Food service
Cited in 2 reports, with 2 deficiencies in total.
ALMAVIA OF SAN RAFAEL
515 NORTHGATE DRIVE, San Rafael CA 94903
160 bedsLatest official report Jun 19, 2026Licensed
Additional info
- Telephone
- (415) 491-1900
- Licensee
- ELDER CARE ALL. OF SAN RAFAEL/ELDER CARE ALLIANCE
- Administrator
- TRACY FREUDENDAHL
- Contact
- TRACY FREUDENDAHL
- License first date
- Apr 28, 2006
- License effective date
- Apr 28, 2006
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 7 Type A and 7 Type B deficiencies for this facility.
- Most recent inspection
- Apr 16, 2026
- Most recent deficiency
- Apr 16, 2026
1 later report, on May 8, 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 33 reports for this facility: 19 inspections, 13 complaint investigations, and 1 licensing or administrative record.
Those records contain 7 Type A and 7 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 19
- Recorded deficiencies
- 14
- Type A deficiencies
- 7
- Type B deficiencies
- 7
- Substantiated complaints
- 3
- Repeated topics
- 3
More than the typical 12
1 in the last 12 months
More than the typical 10
9 in the last 12 months
More than the typical 6
4 in the last 12 months
About the same as most this size
5 in the last 12 months
More than the typical 1
3 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.
Incident reporting
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
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
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.
Official plan of correction
Licensee to conduct in-service training regarding expectations on answering resident pendant calls timely. Training to include: Trainer, Date of Training, Topic, Job Title, Staff Names and Signatures. Training to be submitted for review and approval by POC due date of 04/27/2026.
Deadline recorded: Apr 27, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 27, 2026
Correction not verified in available records
Complaint
Allegations4 substantiated · 2 unsubstantiated · 0 unfounded · 4 cited
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. R1 was not administered multiple medications due to it being unavailable or awaiting refill. This is an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit self-certification that in-service training will be conducted for all staff that administer medications by POC due date of 02/25/2026. Training to review Resident 6 rights, medication refills, and PIN 19-21-ASC. Licensee to ensure that epinephrine pens is completed. Training to include: Date, Topic, Name/Job, Role, and Signatures. Proof of completed training to be submitted by 03/31/2026.
Deadline recorded: Feb 25, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 25, 2026
Correction not verified in available records
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements (b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: based on observations made and record review, the Licensee did not comply with the section above and did not ensure that R1 was provided their modified diet. This poses an immediate health & safety risk to the residents in care.
Official plan of correction
Licensee to submit self-certification that in-service training will be conducted for direct care staff and dining/kitchen staff by POC due date of 02/25/2026. Training to include: Date, Topic, Name/Job, Role, and Signatures. Proof of completed training to be submitted by 03/31/2026.
Deadline recorded: Feb 25, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 25, 2026
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(1) A written report shall be submitted...within seven days of the occurrence of any of the events specified...below. This requirement was not met as evidenced by: Licensee did not comply with section cited above. Per record review, Licensee did not submit incident reports timely. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee to submit self-certification that training will be conducted for management and direct care staff reviewing regulation by POC due date of 03/09/2026. Training to include: Date, Topic, Name/Job Role, and Signatures. Proof of completed training to be submitted by POC due date of 03/31/2026.
Deadline recorded: Mar 9, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 9, 2026
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities:(a) In addition to the rights listed in Section 87468.1... residents...shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency...this requirement was not met as evidenced by: based on record review and observations made, Licensee did not ensure that resident received weekly skin checks as agreed upon during a resident care conference.
Official plan of correction
Licensee to submit self-certification that training will be conducted for the Care Department reviewing documentation by POC due date of 03/09/2026. Training to include the following: Date, Topic, Name/Job Role, and Signatures. Proof of completed training to be submitted by POC due date of 03/31/2026.
Deadline recorded: Mar 9, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 9, 2026
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes...and that appropriate assistance is provided...This requirement was not met as evidenced by: based on records, interviews and observations, Licensee did not ensure that Resident 1 (R1) received timely medical care. R1's pressure injury was observed to be a big hole, very bad looking, and was leaking a white liquid on 12/17/25. R1 did not receive medical care until 12/22/25. This poses an immediate health, safety, or personal rights risk to residents in care.
Official plan of correction
Licensee to submit self-certification that in-service training will be conducted reviewing the regulation, 87466 Observation of the Resident. Self-Certification to be submitted by POC due date of 02/04/2026. Training to include the following: Date, Topic, Job Role, Staff Names, and Signatures. Training and supporting documents to be submitted to CCL for review and approval by POC due date of 03/03/2026.
Deadline recorded: Feb 4, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 4, 2026
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87616(a)
- Regulation authority
- CCR
What the official deficiency says
87616 Exceptions for Health Conditions (a) ...the licensee may submit a written exception request if he/she agrees that the resident has a prohibited... health condition but believes that the intent of the law can be met through alternative means. This requirement was not met as evidenced by: based on record review, interviews, and observations, Licensee did not submit the proper paperwork to Community Care Licensing once it was believed that R1 had a Stage 3 wound. R1 was then diagnosed with a Stage 4 wound. This is a potential health and safety risk to residents in care.
Official plan of correction
Licensee to provide a written plan to CCL outlining their intended training schedule. Plan to be submitted by POC due date of 02/16/2026. In-service training for all direct staff on the following regulations: 87616 Exceptions for Health Conditions and 87615 Prohibited Health Conditions. Training to Training to include the following: Date, Topic, Job Role, Staff Names, and Signatures. Training and supporting documents to be submitted toCCL for review and approval by POC due date of 03/03/2026.
Deadline recorded: Feb 16, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 16, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 7 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