Senior Care Records.

Facility Evaluation Report

Villa Gardens, San Rafael04/09/2025Licence 216804291

Capacity12
Census4
Date signed04/09/2025 12:19:15 PM
Name of licensing program analystCaitlynn Felias
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 9:15AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Pre-Licensing visit and met with Staff Member, Nancy McKee. Applicant, Tina Camaclang, arrived during visit at approximately 10AM. Applicant has applied for a Change of Ownership for an existing Residential Facility for the Elderly (RCFE) identified as Schon Hyme Rest Home (210102881 ). Facility currently provides care to older adults and has a dementia care program on file. Facility received an approved fire clearance dated 02/13/2025 that allows for a total capacity of 12 non-ambulatory residents. Upon arrival, LPA was informed that there are currently 4 residents in care.

LPA conducted a physical plant walk-through. LPA observed the following: Per facility sketch, facility is a one story residence with 8 resident bedrooms, 5 1/2 bathrooms, 1 staff break room, and common areas. Facility has a separate building on-site for laundry. Facility was found to be clean with all exits free from obstruction. Facility had emergency lighting. Facility's door alarms were tested and operational. LPA observed required postings including the CCL Complaint Poster and Personal Rights. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Facility's hot water temperatures for all sinks were within Title 22 Regulations of 105F to 120F. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Bathrooms were equipped with necessary grab bars and non-slip floors/mats were present. All resident rooms were furnished with a bed, lamp, dresser, and chair. Facility has sufficient items for cooking and eating. Facility has indoor/outdoor areas for visiting and activities. Facility's fire extinguishers were newly purchased and were observed to be fully charged. Facility's smoke and carbon monoxide detectors were tested and operational. LPA confirmed that contents of the facility's First Aid Kit were sufficient.

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