Senior Care Records.

Facility Evaluation Report

Muirwoods Memory Care, Petaluma04/04/2023Licence 496830756

Capacity80
Census47
Date signed04/04/2023 12:43:16 PM
The inspector’s account

License Program Analyst (LPA) Shannan Hansen arrived at 8:30 AM to complete an unannounced annual inspection and met with Camille Brown, Administrator. There is a total of 47 residents.

LPA reviewed 5 staff records with all required First aid and CPR certification current. Administrator Certificate was current with an expiration date of 07/24/2024. Centrally stored medication records were reviewed, and LPA conducted 4 staff and 3 client interviews to complete this annual inspection.

No deficiencies cited during today's inspection .

LPA Hansen is requesting Licensee to update and submit the following documents by 4/25/2023 to SRRO:

LIC 308 Designation of Facility Responsibility

LIC 610 Emergency Disaster Plan (if changes)

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