Inspection Reports for
Aegis Living San Rafael
800 MISSION AVE, SAN RAFAEL, CA, 94901
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
1.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
48% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 47
Capacity: 98
Deficiencies: 3
Date: Mar 26, 2026
Visit Reason
The visit was an unannounced Case Management - Incident inspection to follow up on self-reported incident reports submitted to Community Care Licensing.
Complaint Details
The visit was triggered by self-reported incident reports regarding Resident 1's elopement and Resident 2's wound evaluation. The report did not state substantiation status explicitly.
Findings
Two incidents were reviewed: Resident 1 eloped from the facility despite protocols, and Resident 2 was found to have a Stage 2 pressure ulcer after initial suspicion of an unstageable wound. Deficiencies related to delayed egress device use, failure to submit proper exception requests, and untimely incident reporting were cited.
Deficiencies (3)
CCR 87705(e)(7) Delayed egress devices shall not substitute for trained staff in sufficient numbers. Licensee did not comply as Resident 1 eloped despite physician and care plan restrictions. This poses a potential health and safety risk.
CCR 87616(a) Licensee did not submit a required written exception request after it was believed Resident 2 had an unstageable wound. This is a potential health and safety risk.
CCR 87211(a)(1) Licensee failed to submit incident reports timely as required, posing a potential health and safety risk to residents.
Report Facts
Capacity: 98
Census: 47
Deficiencies cited: 3
Plan of Correction Due Date: Apr 6, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rabah Sbaitan | Administrator | Met during inspection and involved in incident follow-up |
| Felicidad Ybona | Health Services Director | Met during inspection and involved in incident follow-up |
| Ticarra Boyd | Regional Care Director | Met during inspection and involved in incident follow-up |
| Caitlynn Felias | Licensing Program Analyst | Conducted the inspection and signed the report |
| Victoria Bertozzi | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Capacity: 98
Deficiencies: 0
Date: Aug 26, 2025
Visit Reason
The visit was a pre-licensing inspection conducted to evaluate the facility's readiness for licensing as a Residential Care Facility for the Elderly.
Findings
No deficiencies or advisories were found during the pre-licensing inspection. The facility was found clean, safe, and compliant with regulations, and is ready to be licensed.
Report Facts
Approved hospice waiver capacity: 16
Non-Ambulatory resident capacity: 88
Bedridden resident capacity: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ana de la Cerda | Applicant | Met with Licensing Program Analyst during inspection |
| Rabah Sbaitan | Applicant/Administrator | Met with Licensing Program Analyst during inspection |
| Caitlynn Felias | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Victoria Bertozzi | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Capacity: 98
Deficiencies: 0
Date: Aug 22, 2025
Visit Reason
The visit was an initial licensing evaluation conducted via telephone interview to assess the applicant/administrator's understanding of community care facility licensing laws and readiness for facility operation.
Findings
The applicant and administrator demonstrated understanding of licensing laws, facility operation, admission policies, staffing requirements, restrictive health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness. No deficiencies were cited in the report.
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