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Facility Evaluation Report

Fillon Home, Elk Grove08/12/2025Licence 342700053

Capacity4
Census4
Date signed08/12/2025 11:58:18 AM
Name of licensing program analystRenee Campbell
Name of licensing program managerLisa Rios
The inspector’s account

On 08/12/2025 Licensing Program Analyst Renee Campbell (LPA Campbell) went to the Fillon Care facility to issue a citation on the correct report. On 7/01/25 a citation for not submitting incident reports in a timely manner to the Department was issued on the incorrect report. An incident took place regarding the personal rights of a resident on November 12 th , 2024. The administrator admitted that the incident took place, and no report was submitted to the department per Title 22 regulation 80061(d) Reporting Requirements. The previous citation for this regulation made on LIC9099 has been dismissed and reissued today on LIC809.

An exit interview was conducted; a copy of this report and appeal rights were given to the administrator.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction