Senior Care Records.

Facility Evaluation Report

D Street Residential Support Services, San Rafael09/23/2021Licence 210109691

Capacity10
Census9
Date signed09/23/2021 10:24:39 AM
The inspector’s account

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at D Street Residential Support Services for the purpose of inspecting the renovated bathroom tub. LPA met with Counselor, Anders Helmersson and was granted access into the home.

On June 28, 2021, Administrator notified Community Care Licensing Division that a bathroom will be under renovation. The extent of the renovation was a replacement of the bathroom tub. LPA inspected the bathroom tub and observed no concerns at this time. LPA observed no visible leaks when the shower was turned on at the time of the inspection. LPA checked water temperature and found it to be at an appropriate temperature between 105-120 degrees. In addition, LPA inspected the bathroom for any hazardous items. LPA found no hazardous items present in the bathroom. LPA observed the bathroom to be clean and sanitary at the time of the inspection and ready for use.

No deficiencies were observed or cited during today's Case Management-Other inspection. Exit interview was conducted and a copy of this report will be emailed to the Facility Administrator, Stefen Hainbuch and Counselor, Anders Helmersson.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction