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Inspection visit

complaint

ALMAVIA OF SAN RAFAELLicense 2168018681 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC9099 R1’s facility pendant call logs for 02/21/2026 through 02/23/2026 were requested. Review R1’s pendant log for 02/21/2026 and 02/22/2026 showed evidence of late response times. The following was observed: · On 02/21/2026, R1’s pendant was pressed at 4:07AM and was not cleared until 5:00AM. Log reported that 52 minutes had lapsed. · On 02/22/2026, R1’s pendant was pressed at 12:30AM and was not cleared until 7:35AM. Log reported that 424 minutes had lapsed. · On 02/22/2026, R1’s pendant was pressed at 7:57AM and was not cleared until 8:57AM. Log reported that 60 minutes had lapsed. · On 02/22/2026, R1’s pendant was pressed at 7:54PM and was not cleared until 8:42PM. Log reported that 48 minutes had lapsed. Based on record review and observations made, this allegation is Substantiated . A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. 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. Exit interview conducted. Copy of report, LIC9099D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87555(a)Type B

    Based on observations made, Licensee did not comply with the section cited above. Five instances of expired foods were observed in facility's arts and crafts refrigerator and activity cabinets, including expired milk, cheese, canned frosting, blueberries, opened boxed beef broth, and chocolate sauce. This poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(h)(2)Type A

    Based on observations made, Licensee did not comply with the section cited above. LPA observed two residents with medications in their room that should have been centrally stored and inaccessible. This poses an immediate health, safety or personal rights risk to persons in care.

  • 87468.2(a)(4)Type B

    87468.2 Additional Personal Rights of Residents in Privately Operated Facilities:(a) In addition to...Section 87468.1... residents...shall have...following personal rights: (4) To care, supervision, and services that meet their...needs and are delivered by staff that are sufficient in numbers, qualifications & competency...Requirement was not met as evidenced by: based on record review, Licensee did not comply with section cited above & did not ensure that R1's pendant call was responded to timely. This poses a potential health/safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 16, 2026 inspection of ALMAVIA OF SAN RAFAEL?

This was a complaint inspection of ALMAVIA OF SAN RAFAEL on April 16, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to ALMAVIA OF SAN RAFAEL on April 16, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on observations made, Licensee did not comply with the section cited above. Five instances of expired foods were o..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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