Senior Care Records.

Facility Evaluation Report

Stephanie Draper House, San Rafael10/06/2021Licence 216800098

Capacity8
Census8
Date signed10/06/2021 01:26:59 PM
The inspector’s account

Licensing Program Analyst (LPA), Farhaan Sarangi arrived at Stephanie Draper House Unannounced for the purpose of conducting a Required-1 year inspection. LPA was greeted at the door by Administrator, John Coleman and was granted access into the facility. Upon entry, LPA observed a blue Building Permit issued by the County of Marin that was not reported to Licensing regarding an alteration to the building (See LIC 809D).

LPA toured the facility with Administrator, John Coleman. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on July 2020 at the time of the visit (See LIC 9102) . Smoke detectors and fire sprinklers are hard wired, and annual inspection records will be submitted to the Department. LPA observed 3 Carbon monoxide detectors were found to be operational during the visit. However, one Carbon monoxide detector was missing in the living room (See LIC 809D) . There are emergency lights in many of the fixtures in the common areas of the facility that come on should a power outage occurs. Hot water temperature measured between within Title 22 acceptable regulation while touring facility. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the facility kitchen under the sink. Dangerous items such as knives were stored, but accessible to clients (See LIC 809D) . There was a supply of cleaners, hygiene products and paper products available for clients. The bathroom designated for clients at the facility were supplied with individual paper towels; hand soap dispenser was available. All client’s bedrooms have lighting & appropriate furnishings, and facility is aware that mattress pads need to be available for clients as required by Title 22 Regulations # 85088(c)(4). (Report continued on LIC 809C)

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