Senior Care Records.

Facility Evaluation Report

Almavia of San Rafael, San Rafael06/05/2025Licence 216801868

Capacity160
Census117
Date signed06/05/2025 03:50:40 PM
Name of licensing program analystCaitlynn Felias
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 3:00PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Other Visit and met with Executive Director, Angie Boucher-Turin. The purpose of the visit is to deliver an "Order to Licensee/Facility of Immediate Exclusion From Facility" notice for Staff Member 1 (S1).

On 06/05/2025, the Department delivered an "immediate exclusion" notice to facility. Per notice, S1 cannot be allowed to work, be present and/or live in a CCL licensed facility, or have contact with clients in any residential facility or child day care licensed by the California Department of Social Services. Therefore, the Department orders the facility to remove S1 from any contact with clients and not allow this employee to be physically present in the facility.

Administrator stated they understood the notice.

Exit interview conducted. Copy of report and Confidential Names (LIC811) discussed and provided to Executive Director. Signature on form confirms receipt of documents.

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