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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 496803820
Report Date: 11/30/2023
Date Signed: 11/30/2023 04:22:18 PM

Document Has Been Signed on 11/30/2023 04:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:ENSO VILLAGE, A KENDAL AFFILIATEFACILITY NUMBER:
496803820
ADMINISTRATOR:JORDAN, ROSEMARYFACILITY TYPE:
741
ADDRESS:1801 BOXHEART DRIVETELEPHONE:
(925) 366-3414
CITY:HEALDSBURGSTATE: CAZIP CODE:
95448
CAPACITY: 98CENSUS: 50DATE:
11/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Administrator, Rosemary JordanTIME COMPLETED:
05:30 PM
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Licensing Program Analyst Bertozzi arrived unannounced to conduct a Case Management inspection and met with Administrator, Rosemary Jordan.

Facility has requested a change of capacity to add additional apartments as part of their second phase. All apartments are designated for residents who are independent. The facility does not plan to add apartments for residents in assisted living and memory care until their third phase.

LPA initiated a tour of the remaining building identified in Phase 2 around 3:30pm and observed the following: "The Meadows" is a building separate from the main building that has 20 independent resident apartments that has not yet been approved by the local fire district. Based on tour, "The Meadows" meets the requirements of licensing but will need final approval by the fire district before residents may move in. LPA observed a temporary railing at the exterior sidewalk. Per conversation with facility representatives, the railing will be installed by the end of this week. Once railings are installed, Administrator agrees to submit a picture of railing to LPA.

LPA and Administrator discussed maintaining safety while area is still under partial construction. Additionally, Administrator will provide a written plan indicating how potential areas of risk including but not limited to fountains, bioswales, heaters and compacter will remain safe for residents in care.

Once LPA has received pictures of the permanently installed railings and an approved fire inspection report, facility will be approved for an increase in capacity to include "The Meadows".
SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Victoria Bertozzi
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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