Inspection Reports for
Grace Home
9260 Loma Ln, Orangevale, CA 95662, CA, 95662
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
18% worse than California average
California average: 4 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
88% occupied
Based on a March 2026 inspection.
Occupancy rate over time
Inspection Report
Census: 21
Capacity: 24
Deficiencies: 0
Date: Mar 9, 2026
Visit Reason
The visit was an unannounced Case Management - Health Checks conducted by the Licensing Program Analyst to evaluate the facility's compliance and health safety conditions.
Findings
No immediate health and safety concerns were noted during the visit. The Department checked the food supply and conducted a brief walkthrough with staff. No citations were issued per Title 22 Regulations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during the visit. |
| Julio Miguel Esguerra | Assistant Administrator | Met with Licensing Program Analyst during the visit. |
| Talwinder Bains | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Laura Munoz | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 22
Capacity: 24
Deficiencies: 0
Date: Oct 15, 2025
Visit Reason
The visit was an unannounced Case Management - Health Checks inspection conducted by the Community Care Licensing Division staff to evaluate the facility's compliance and health and safety conditions.
Findings
No immediate health and safety concerns were noted during the visit. The Department checked the food supply and conducted a brief walkthrough with staff. No citations were issued per Title 22 Regulations.
Inspection Report
Census: 22
Capacity: 24
Deficiencies: 0
Date: Aug 12, 2025
Visit Reason
The visit was an unannounced Case Management - Health Checks inspection to evaluate the health and safety of residents in care.
Findings
The facility was found to be clean, odor free, and adequately stocked with food supplies. Staff were attentive to residents' care needs and no immediate health or safety risks were observed. No deficiencies were cited during this visit.
Inspection Report
Census: 21
Capacity: 24
Deficiencies: 0
Date: Jul 16, 2025
Visit Reason
The visit was an unannounced Case Management inspection focused on legal and noncompliance issues, following up on prior discussions with the administrator.
Findings
No deficiencies were cited during the visit. Observations included residents participating in karaoke and availability of water and snacks. Licensing regulations and Department expectations were reviewed with the licensee and staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Department staff during the inspection. |
| Laura Munoz | Licensing Program Manager | Conducted the inspection and met with facility staff. |
| Talwinder Bains | Licensing Program Analyst | Conducted the inspection and met with facility staff. |
| Lavinia Muscan | Licensing Program Analyst | Conducted the inspection and met with facility staff. |
Inspection Report
Census: 21
Capacity: 24
Deficiencies: 0
Date: Jul 9, 2025
Visit Reason
The visit was an unannounced office non-compliance conference to address ongoing regulatory issues and non-compliance with licensing requirements.
Complaint Details
Substantiated complaints included allegations of not providing timely medical care including a resident’s death, violations of residents' personal rights, issues with food services and physical plant, lack of activities for residents, and other health and safety concerns.
Findings
The facility has multiple substantiated complaints including failure to provide timely medical care resulting in a resident's death, violations of residents' personal rights, issues with food services and physical plant, lack of activities for residents, and other health and safety concerns. The licensee was issued multiple citations and civil penalties totaling $4,850 since the last meeting.
Report Facts
A citations: 9
B citations: 6
Civil penalties: 4850
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Licensee / Administrator | Present at non-compliance conference and named as licensee responsible for compliance |
| Laura Munoz | Licensing Program Manager | Present at non-compliance conference |
| Talwinder Bains | Licensing Program Analyst | Present at non-compliance conference and recipient of compliance plan documents |
| Alycia Rayner | Regional Manager | Present at non-compliance conference |
| Lavinia Muscan | Licensing Program Analyst | Present at non-compliance conference |
Inspection Report
Census: 21
Capacity: 24
Deficiencies: 3
Date: Jul 8, 2025
Visit Reason
Licensing Program Analysts conducted an unannounced case management health and safety check visit to assess compliance with Title 22, CCR regulations.
Findings
Multiple deficiencies were observed and cited, including lack of snacks availability, unlabeled food items, absence of planned activities, and unsafe storage of cleaning chemicals. Civil penalties were issued due to repeat citations within 12 months.
Deficiencies (3)
CCR 87555(b) The facility did not provide snacks to residents, multiple food items were unlabeled in the kitchen, posing an immediate health, safety, or personal rights risk.
CCR 87219(a) No planned activities were available for residents during inspection, posing a potential health, safety, or personal rights risk.
CCR 87309(a) Cleaning chemicals were accessible to residents and not stored in locked storage, posing an immediate health, safety, or personal rights risk.
Report Facts
Civil penalty amount: 250
Civil penalty amount: 250
Civil penalty amount: 250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met during inspection and named in report |
| Lavinia Muscan | Licensing Program Analyst | Conducted inspection |
| Talwinder Bains | Licensing Program Analyst | Conducted inspection and signed report |
| Laura Munoz | Licensing Program Manager | Named in report |
Inspection Report
Annual Inspection
Census: 22
Capacity: 24
Deficiencies: 8
Date: Jun 4, 2025
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with licensing requirements and ensure the health and safety of residents.
Findings
Multiple deficiencies were found related to storage and access of hazardous materials, food service requirements, personal accommodations, personnel records, personal rights, and planned activities. Deficiencies posed immediate or potential risks to residents' health, safety, or personal rights.
Deficiencies (8)
CCR 87309(a): Bedbug spray and cleaning chemicals were accessible to residents, posing an immediate health, safety, or personal rights risk.
CCR 87555(a): Facility did not follow diet orders for 2 out of 5 residents requiring special diets, posing an immediate health, safety, or personal rights risk.
CCR 87555(b): No snacks were available to residents, posing an immediate health, safety, or personal rights risk.
CCR 87555(b)(8): Multiple food items were expired, posing an immediate health, safety, or personal rights risk.
CCR 87307(a)(2): Resident (R1) was missing a side table, chair, and lamp, posing a potential health, safety, or personal rights risk.
CCR 87412(b): 3 out of 5 staff files lacked physical and TB tests, posing a potential health, safety, or personal rights risk.
CCR 87468.1(a): Chairs and personal belongings for residents were locked up, posing a potential health, safety, or personal rights risk.
CCR 87219(a): No planned activities were available for residents, posing a potential health, safety, or personal rights risk.
Report Facts
Residents requiring special diets: 2
Staff files missing physical and TB tests: 3
Residents reviewed: 5
Staff files reviewed: 5
Inspection Report
Complaint Investigation
Census: 22
Capacity: 24
Deficiencies: 2
Date: May 13, 2025
Visit Reason
Unannounced complaint investigation visit conducted to investigate allegations of neglect and lack of care and supervision related to a resident's medical attention and multiple falls.
Complaint Details
The complaint investigation was substantiated for allegations that facility staff did not seek timely medical attention for resident R1 and that R1 sustained multiple falls due to neglect and lack of care and supervision. The allegation that the facility failed to notify family of change of condition was found to be unfounded. Resident R1 passed away on 01/28/2025 due to complications related to inadequate care.
Findings
The investigation substantiated that facility staff failed to seek timely medical attention for resident R1 and that R1 sustained multiple falls due to neglect and lack of supervision. The facility did not implement a fall risk plan or remove the resident despite clear signs of unmet care needs, contributing to the resident's death. One allegation regarding failure to notify family of change of condition was found to be unfounded.
Deficiencies (2)
CCR 87466 requires licensee to ensure residents are regularly observed for changes in health care needs. Facility failed to reassess resident R1 despite multiple falls from 08/2024 to 01/15/2025, posing immediate health and safety risks.
CCR 87463(a) requires pre-admission appraisal to be updated as necessary or annually. Facility did not provide proper care and supervision for resident R1, resulting in falls and death, posing immediate health and safety risks.
Report Facts
Falls sustained by resident R1: 13
Civil penalty amount: 500
Capacity: 24
Census: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Named in findings related to failure to implement fall risk plan and timely medical care |
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Census: 21
Capacity: 24
Deficiencies: 0
Date: Dec 12, 2024
Visit Reason
The visit was an unannounced case management health and safety check conducted by the Licensing Program Analyst.
Findings
The Department checked the food supply and conducted a brief walkthrough of the facility with the administrator. No concerns were noted and no citations were issued.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during the inspection. |
| Talwinder Bains | Licensing Program Analyst | Conducted the unannounced health and safety check. |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 24
Deficiencies: 1
Date: Sep 10, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that a client wandered away from the facility due to lack of care or supervision from staff.
Complaint Details
The complaint was substantiated. Resident R1 wandered away from the facility unassisted and unsupervised on 09/05/2024, which was confirmed by interviews and record reviews. The resident was found at a clinic 19 miles away and required hospital care.
Findings
The investigation found that resident R1 left the facility unassisted and unsupervised on 09/05/2024, resulting in an immediate health and safety risk. The allegation was substantiated based on record reviews and interviews.
Deficiencies (1)
CCR 80078(a) Responsibility for providing care and supervision. The licensee failed to provide necessary care and supervision, resulting in a resident wandering away from the facility unassisted on 09/05/24.
Report Facts
Capacity: 24
Census: 20
Plan of Correction Due Date: Sep 11, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during the complaint investigation |
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 24
Deficiencies: 2
Date: Aug 13, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 2024-06-13 regarding facility conditions and staff performance at Grace Home II.
Complaint Details
The complaint investigation was substantiated for bathroom repair and dietary needs allegations. Other allegations about staff communication, privacy, personal belongings security, pest control, and linen cleanliness were unsubstantiated or unfounded. The investigation included record reviews, facility observations, and interviews with staff and residents.
Findings
The investigation substantiated allegations that staff did not ensure bathrooms were kept in good repair and did not meet residents' dietary needs. Other allegations regarding staff behavior, privacy, personal belongings security, pest control, and linen cleanliness were found unsubstantiated or unfounded.
Deficiencies (2)
Staff did not ensure bathrooms were kept in good repair. The bathroom in Room #9 was inoperable with leaking shower and toilet, water damage, and a broken mirror in another bathroom.
Staff did not ensure residents' dietary needs were met. Multiple expired food items were found and residents reported dietary preferences were not followed.
Report Facts
Facility Capacity: 24
Resident Census: 22
Staff Interviews: 3
Resident Interviews: 4
Complaint Receipt Date: Jun 13, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation |
| Laura Munoz | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Census: 22
Capacity: 24
Deficiencies: 1
Date: Jul 31, 2024
Visit Reason
The visit was an informal conference conducted to discuss deficiencies observed within the last 3 years and to address current issues at the facility.
Findings
Deficiencies were cited related to the lack of a qualified administrator, which poses health and safety risks to residents. Multiple civil penalties were assessed within the last 3 months for failure to comply with Plan of Correction requirements.
Deficiencies (1)
CCR 87405 - The facility does not have a qualified administrator, which poses health and safety risks to residents. Licensee must hire a qualified administrator and notify the Department when hired.
Report Facts
Civil penalties assessed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Facility administrator named in relation to deficiency regarding administrator qualifications |
| Laura Munoz | Licensing Program Manager | Present at informal conference and named as supervisor |
| Talwinder Bains | Licensing Program Analyst | Licensing evaluator and present at informal conference |
Inspection Report
Plan of Correction
Census: 22
Capacity: 24
Deficiencies: 1
Date: Jul 23, 2024
Visit Reason
The visit was an unannounced Plan of Correction (POC) case management inspection to verify compliance with previously cited maintenance and operation violations.
Findings
The facility's Resident Room #9 bathroom remained in disrepair with an inoperable shower and water damage to the ceiling and wall. Civil penalties were assessed for failure to correct the violation by the POC due date, and penalties will continue to accrue until corrected.
Deficiencies (1)
CCR regulation 87303(a) - Maintenance and Operation: Resident Room #9 bathroom shower is leaking and inoperable, with water damage to the ceiling and wall. The facility failed to correct this issue by the Plan of Correction due date.
Report Facts
Civil Penalty daily amount: 100
Civil Penalty total amount: 700
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the Plan of Correction visit and cited the facility |
| Nelson Jacinto | Administrator | Facility administrator met during inspection and acknowledged meeting invite |
Inspection Report
Plan of Correction
Census: 22
Capacity: 24
Deficiencies: 3
Date: Jul 16, 2024
Visit Reason
The visit was an unannounced Plan of Correction (POC) case management inspection to assess compliance with previously cited violations and the facility's submission of required POC documents.
Findings
The facility failed to comply with POC requirements from the 07/09/2024 visit and did not submit required documents by the due date of 07/10/2024. Civil penalties of $100 per day were assessed from 07/10/2024 through 07/16/2024 and will continue to accrue until the POC is corrected.
Deficiencies (3)
CCR regulation 87468.1(a)(6) - Personal Rights of Residents in All Facilities - The facility did not submit required documents to clear the POC by the due date of 07/10/24.
CCR regulation 87468(a)(13) - Personal Rights of Residents in All Facilities - The facility failed to submit required documents to clear the POC by the due date of 07/10/24.
CCR regulation 87303(a) - Maintenance and Operation - The facility did not submit required documents to clear the POC by the due date of 07/10/24.
Report Facts
Civil Penalty per day: 100
Days penalty assessed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during the visit and acknowledged POC noncompliance |
Inspection Report
Census: 22
Capacity: 24
Deficiencies: 4
Date: Jul 9, 2024
Visit Reason
The visit was a Case Management - Health Checks unannounced inspection to evaluate health and safety conditions at the facility.
Findings
The inspection found multiple deficiencies including locked gates restricting resident movement, lack of scheduled activities and designated activities personnel, locked resident closets denying access to personal belongings, and maintenance issues such as a leaking and inoperable bathroom and broken mirrors posing safety risks.
Deficiencies (4)
CCR 87468.1(a)(6) - Residents have the right to leave or depart the facility at any time and not be locked in. The facility had locked gates restricting resident movement, violating this right.
CCR 87219(e) - Facilities licensed for 16 to 49 persons must have a designated staff member responsible for planned activities. The facility had no scheduled activities or assigned staff for activities.
CCR 87468(a)(13) - Residents must have access to individual storage space for private use. Residents' personal closets were locked and inaccessible, posing health and safety risks.
CCR 87303(a) - Facility must be clean, safe, sanitary, and in good repair. Resident Room #9 bathroom was leaking and inoperable, and a broken mirror in the second building posed safety risks.
Report Facts
Civil Penalty: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met during inspection and involved in discussion of deficiencies. |
| Laura Munoz | Licensing Program Manager | Conducted the inspection. |
| Talwinder Bains | Licensing Program Analyst | Conducted the inspection. |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 24
Deficiencies: 1
Date: Jun 20, 2024
Visit Reason
The visit was an unannounced case management and health check conducted during a complaint investigation regarding potential health and safety risks related to food items in the kitchen area.
Complaint Details
The visit was triggered by complaint investigation 59-AS-20240613135559. The complaint was substantiated by observations of expired and unlabeled food items posing health and safety risks.
Findings
The Licensing Program Analyst observed multiple expired and unlabeled food items in the pantry, posing potential health and safety risks to residents. Immediate civil penalties were assessed due to repeat violations of food service regulations.
Deficiencies (1)
CCR 87555-(b)(8) requires all food to be of good quality and approved by authorities. The facility had multiple expired food items and unlabeled food, posing health and safety risks to residents.
Report Facts
Civil penalty amount: 250
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during the inspection and named in the plan of correction. |
| Talwinder Bains | Licensing Program Analyst | Conducted the unannounced case management visit and complaint investigation. |
Inspection Report
Annual Inspection
Census: 21
Capacity: 24
Deficiencies: 1
Date: May 13, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements at the facility.
Findings
The facility was generally clean, well organized, and compliant with medication and safety requirements. However, multiple expired food items and unlabeled food were found in the kitchen storage, resulting in cited deficiencies.
Deficiencies (1)
CCR 87555(b)(8) General Food Service Requirements: Multiple expired food items and food without date or label were found in the kitchen storage, posing a potential health and safety risk to residents.
Report Facts
Residents reviewed for medication: 5
Staff files reviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during the inspection and named in plan of correction. |
| Talwinder Bains | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
| Laura Munoz | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Census: 22
Capacity: 24
Deficiencies: 0
Date: Oct 26, 2023
Visit Reason
The visit was conducted as a case management and health and safety check on residents in care.
Findings
No immediate health or safety risks were observed during the tour of the facility. No deficiencies were cited as a result of the visit.
Inspection Report
Complaint Investigation
Census: 20
Capacity: 24
Deficiencies: 0
Date: May 16, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 05/11/2023 regarding staff pushing a resident resulting in injury and staff disposing of a resident's personal belongings.
Complaint Details
The complaint involved allegations that staff pushed a resident causing injury and disposed of a resident's personal belongings. After interviews with 3 staff and 3 residents and observations, the allegations were found to be unfounded with no citations issued.
Findings
The investigation included interviews with staff and residents, records review, and facility observations. Both allegations were found to be unfounded as evidence showed staff treated residents with dignity and respect, and no improper disposal of personal belongings occurred.
Report Facts
Capacity: 24
Census: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Talwinder Bains | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 21
Capacity: 24
Deficiencies: 0
Date: Apr 20, 2023
Visit Reason
The inspection was an unannounced Required - 1 Year inspection to evaluate compliance with health and safety regulations at the facility.
Findings
The facility was found to be compliant with all regulations. No deficiencies were identified during the inspection. The evaluator reviewed resident and staff files, medication storage, and safety equipment, all of which met requirements.
Inspection Report
Complaint Investigation
Census: 21
Capacity: 24
Deficiencies: 0
Date: Apr 20, 2023
Visit Reason
The inspection was an unannounced case management visit to follow up on a recent AWOL incident involving a resident who left the facility unattended.
Complaint Details
The visit was triggered by a complaint related to a resident leaving the facility unattended on 03/23/2023. The incident was substantiated as the resident was found outside the facility but returned safely.
Findings
The resident was found uninjured after leaving the facility and returning from a local Walmart. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nelson Jacinto | Administrator | Met with Licensing Program Analyst during the inspection and involved in the AWOL incident follow-up. |
| Talwinder Bains | Licensing Program Analyst | Conducted the unannounced case management inspection. |
| Laura Munoz | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 22
Capacity: 24
Deficiencies: 0
Date: Jun 9, 2022
Visit Reason
The visit was an unannounced required 1 year Annual Inspection conducted by the Licensing Program Analyst.
Findings
The inspection found no issues with infectious control or safety equipment. No citations were issued per California Code of Regulations, Title 22.
Inspection Report
Census: 22
Capacity: 24
Deficiencies: 1
Date: Jan 26, 2022
Visit Reason
The visit was an unannounced case management deficiency visit conducted to investigate an incident report regarding a client who left the facility unassisted and spent the night outside the facility.
Findings
The facility failed to provide adequate supervision to a client who left the facility unassisted, resulting in an AWOL incident. One deficiency was issued related to failure to meet the client's care and supervision needs.
Deficiencies (1)
CCR 85078(a)(1): The licensee failed to provide necessary care and supervision as identified in the client's service plan. This resulted in a client leaving the facility unsupervised and spending the night at a local mall, posing an immediate risk to clients in care.
Report Facts
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Williams | Licensing Program Analyst | Conducted the case management deficiency visit and authored the report |
| Nelson Jacinto | Administrator | Facility administrator involved in the incident and interview |
| Anthony Perez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Annual Inspection
Census: 24
Capacity: 24
Deficiencies: 0
Date: Jun 11, 2021
Visit Reason
The Licensing Program Analyst conducted an unannounced Required-1 Year Inspection to evaluate infection control and overall compliance at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.
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