392700721-2-20-2026-27-AS-NWPN-DRH2JW-20260220162702

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 392700721
Report Date: 02/20/2026
Date Signed: 02/20/2026 04:29:40 PM

Document Has Been Signed on 02/20/2026 04:29 PM - 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 SNODGRASS		FACILITY TYPE:	740
ADDRESS:	7910 BRIGHT RD		TELEPHONE:	(209) 914-2859
CITY:	FRENCH CAMP	STATE: CA	ZIP CODE:	95231
CAPACITY: 16		CENSUS: 12	DATE:	02/20/2026
TYPE OF VISIT:	Office	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Jenna Silva		TIME VISIT/ INSPECTION COMPLETED:	11:30 AM

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	On 2/20/26 at 10:00 am, an office meeting was called regarding the Plan of Op at Diamond Care Inc. Attending the meeting was LPM Liza King, LPA Noel Wolf Petersen, Facility Administrator Jenna Silva. Discussion of the items began at 9:58 after introductions. The department has concerns about the plan of op missing/incomplete policies and procedures: Accepting residents with dementia and also mental health diagnosis 1 RN on call versus on multiple RN's on staff versus contracted 3rd party RN Services Restricted/prohibited conditions are mixed together. it will be copied over from the admission agreement Needs and services plan, the preplacement appraisals. It was fine, just out of order. Special equipment needs procedures for the specific needs. resident records checklist was provided to the administrator Personal rights, add all the codes, add a line that says this is not all inclusive of the codes, or make reference to an attached document Like an appendix A where you enumerate the rights. Continued on C page.

NAME OF LICENSING PROGRAM MANAGER: Liza King
NAME OF LICENSING PROGRAM ANALYST: Noel Wolf Petersen
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

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

California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

Page: 2 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: 02/20/2026

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

The emergency plan is missing some components regarding evacuation sites. hospital does not do temporary shelter, transportation will be provided in an emergency, Neither hospice or home health is going to step up and should be excluded from an emergency shelter plan. church, or any environment without bedding, you need to provide a plan for meeting the clients continuing needs including bedding, should to be included in the evacuation plan.

Dementia training has required training topics that should be listed with hours in the plan of op.

Staff required training topics and hours should be listed. TSP service referral.

If home health falls through with their responsibilities, the facility is responsible to react to that. if there is care outside the scope of a care giver that needs to be done, the facility has to make arrangements for it to happen.

Home health and hospice agencies have care plans maintained with the facility to describe the division of labor.

Facility is going to arrange for transportation under incidental and medical and dental. The cost like charge for an escort or a transportation has to be outlined into the admission agreement if the responsible party is going to be charged for that as a service. Transport services for someone unconscious/can't do advance in writing requests? Plan of op should describe what the policy for the how the scheduling/transport will work in that scenario.

Medical care is going to be scheduled by the facility.

Theft and loss policy should specifically address thefts more than 100$, an inventory for safegaurded resident property should be completed soon.

Restraints/seclusion are not permitted for use in the facility.

Secured perimeter waiver will be dicussed in the ncc, usually its delayed egress. Topline is the department has not made a wavier and the department is aware the fire department is willing to allow it.

No citations issued at this time. A copy of the report was read and provided to the administrator via email, and will be filed as signed when returned. exit interview was conducted.

NAME OF LICENSING PROGRAM MANAGER: Liza King
NAME OF LICENSING PROGRAM ANALYST: Noel Wolf Petersen
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

LIC809 (FAS) - (06/04)

Page: 3 of 3