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Facility Information

Facility ID: 010000646

Register Complaint

Genevie Dream Home, Inc.

Other previous Names(s) known as:

  • Buena Vista House

17355 Buena Vista Ave
Sonoma, Ca   95476

County:Sonoma

Phone:(707) 935-9411

Fax:(650) 873-6924

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

Santa Rosa/Redwood Coast District Office
2170 Northpoint Parkway
Santa Rosa, CA. 95407
Phone Number: (707) 576-6775

License Information

Licensee: Genevie Dream Home,Inc.
17355 Buena Vista Avenue
Sonoma, Ca 95476

Licensee Type: Profit Corp

License Number: 010000254

License Status: Active

License Category: Intermediate Care Facility/Developmentally Disabled - Habilitative

License Effective Date: 11/26/2013

Expiration Date: 11/25/2014

Total License Capacity: 6

Bed Classification/Services:

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:ICF/IID

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date:7/5/2012

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

View Statement of Deficiencies With Plan of Correction

Year: 2014

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

2State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2013

0ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2012

1ComplaintsComplaints

3Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

6Survey DeficienciesSurvey Deficiencies

Year: 2011

0ComplaintsComplaints

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

4Survey DeficienciesSurvey Deficiencies

Year: 2010

1ComplaintsComplaints

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

11Survey DeficienciesSurvey Deficiencies

Year: 2009

0ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

11Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

9Survey DeficienciesSurvey Deficiencies

Year: 2006

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

19Survey DeficienciesSurvey Deficiencies

Year: 2005

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

14Survey DeficienciesSurvey Deficiencies

Year: 2004

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

20Survey DeficienciesSurvey Deficiencies

Administration Information

1/25/2002
to Present

Genevie Dream Home,Inc.
Relationship to Facility: Licensee

6/1/2013
to Present

Ramirez, Genevie D
Relationship to Facility: Administrator

6/1/2013
to Present

Seraphin, Kristen
Relationship to Facility: Administrator

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

8/14/2008
to Present

Rey And Grace, Ramirez
Relationship to Facility: Property Owner
Percentage of Ownership: 100

Operating Entities

None found