Senior Care Records.

Facility Evaluation Report

Cogir of San Rafael, San Rafael07/31/2024Licence 216804000

Capacity70
Census44
Date signed07/31/2024 02:40:49 PM
The inspector’s account

At approximately 1:25PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Other visit and met with Administrator, Kaitlyn Clarey, Regional VP of Operations, Kristina Munoz, and Regional Executive Director, Davina Barker . The purpose of today's visit is to conduct a Non-Compliance (NCC) inspection.

LPA requested and reviewed documents for all employees hired from April 2024 to July 2024. Review of documents showed that facility hired 2 individuals during this time frame and has either conducted training or have scheduled training for them in the following areas:

Administrator and Designated Representatives.

During visit, LPA was informed that Regional Executive Director, Davina Barker, will be overseeing the community as the new Administrator. LPA requested Administrator documents to be submitted to Community Care Licensing (CCL) by 08/10/2024.

Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents.

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