Senior Care Records.

Complaint Investigation Report

Roses Resthome, San Rafael12/16/2022Licence 216804035

Census7
Date signed12/16/2022 12:42:44 PM
The inspector’s account

216804035-12-16-2022-21-AS-CMAZ-CMA2VR-20221219164422

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/31/2022 and conducted by Evaluator Victoria Bertozzi

COMPLAINT CONTROL NUMBER: 21-AS-20221031163205

Licensing Program Analyst Bertozzi arrived unannounced to deliver findings regarding the above-mentioned complaint allegation and met with Licensee, Silvana Daniel.

Furniture in disrepair - Complaint alleges that an unstable chair was observed at the dining room table. Per interviews, a visitor sat on the chair and indicated it was wobbly. Interview indicates that staff were told and responded that they would fix the chair later but visitor insisted that the chair was removed from the dining room. Per interview with Licensee, the chair needed to be tightened and it is fine now. LPA observed during visit on 11/10/2022 that all chairs were stable. LPA confirmed through interviews that nobody was hurt.

The allegation that Furniture is in disrepair is Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

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