Activcare at 4s Ranch

Because this facility markets dementia or Alzheimer's care, state law mandates higher training standards:

• 12 hours initial dementia training — 6 hours before a staff member works independently with residents, 6 more within the first 4 weeks.
• 8 hours annual dementia in-service — required every year thereafter.
• Administrator CE — the administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle.

Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.

Ask on tour: Ask how dementia training records are kept — families may request documentation.

Based on 60 licensed beds:

One awake caregiver must be on duty, plus one additional caregiver on call who can respond within 10 minutes.

Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.

A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.

Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.

• ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
• 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
• 24 hrsAbuse without serious bodily injuryWithin 24 hours
• Next dayDeath of a residentPhone by next working day; written within 7 days
• Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
• WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure

1. 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
2. 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
3. 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
4. 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
5. 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.