 Date: May 19, 2025

Visit Reason
The visit was a pre-licensing inspection conducted as a follow-up to the initial pre-licensing inspection from 04/25/2025 to verify compliance with licensing requirements.

Findings
The facility met all pre-licensing requirements including fire clearance for 44 residents, appropriate hot water temperatures in bathrooms, and a fully stocked first aid kit. The Licensing Program Analyst found no deficiencies and will submit documentation for final license review.

Report Facts
Hot water temperature: 105.9 Hot water temperature: 106.5 Hot water temperature: 108.3 Hot water temperature: 106.3 Hot water temperature: 106.1

Employees mentioned
NameTitleContext
Maria CeballosAdministratorMet with Licensing Program Analyst during pre-licensing inspection
Elsa NguyenLicenseeMet with Licensing Program Analyst during pre-licensing inspection
Christina GomezAdministrator AssistantMet with Licensing Program Analyst during pre-licensing inspection
Mai YangLicensing Program AnalystConducted the pre-licensing inspection and follow-up visit

Inspection Report

Original Licensing
Census: 26 Capacity: 44 Deficiencies: 3 Date: Apr 17, 2025

Visit Reason
The inspection was a pre-licensing and Component III inspection for Change of Ownership conducted to evaluate the facility for licensing compliance.

Findings
The inspection found that the facility generally met licensing requirements including resident and staff file reviews, fire extinguisher servicing, medication storage, and safety features. However, some items were noted for correction including fire clearance for delayed egress doors, bathroom water temperatures outside the required range, and incomplete first aid kit supplies.

Deficiencies (3)
Fire clearance for delayed egress doors
All bathroom temperatures to be within 105 and 120 degrees F
First Aid kit missing required items including approved first aid manual, scissors, tweezers, and thermometers
Report Facts
Facility capacity: 44 Resident census: 26 Inspection start time: 845 Inspection end time: 1235 Fire extinguisher service dates: 2 Food supply duration: 2 Food supply duration: 7 Refrigerator temperature: 38 Freezer temperature: -11

Employees mentioned
NameTitleContext
Maria CeballosAdministratorMet during inspection and involved in facility operations
Elsa NguyenLicenseeMet during inspection and involved in facility operations
Christina GomezAdministrator AssistantMet during inspection and involved in facility operations
Mai YangLicensing Program AnalystConducted the inspection

Inspection Report

Original Licensing
Capacity: 44 Deficiencies: 0 Date: Mar 14, 2025

Visit Reason
The visit was an office type inspection conducted via phone call to complete Component II of the licensing process, verifying the applicant and administrator's understanding of Title 22 and related facility operation requirements.

Findings
The applicant and administrator successfully completed Component II of the licensing process, demonstrating understanding of facility operation, staff qualifications, program policies, grievances, physical plant, and application document requirements.

Employees mentioned
NameTitleContext
Maria CaballosAdministratorMet with during the inspection and confirmed understanding of Title 22
Elsa NguyenMet with during the inspection
Victoria MoralesLicensing Program ManagerNamed in report header
Gina BaldwinLicensing Program AnalystNamed in report header and signed report

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