Pre-licensing visit·December 15, 2021

Licensing Program Analyst (LPA), Farhaan Sarangi arrived at Cogir of San Rafael for the purpose of conducting an unannounced Pre-licensing inspection. LPA was met at the door by Health Director, Victoria Mozzafari and Regional Nurse, Ethelia Hines. LPA toured the facility with Health Director and Regional Nurse. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Exits were free from obstructions at the time of the inspection. Fire Extinguisher was found to be last charged on 04/2021. Facility smoke detectors and Carbon Monoxide detectors are hard wired and sound directly to the fire station. Disaster Drills were conducted 12/2021. There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occurs. Hot water temperature measured within Title 22 acceptable regulation of 105 to 120 degrees F. The facility has special care plan of operation and programming for residents with dementia. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Menus are available and provided during meals. LPA observed that provisions are made for individuals with special dietary needs; facility keeps a variety of items on the menu, and facility has a board in the kitchen with a picture of the resident & a list of dietary needs. LPA conducted Component III orientation with Health Director, Victoria Mozzafari and Regional Nurse, Ethelia Hines. LPAs advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Facility has already been N95 Fit tested. Staff has had training on PPE and PPE is sufficient in the facility.. Exit interview was conducted and a copy of this report was emailed to the Facility Administrator and Health Director, Victoria Mozzafari.