Senior Care Records.

Facility Evaluation Report

San Benito House, Novato12/27/2022Licence 216800416

Capacity6
Census4
Date signed12/27/2022 01:20:34 PM
The inspector’s account

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Sen Benito House for the purpose of conducting a Case Management-Plan of Correction (POC) inspection. Upon arrival, LPA was greeted at the door by Administrator, Ann Gougher, and was granted access into the facility.

During the Plan of Correction (POC), LPA reviewed the background clearance on Guardian and observed that the Administrator associated Caregiver #1. A statement from the Administrator was taken on this date and time regarding future compliance as it relates to this regulation. The Plan of Correction citation has been completed and cleared.

Exit interview was conducted and a copy of this report was emailed to the facility administrator.

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