Senior Care Records.

Complaint Investigation Report

D Street Residential Support Services, San Rafael01/30/2026Licence 210109691

Census9
Date signed01/30/2026 12:41:51 PM
The inspector’s account

Interviews conducted with Assistant Program Director and Team Leader revealed that Staff Member 1 (S1) received disciplinary action regarding their professionalism and inappropriate communication with clients.

Review of facility documents showed that S1 received a correction action form on 01/15/2025.

Based on interviews conducted and record review, this allegation is Substantiated . A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted. Copy of report, Plan of Corrections, and Appeal Rights, discussed and provided to Staff Member. Signature on form confirms receipt of documents.

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