Senior Care Records.

Facility Evaluation Report

Saint Michael's Extended Care, San Rafael05/14/2025Licence 216801999

Capacity44
Census37
Date signed05/14/2025 01:09:59 PM
Name of licensing program analystCaitlynn Felias
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 9:35AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1 Year Required Visit and met with Administrator, Rufus Zinghkai. Facility is a Residential Care Facility for the Elderly (RCFE) and serves residents with Dementia and has a plan of operation for dementia care and programming on file. Facility is a two story building and has an approved fire clearance for 44 non-ambulatory residents and an approved hospice waiver for 3 individuals. Upon arrival, LPA was informed that there are currently 37 residents in care and 7 staff members on-site.

At approximately 9:45AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:50AM, LPA conducted a walk-though of the facility with Administrator. LPA observed the following: The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for Residents. Mattress pads were in place or available for Resident use. Toxins were observed to be stored inaccessible to Residents. Hot water temperatures for a sample size of 6 sinks were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility fire extinguishers last inspected February 2025. Smoke and carbon monoxide detectors are hardwired and were last inspected by Fire Department February 2025. Facility's last emergency/disaster drill was conducted May 2025.

At approximately 11:00AM, LPA reviewed staff files, resident files and resident medication. All files were all found to be well organized, thorough and contained the required documentation. Staff files had current First Aid and CPR certification. Medication was observed to be centrally stored and secure. Administrator's Certificate for Rufus Zingkhai (7033932749) was current with an expiration date of 08/15/2025.

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