Senior Care Records.

Facility Evaluation Report

Greenwood Assisted Living, San Rafael03/27/2024Licence 216803761

Capacity47
Date signed03/27/2024 05:43:29 PM
The inspector’s account

An Office meeting was conducted today in the Santa Rosa Regional Office. The following individuals were present in the meeting: Regional Manager, Carla Nuti-Martinez, Licensing Program Manager, Victoria Bertozzi, Licensing Program Analyst, Caitlynn Felias, Licensee, Mark Bello, and Administrator, Jolly Carungcong. The purpose of the office meeting was to hold an Informal meeting to address areas of concern identified by the Department.

The following areas were discussed during the meeting today:

We amended Complaint 21-AS-20230417124321 which also has a 2 nd level appeal under review.

We delivered findings for Complaint 21-AS-20231017092122, issued citations, and noticed the facility that additional civil penalty may be assessed based on Health and Safety Code 1569.49(e) or (f), or 1548(e) or (f), 1568.0822(e) or (f).

We cited the facility for Administrator Qualifications and Duties related to concerns around:

Facility documentation policies and procedures

Copies of Regulation 87464 Basic Services, 87411 Personnel Requirements – General, 87468.2 Additional Personal Rights of Residents in Privately Operated Facilities, 87633 Hospice Care of Terminally Ill Residents, and 87224 Eviction Procedures were provided.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

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