Senior Care Records.

Facility Evaluation Report

Greenwood Assisted Living, San Rafael10/08/2025Licence 216803761

Capacity47
Date signed10/08/2025 02:54:49 PM
Name of licensing program analystElias Magdaleno
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 2:00 PM Licensing Program Analyst (LPA) Elias Magdaleno arrived to conduct an Annual Continuation of a 1-year required annual inspection that was started on 9/29/2025 and was greeted by Administrator Jolly Carungcong. Physical Plant inspection and Resident Record review was completed during previous visit.

At approximately 2:15 PM LPA conducted review of five (5) staff records. All required documentation present.

At approximately 2:40 PM LPA and Administrator conducted a spot check of medication and medication records. Medication is centrally stored and locked.

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

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