Senior Care Records.

Complaint Investigation Report

Greenwood Assisted Living, San Rafael09/18/2024Licence 216803761

Census21
Date signed09/18/2024 11:22:51 AM
The inspector’s account

R1 was transported to the hospital. CCL staff confirmed that R1 does have a dementia diagnosis and is not able to leave the facility unassisted. Per interview with Administrator, it appears that R1 eloped from the courtyard that has a gate that leads outside of the facility. Facility's response was to padlock the exterior gates of the facility. CCL staff notified the Administrator that locking exit doors in that manner is a fire clearance violation and requested that facility have the fire department come out to determine if the padlocks are permitted. This allegation is Substantiated .

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

A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Exit interview conducted. Copy of report, LIC809D, LIC811 (Confidential Names), Plan of Corrections, and Appeal Rights discussed and provided to Administrator and Executive Director. Signature on form confirms receipt of documents.

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