Fire safety and emergency preparedness
Cited in 3 reports, with 4 deficiencies in total.
WINDCHIME OF MARIN
1111 SIR FRANCIS DRAKE BLVD, Kentfield CA 94904
55 bedsLatest official report Jul 21, 2026Licensed
Additional info
- Telephone
- (415) 482-4100
- Licensee
- WINDCHIME GROUP LLC; INTEGRAL SENIOR LIVING LLC
- Administrator
- DOMIZIO, ANNEMARIE
- Contact
- DOMIZIO, ANNEMARIE
- License first date
- Jul 10, 2001
- License effective date
- Jul 10, 2001
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 17 Type A and 19 Type B deficiencies for this facility.
- Most recent inspection
- Jul 21, 2026
- Most recent deficiency
- Jun 22, 2026
1 later report, on Jul 21, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 12 Marin County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 32 reports for this facility: 21 inspections, 10 complaint investigations, and 1 licensing or administrative record.
Those records contain 17 Type A and 19 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 21
- Recorded deficiencies
- 36
- Type A deficiencies
- 17
- Type B deficiencies
- 19
- Substantiated complaints
- 2
- Repeated topics
- 9
More than the typical 12
8 in the last 12 months
Well above the typical 10
13 in the last 12 months
Well above the typical 6
4 in the last 12 months
Well above the typical 7
9 in the last 12 months
More than the typical 1
1 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Admission, assessment, and eviction
Cited in 2 reports, with 3 deficiencies in total.
Dementia care
Cited in 2 reports, with 3 deficiencies in total.
Food service
Cited in 2 reports, with 3 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Hazardous items and storage
Cited in 2 reports, with 2 deficiencies in total.
Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Resident rights
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
87464(f)(4). Basic Services. Basic services shall at a minimum include:...Personal assistance and care as.. indicated in the pre-admission appraisal, …such as dressing, eating, bathing..***Based on documents reviewed and interviews conducted, this requirement was not met as evidenced by: Care report-appraisal for 8/26/2025 indicate R1 was to have 2 showers per week although, there were no shower logs for time frame or notes indicating shower refusals, along with 4 staff interviews indicated R1 not showered 8/26 thru 9/11/2025. This posed an immediate risk to the health and personal rights of R1
Official plan of correction
Administration to provided refresher training to staff on the subject of showers provided to residents regarding Regulations 87464(f)(4) and submit by 10/31/2025 type of training and date training will be conducted. Logs and scope of training with signatures to be submitted to CCL/LPA by 11/7/25 to clear citation.
Deadline recorded: Oct 31, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 31, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements:(a)Each licensee shall furnish to the licensing agency...(1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of...(D)Any incident which threatens the welfare, safety or health of any resident... This requirement has not been met based on document review and interviews revealing due to facility writing wrong number of responsible party they were not reached, as well responsible party indicated they never receive written notice of incident report. This is a potential risk to residents in care.
Official plan of correction
Facility Administrator agrees to have staff who are responsible for inputting contact information and reporting incidents, complete an in-service training regarding regulation 87211 no later than POC due date, 11/7/2025 and submit a copy of signed and dated log.
Deadline recorded: Nov 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 7, 2025
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care:(a)A plan for incidental medical and dental care shall be developed by each facility...(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review, Licensee did not comply with the section cited above and did not ensure that medication was administered to R1 as required. R2 Incident Report stated that PM Med Tech provided wrong medication ??times. This is an immediate health and safety risk to residents in care.
Official plan of correction
Licensee provided proof of training that was conducted on 10/16/2025 on " The Six Rights " , central storage of medications, & medication destruction process when an order is discontinued, for all med techs that administer medications. Deficiency cleared during visit.
Deadline recorded: Oct 31, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedRecorded in report dated Oct 30, 2025
Correction deadline recordedDeadline Oct 31, 2025
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.69(a)(1)
- Regulation authority
- HSC
What the official deficiency says
1569.69(a)(1) Medication Administration Training (a)Each residential care facility for the elderly shall ensure that each employee …who assists residents with the self-administration of medications meets all the following training requirements: (1)In facilities licensed for 16 or more.. employee shall complete 24 hours of initial training…consisting of 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction..which shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Based on: Record review & interview with Administrator, S1 lacks proof of required HSC 1569.69(a)(1) medication training, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
Licensee to ensure that all staff obtain the H & S Code initial medication training as required; Submit proof of S1’s, medication training (16 hrs of hands on shadowing training) by POC due date of 8/20/2024.
Deadline recorded: Aug 20, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 20, 2024
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87625(b)(3) Managed Incontinence (b)In addition to Section 87611, General .., the licensee shall be responsible for :(3)Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Based on statements and observation, this requirement is not met as evidenced by: On 8/22/24 LPA & staff observed 3rd floor of facility and R1 & R2’s rooms having strong incontinence odors. This poses a potential health & safety risk to R1, R2 & other residents in care.
Official plan of correction
Licensee to ensure an in-service is conducted with all staff regarding incontinent care services to residents. Submit plan of future compliance with this regulation, ensuring staff are checking on resident and changing resident timely... & staff are cleaning floors to keep facility free of odors from incontinence. Submit proof of training. All POC documentation is due 8/20/24.
Deadline recorded: Aug 20, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 20, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology