HAVEN RESIDENCE OF SAN RAFAEL

70 MERIAM DR, San Rafael CA 94903

Facility 216804230 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jun 26, 2026Licensed

Additional info
Licensee
HAVEN HOUSE LLC
Administrator
MEINES, HENRI VAN
Contact
MEINES, HENRI VAN
License first date
Jun 17, 2024
License effective date
Jun 17, 2024
District office
SANTA ROSA RO · (707) 588-5026
Regional office
21
Clients served
935 - ELDERLY

Summary

The available records show 3 Type B deficiencies for this facility.

Most recent inspection
Jun 26, 2026
Most recent deficiency
Jun 26, 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 5 reports for this facility: 2 inspections, 1 complaint investigation, and 2 licensing or administrative records.

Those records contain 0 Type A and 3 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
3

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
3

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.

Complaint

Allegations0 substantiated · 0 unsubstantiated · 1 unfounded

No deficiencies recorded in this report
Inspection
Food serviceType B
Official classification
Type B
Official code
87555(a)
Regulation authority
CCR

What the official deficiency says

(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents an shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Deficient Practice Statement Based on observations made, Licensee did not comply with the section cited above. It was observed that faciity had multiple instances of expired or moldy food items, including chips, bread, canned goods, and drinks. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/06/2026 Plan of Correction Licensee to submit a written plan on how they will ensure that facility food is stored in a safe and healthful manner. Licensee to also conduct training with facility staff. Written Plan and proof of staff training to be submitted to Community Care Licensing by POC due date of 07/06/2026.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Medication handling and storageType B
Official classification
Type B
Official code
87465(h)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and observations made, Licensee did not comply with the section cited above. 3 of 6 residents did not have their medication centrally stored and logged as required. This poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 05/27/2025 Plan of Correction Licensee to submit training on proper medication record keeping.Training to include the following: Date, Training Topic, Name/Job Role, and Staff Signatures. Training to be submitted to CCL by POC due date of 05/27/2025.

Plan of correction recorded
Correction not verified in available records
View official report
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. All sinks in facility were above 120F which poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

POC Due Date: 05/28/2025 Plan of Correction Licensee to submit a 10 day water temperature log. Log to be started on 05/18/2025 and include date, location of sink, water temperature, and time of temperature check. Log to be submitted to CCL by POC due date of 05/28/2025.

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