Senior Care Records.

Facility Evaluation Report

Golden Home Extended Care, INC., San Rafael10/13/2025Licence 216803145

Capacity28
Census18
Date signed10/14/2025 08:10:21 AM
Name of licensing program analystElias Magdaleno
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 11:40 AM Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct an Annual Continuation of a 1-year required annual inspection that was started on 9/29/2025 and was greeted by MedTech Angel Socito. Physical Plant inspection was completed during previous visit.

At approximately 11:50 AM LPA conducted a review of five (5) resident records. All required documentation present.

At approximately 12:30 PM LPA conducted review of six (6) staff records. All required documentation present.

At approximately 1:30 PM LPA and MedTech conducted a spot check of medication and medication records. Medication is centrally stored and locked.

Updated copies of the following documents shall be submitted to CCL by 10/29/2025 :

No deficiencies cited. Exit interview conducted with MedTech, whose signature on form confirms receipt.

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