4503 Sioux CT, Shasta Lake, CA 96019 · License #455920269 · (530) 215-3397
Capacity
6
Licensee
JD RESIDENTIAL SERVICES, INC
Administrator / Contact
POTTER, DOMINIQUE
Licensed Since
4/29/2025
Last Visit
2/19/2026
AGE RANGE 60 AND OVER. APPROVED FIRE CLEARANCE FOR SIX(6) OF WHICH TWO(2) MAY BE NON-AMBULATORY. NON-AMBULATORY CLEARED IN BEDROOM #3. WAIVER/GRANTED FOR HOSPICE CARE FOR (2).
Citations
0
Type A: 0 · Type B: 0
Complaints
0
Substantiated: 0 · Inconclusive: 0 · Unfounded: 0
Compliance Summary — since 4/29/2025
Total State Visits
3
Inspections
3
Complaints on Record
0
Substantiated Allegations
0
Cumulative totals across this facility's entire California licensing history, per CCLD public records — not just the reports summarized below.
A plain-English recap of what you've selected below
Reports in this summary (3)
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