A&A HAVEN HOME

73 GOLDEN HINDE BLVD., San Rafael CA 94903

Facility 216804225 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Aug 14, 2026Licensed

Additional info
Licensee
A&A HAVEN HOME LLC
Administrator
ELLAZAR, STEPHANIE
Contact
ELLAZAR, STEPHANIE
License first date
Aug 2, 2024
License effective date
Aug 2, 2024
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 2 Type B deficiencies for this facility.

Most recent inspection
Aug 14, 2026
Most recent deficiency
Aug 14, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 26 Marin County facilities licensed for 6 or fewer beds, except where too few exist to state one — those come from facilities with 7 or more beds.

In the available public five-year record, CCLD published 4 reports for this facility: 2 inspections, 0 complaint investigations, and 2 licensing or administrative records.

Those records contain 0 Type A and 2 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
2

Fewer than the typical 12

1 in the last 12 months

Recorded deficiencies
2

Fewer than the typical 10

1 in the last 12 months

Type A deficiencies
0

Fewer than the typical 6

0 in the last 12 months

Type B deficiencies
2

Fewer than the typical 7

1 in the last 12 months

Substantiated complaints
0

Fewer than the typical 1

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(5)(B)
Regulation authority
CCR

What the official deficiency says

(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations made, Licensee did not comply with the section cited above. 2 of 6 residents were observed to have full bed rails during visit. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/24/2026 Plan of Correction Licensee to submit proof of half bed rail orders for Resident 1 (R1) and Resident 6 (R6) to Community Care Licensing (CCL) by POC due date of 08/24/2026.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(e)(2)
Regulation authority
CCR

What the official deficiency says

87303 Maintenance and Operation: (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observations made, Licensee did not comply with the section cited above. 1 out of 3 facility sinks was measured at 125.2F. Sink was observed to be located in a resident's room. This which poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 07/14/2025 Plan of Correction Licensee to submit a 10 day water temperature log. Log to be started on 07/03/2025 and end on 07/13/2025. Log to include date, location of sink, water temperature, and time of temperature check and submitted to CCL by POC due date of 07/14/2025.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology