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Inspection visit

Complaint

COGIR OF SAN RAFAELLicense 2168040001 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC9099 residents' calls were still showing up on the facility's monitors if a resident's pull cord or resident pendant was used. Executive Director stated that issue was that the system was not allowing new pendants to be programmed and therefore current residents that required a replacement pendant were unable to receive one. Facility contacted their Call System company, Lifeline Senior Living, to have a systems technician conduct a repair. Per Executive Director, as of Monday, 03/10/2025, the facility's call system has been updated, all pull cords and resident pendants have been checked to ensure they are fully functioning/operable. Executive Director stated that when the system was malfunctioning, care staff were doing increased checks on residents. LPA conducted staff interviews. 4 of 5 interviews conducted stated that resident pull cords have not been working as expected and that sometimes they do not receive the calls on their pagers. Interviews conducted revealed that they have been told it's a problem with the system and that management has been working on getting it resolved. Review of facility documents showed that Lifeline Senior Living provided a quote of repairs to the facility on 03/04/2025. Based on interviews conducted and document review, 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 deficiency(ies), 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 Executive Director. Signature on form confirms receipt of documents.

Citations

1 citation 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.

  • 87303(i)(1)(A)Type B

    87303 Maintenance and Operation: (i) Facilities shall have signal systems which shall meet the following criteria:(1) All facilities licensed for 16 or more and...separate floors or buildings shall have a signal system...(A) Operate from each resident's living unit. This requirement was not met as evidenced by: based on interviews and document review, Licensee did not comply with the section cited above and did not ensure that facility's pull cord system was operating as required. This poses a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 14, 2025 inspection of COGIR OF SAN RAFAEL?

This was a complaint inspection of COGIR OF SAN RAFAEL on March 14, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to COGIR OF SAN RAFAEL on March 14, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87303 Maintenance and Operation: (i) Facilities shall have signal systems which shall meet the following criteria:(1) Al..."

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.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.