Senior Care Records.

Facility Evaluation Report

Cogir of San Rafael, San Rafael04/09/2025Licence 216804000

Capacity70
Census55
Date signed04/09/2025 02:45:33 PM
Name of licensing program analystCaitlynn Felias
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 12:35PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Legal/Non-Compliance visit and met Executive Director, Kimberly Humphrey.

LPA requested and reviewed documents for all employees hired from January 2025 to April 2025. Per Executive Director, facility conducted in-service training for current staff and newly hired staff. Facility is scheduled to have another in-service training at the end of the month to review the following:

Administrator and Designated Representatives

LPA obtained copies of in-service training.

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

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