Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
SERENITY VILLA
477 PETALUMA AVENUE, Sebastopol CA 95472
30 bedsLatest official report Dec 2, 2025Licensed
Additional info
- Telephone
- (415) 609-3827
- Licensee
- SERENITY VILLA
- Administrator
- REZNIK, AIDA
- Contact
- REZNIK, AIDA
- License first date
- Jan 15, 2016
- License effective date
- Jan 15, 2016
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 8 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Dec 2, 2025
- Most recent deficiency
- Dec 2, 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 8 Sonoma County facilities licensed for 16 to 49 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 11 reports for this facility: 6 inspections, 5 complaint investigations, and 0 licensing or administrative records.
Those records contain 8 Type A and 3 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 6
- Recorded deficiencies
- 11
- Type A deficiencies
- 8
- Type B deficiencies
- 3
- Substantiated complaints
- 2
- Repeated topics
- 2
Fewer than the typical 9
1 in the last 12 months
More than the typical 9
2 in the last 12 months
More than the typical 4
0 in the last 12 months
Fewer than the typical 5
2 in the last 12 months
About the same as most this size
0 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.
Medication handling and storage
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 · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 3 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 in physical… & that appropriate assistance is provided when such observation reveals unmet needs...This requirement has not been met as evidence by: Based on interviews conducted and records review. Facility did not observe change of condition in R1 after blister popped out of R1’s right foot, which poses an immediate risk to the health and safety of the residents in care.
Official plan of correction
Administrator/Licensee agrees to submit a written plan in how staff will assess resident’s pressure injuries after a change of condition by POC due date. $500 immediate civil penalty
Deadline recorded: Dec 13, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2023
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(B)
- 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 to the licensing... & person responsible for the resident within 7 days…(B) Any serious injury as determined by the attending physician and occurring while the resident is under facility supervision. This requirement has not been met as evidence by: Based on LPA’s records review and interviews conducted Administrator did not ensure that CCL was notified of incidents involving R1’s Stage II pressure injury, which poses a potential health & safety risk to residents in care.
Official plan of correction
The Licensee will ensure all incidents that threaten the safety of residents are reported to CCL per regulation. Administrator to review regulation, conduct staff training on reporting requirements. Signed statement that the regulation was reviewed and sign in sheet for all staff trained to be submitted by POC due date.
Deadline recorded: Dec 13, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303(a)Maintenance and Operation- (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services & procedures for the safety and well-being of residents, employees, and visitors. This requirement is not met: Based on records review and interviews conducted with Licensee, the facility did not ensure that front entrance was operating properly, which poses a potential risk to the health and safety of residents in care.
Official plan of correction
The licensee has provided a receipt from repair company dated 10/1/2023 as proof of service. Deficiency is cleared.
Deadline recorded: Oct 25, 2023. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Oct 24, 2023
Correction deadline recordedDeadline Oct 25, 2023
Complaint
Allegations0 substantiated · 4 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