LONG LIFE LIVING INC III

36 MT. FORAKER DRIVE, San Rafael CA 94903

Facility 216803604 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Sep 4, 2025Licensed

Additional info
Licensee
LONG LIFE LIVING INC.
Administrator
CHANG, FAYE
Contact
CHANG, FAYE
License first date
Sep 18, 2015
License effective date
Sep 18, 2015
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 2 Type B deficiencies for this facility.

Most recent inspection
Sep 4, 2025
Most recent deficiency
Sep 4, 2025

No later report is available, so the records do not show what happened afterward.

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 26 Marin County facilities licensed for 6 or fewer 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 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 0 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

Fewer than the typical 12

1 in the last 12 months

Recorded deficiencies
2

Fewer than the typical 10

1 in the last 12 months

Type A deficiencies
0

Fewer than the typical 6

0 in the last 12 months

Type B deficiencies
2

Fewer than the typical 7

1 in the last 12 months

Substantiated complaints
0

Fewer than the typical 1

0 in the last 12 months

Repeated topics
0

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.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, Licensee did not comply with the section cited above and did not have documentation of a completed drill in the last quarter. This poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 09/15/2025 Plan of Correction Licensee shall conduct and document an emergency/disaster drill for all shifts and submit proof to Community Care Licensing by POC due date of 09/15/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, the Licensee did not comply with the section cited above in 3 of 6 sinks. LPA observed that facility's water temperatures measured 121.6F, 121.8F, 123.6F. This poses a potential health and safety risk to residents in care.

Official plan of correction

POC Due Date: 09/29/2023 Plan of Correction Licensee to submit a water temperature log, documenting the Facility's water temperature for 7 days. Water temperature to be taken once in the morning and once in the afternoon. Temperature Log to include the following: date, time, sink location, and temperature. Log to be submitted to the Department for review and approval by POC due date of Friday, 09/29/2023.

Plan of correction recorded
Correction not verified in available records
View official report

Source 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