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THREE HOME VILLAGE 3

679 ROSAL WAY, San Rafael CA 94903

Facility 216803747 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 16, 2025Licensed

Additional info
Licensee
FLASKOW LLC
Administrator
FLATT, ERIK
Contact
FLATT, ERIK
License first date
Nov 9, 2018
License effective date
Nov 9, 2018
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
983 - RCFE / DEMENTIA

Summary

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

Most recent inspection
Oct 16, 2025
Most recent deficiency
Oct 16, 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 7 reports for this facility: 6 inspections, 1 complaint investigation, and 0 licensing or administrative records.

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

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

Official inspections
6

Fewer than the typical 12

2 in the last 12 months

Recorded deficiencies
2

Fewer than the typical 10

1 in the last 12 months

Type A deficiencies
2

Fewer than the typical 6

1 in the last 12 months

Type B deficiencies
0

Fewer than the typical 7

0 in the last 12 months

Substantiated complaints
1

About the same as most this size

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.

All report types
All report typesInspectionComplaintLicensing record
Inspection
Medical and dental careType A
Official classification
Type A
Official code
87465(e)
Regulation authority
CCR

What the official deficiency says

87465 Incidental Medical and Dental Care: (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations made and record review, Licensee did not comply with the section cited above. Licensee did not ensure that there was a physician's order on file for R1's medication prior to administering it to R1. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/17/2025 Plan of Correction Licensee to submit proof that regulation has been reviewed with all staff that administer medication by POC Due Date of 10/17/2025. Proof to include date, topic, staff names, and staff signatures.

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

Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited

Medical and dental careType A
Official classification
Type A
Official code
87465(a)(1)
Regulation authority
CCR

What the official deficiency says

87465(a)(1) Incidental Medical and Dental Care. The Licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of the residents. ***This requirement has not been met as evidenced by: Based on statements, photographs, documents, staff did not arrange, or assist in arranging, timely medical care for R1 when advised to do so by Licensed Medical Professional. This posed an immediate risk to the health of R1

Official plan of correction

Administration shall provide refresher training to all care staff regarding the requirements of 87465 and submit, by POC date, schedule and topic outline to CCL, with proof of training to follow within 2 weeks in order to clear the deficiency.

Deadline recorded: Jul 14, 2022. A deadline is not proof that correction was completed.

Plan of correction recorded
Correction deadline recordedDeadline Jul 14, 2022
Correction not verified in available records
View official report
View official source

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