Windchime Of Marin

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff are not meeting resident care needs Responsible party not notified of resident fall Facility staff not giving prescription medications as prescribed by doctor

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to deliver complaint investigation findings regarding the above allegations and met with Administrator, Lauren Cottman. During investigation LPA made 3 visits (9/18/25, 10/14/25, & 10/30/25), conducted 11 interviews with staff and outside parties, made observations and reviewed records. Facility staff are not meeting resident care needs -- Reporting party alleges resident has not had a shower since they were admitted, general lack of care of patient and lack of activities. R1’s pre-placement appraisal signed by Administrator on 8/26/2025 indicates, needs help with bathing, hair care, personal hygiene. Care appraisal dated 8/19/2025 completed by RCD indicates- requires assistance from one (1) person two times a week for bathing. Record review revealed facility did not have a shower log indicating when R1’s showers were scheduled for, days of the week, and times, or any shower sheet that indicates if there is a skin problthe state’s words, verbatim · CDSS document, Oct 30, 2025 · control 21-AS-20250909105915

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff are not meeting resident’s incontinence care needs

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to deliver complaint investigation findings regarding the above allegations and met with Business Office Director, Ravi Banwait as Administrator Lauren Cottman was at annual trainings. Complainant alleges facility staff are not meeting the resident’s incontinence care needs. Complainant alleges on 3/20/25 and 3/21/25, midafternoon resident was observed in “Depends” that were "completely saturated" with urine. Reporting party stated it had to have been several hours since staff had changed resident. As well, on 3/20/25, resident's bed linens were "soaked with urine" and had to be changed. Documents obtained from facility: Care appraisal dated 2/16/2025 of toileting -requires prompting/assistance with toileting but can be left alone, (progress notes) of daily routines for R1 (3/20/2025 & 3/21/2025) do not indicate R1’s bed had been urinated in or had depends full of urine. Continued on LI9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 3, 2025 · control 21-AS-20250324084022

Allegation investigated: Staff did not safeguard resident's personal belongings Staff did not bathe a resident in care Staff obtained care giving services for a resident without consent from resident's responsible party

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to deliver complaint investigation findings regarding the above allegations and met with Business Office Director, Ravi Banwait as Administrator Lauren Cottman was at annual trainings. Staff did not safeguard resident's personal belongings- Complainant alleges facility staff lost the resident's electric razor, glasses, and clothing, also they were not labelled and R1 never created an inventory of their personal belongings when they moved into the facility. Investigation revealed Admission Agreement of R1’s personal property and valuables, dated 10/25/2024, only identifies wedding band. Administrator informed that if the facility is advised something has gone missing it will be relayed to the rest of the staff and they will look. Most razors have the residents’ name on them to identify and are put in a box in the med room until using. There is a lost and found box on the 2nd floor med room that keeps glasses and razors,the state’s words, verbatim · CDSS document, Jun 3, 2025 · control 21-AS-20250319115051

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility allows untrained staff to dispense medications to residents in care Staff do not ensure facility is kept free of mal odors

Licensing Program Analyst (LPA) Hansen arrived unannounced to deliver findings regarding the above complaint allegations and met with Mary McClure, Administrator. Facility allows untrained staff to dispense medications to residents in care – Complainant alleges staff (S1) was hired as a caregiver, received some med tech training and was working as a medtech, then did not pass med tech exam and was relieved of duties on 6/15/2024. S1 was required additional training but did not retake the test and administrator placed S1 back on med tech schedule. LPA obtained training documents for S1 that indicate per Title 22 Regulation has not obtained required hours of initial medication training. Due to LPA’s record review of trainings for S1 regarding Facility allows untrained staff to dispense medications to residents in care, allegation is found to be SUBSTANTIATED. Continue on LIC9099-C Substantiatedthe state’s words, verbatim · CDSS document, Aug 6, 2024 · control 21-AS-20240620093300

Allegation investigated: Staff do not ensure residents rooms are kept in clean sanitary conditions Staff do not ensure residents receive adequate incontinence care Staff do not ensure safe food service practice is followed

Licensing Program Analyst (LPA) Hansen arrived unannounced to deliver findings regarding the above complaint allegations and met with Business Office Director Ravi Banwait as Administrator was unavailable. Staff do not ensure residents rooms are kept in clean sanitary conditions- Complainant alleges there is not enough housekeeping staff for the residents, resulting in resident’s rooms being left dirty. LPA conducted visits at facility on 5/29/2024 & 5/30/2024 inspecting 5 resident rooms on the 3rd floor and 4 resident rooms on the 2nd floor. LPA’s observations revealed all bedrooms inspected were clean on both days. Documents obtained revealed only 1 housekeeper. Interviews conducted with 4 staff and a hospice employee revealed although all housekeepers left the week of 5/20/2024 other then one who is in charge of the laundry, caregivers are helping with housekeeping manager to clean the facility while new staff are being hired. Although it was alleged staff do not ensure residents rothe state’s words, verbatim · CDSS document, Jun 5, 2024 · control 21-AS-20240520093428

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff does not ensure residents allowed to leave their rooms at the facility Licensee does not ensure that staff are able to communicate with residents in care Staff do not ensure care needs are being met for residents

Licensing Program Analyst (LPA) Hansen arrived unannounced to deliver findings regarding the above complaint allegations and met with Administrator, Kari Oxford. Staff does not ensure residents allowed to leave their rooms at the facility – Complaint alleges facility locks all of the residents in their rooms. Per Interview with staff (S1), residents’ doors are locked as a safety precaution due to memory issues, so that other residents don’t come into other resident’s room and take things or think it is their room. S1 also indicated residents are only locked on the outside, but if residents are inside of a locked door they can get out. On 12/28/2023 while touring third floor of facility, LPA found an unlocked room, locked the door prior to closing on the inside handle, tested the outside handle that did not move and shut the door. LPA was able to open the locked door from the inside by pushing the handle down. Follow up call with reporting party informed they do not have additional evidthe state’s words, verbatim · CDSS document, Jan 11, 2024 · control 21-AS-20231226140340

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.