San Francisco Department of Public Health - Environmental Health SeN n

1390 MarketStreet, Suite 210

--"w,, San Francisco, CA 94102
HOTEL/SHELTER INSPECTION REPORT
www.sfdph.0 d h/eh Hotel Hotline: (415) 252-3800
Facll Address ^t LocationID Ins onDate 5
DBA Phone Number Re^ns ectlonDate
Owner's Name Corn taint ID
Lessee Name Phone Number Ins ctor Number

District Number 6o0 NOofFloore:

Routine Inspection Consultation D Insnaction
Rating
Violation Category Inspection After
(mark each that applies)
Re-inspection D
Abatement Confarence
D NOofRooms:QO^ Good D
Inspection After Ucense
Complaint Inspection Fair d
Directore Hearing
Posted Not
Order to Vacate Posted Poor d
Rodents Complaint Re-inspection D D
Cockroaches Inspection
Valid Not Valid
Cats/ s
Other 5 ao - ^ base. /oe- /"OtTTn
F&cry>i In «i Ct^. ^V /nov ^^QAO
6
7
Gaiba-ii -afuse
Human/Animal Waste ^^u^
8 Sewa e/Plumbi Leak
9 MedicalWaste Ttt- %nrf.
10 Insanita Walls
11 Insanita . Floors ^ C?3| (^ ^ l^aQt^-^ S3 0^ 63
12 Insanita Bathroom/Toilet
13 Odore <^>^0 ^ ^>) 0 0 A/ ^ (^ /
-^^^K Q d?^S c?]c t4 6^1 6.3 /
fO^L ^ <^ <b/^ 0^ |^(?K
(S 6)C C? (^ 0 <5^ 0 cf|^ o ^
foo o^ fooQ? <L fco^ 0~^
18 Insanita Hall
18
20
Peelin Paint 0 o me
tnsanita . Common KHchen
21 Laund . Room ^/T>O^|
22 LiaMwells
[^o ^-iU S^U^ - w.
G^h^ %u^-C4A<^o OK
-- OK. crr\ \}^. .
H- - . t'J^ '~' Sf-W
t^>0 &^ (Q ^ ^/r^s^} .
Accumulation
Inadequate Garbage LI A-^ ^ 4 S ^-^ »^ ^
Containers
28 Inadeauate Garba Q. tj-S. ^^L. C^SLO^n < ^nfc^C
r
Time In: Time Out: Total Time:

O^Af^ ' HS>

Received
Prtn. ln.p^rN^n. g ^^ gg^
Phone Number

-^
 LOCID58319-34 6THSTSENECAHOTELANNUALROUTINE INSPECTION OF2015

5/7/2015- Annual baseline routine inspectionof all rooms and common areas.

6TH FLOOR

Rms. 631 ok, 632 vacant & ok, 633 ok, 629 ok, 620 ok, 621 ok, 627 n/a (no key), 623 ok, 622 ok, 626 ok,
625 ok, 624 ok, 634 ok, 610 ok, 618 ok, 611 ok, 614ok, 612 ok, 615 ok, 616 ok, 608 ok, 604ok, 603 n/a,
(no key), 607ok, 606ok, 602ok, 605ok, 601ok.

Bathtub/Toilet-men

Two Toilet stalls - Clean. Ok. Flushable.

Bathtub/Toilet- Ladies- Ok.

Showeronly-ok. No mold on walls.

Hallways- Litterfree. Thisfloor still hascarpet in the Hallwayareas.

Lightingis adequate& signagesare in place.

Exits are clear & unblocked.

5THFLOOR- Linoleum Hallways

Rm504n/a, 508ok,502ok, 505ok, 503ok, 511ok,518ok,517ok,512ok, 516ok, 515ok,514ok,535

ok, 534ok,519ok, 529ok,520ok, 528ok,521(refused), 527ok,522ok, 523ok,526ok, 525ok, 532ok,
531 ok, 530 vacant & ok.

Hallways- No issues. Lighting is adequate.

Shower-ok-No mold on walls.

Bathtub/Toilet- Flushable. Ok.

Two Toilet Stalls - Clean. Ok.

Bathtub/Toilet - Ladies - Ok.

4T FLOOR- Carpeted Hallways

Rms430vacant & ok- turnover work in progress, 431vacant & ok, 432 ok, 429 ok,420 ok, 428ok,421
ok,422ok,426ok,425 ok,424ok,419ok,434vacant& ok,410ok,417ok, 415ok,409ok,404ok,403
ok, 408 ok, 407 ok, 402 ok, 405 ok, 401 ok.
 San Francisco Department of Public Health - Environmental Health Section
District Number: cport General Info. # 252-3800
Address:/ ^5^f^ AT[AT&^^ @0-s/0InspectorNumber:. TelephoneNumbericl£^2f<y^
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Buainess Nami f boat "jmbtr Re-Inspertlon Date
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Owner Name Program Element Health ProgramID

LtsieeNanw- Ltsiee Phone Number Complaint Number

FacUity: D Add to Inventory Q Remove from Inventory a UpdateProgram

Violations Service Cude Action Code RualttCode Namberof uwn
(Markeachone thatapplies)
Structural Oneratlonal 301 Routine Initial Insp. 01 aose Until Abated 01 Good NumberofKoom*
302 Rc-Inapection 02 To Be Rc-Inspected 02 Fair
LobBy 303 ComplaintInspection 03 No Violation 03 Poor <so
6103 Staircases 6104 304 Complaint Re-Ins ectfon 04 Abated Llcenae Permit
6105 Hallways 6106 305 Construction M Citation Issued Ported Not Posted Ported
<l07 Lightwcll 6108 306 Consultation
6109 Alleyways 6110 402 Survey Valid Nut Valid NotPoatod
6111 Roof <S112 The Foltowing Items Kepresent Corrected
6113 Basement ByTheIndicatedDate*:

diet ^S ]^"-f^\nWi& r t^^

6203 Bath/ShowerRoom 6204
(205 Uvatoiy 6206 y ^^ ^ l^oMh -H^r^ ^ ^
6M7 CommunityKitchen (208
6209 Storage Facility 6210 r^y^f ^ ^rx/^o*^ ^<Te<<K?,
6211 Janitorial Facility 6212
6213 LaundryFacility 6214 ^ ^7<^ <bA/7^
<215 Gaibaec StoraBC 6216
^>^^2.
6301 General Condition 6302
6303 Bed/FrameProvided 6304 s ^ ?o^<?r, &0^ <5K/ ^/ 0 ^
(305 LinenProvided 6306
6307 Window Coverings 6308 0 ^-, <Q^S'ff^ foO ^(b^st <of0^'
6309 WmdowWentilation 6310
fO-i/ <^C5^^ f^- <^oe^ .
6402
M03 Insects 5?- [( ^- fcf^ <^., &/& ^<2^^ ^,
6405 OtherAninials 6406
3^<J^/ g <57^ ^g'dTc ^
6502
6S04 £3fe^ F^-Tfe-lt^ 8^0^ ^<S?'3 ^Ly
^^ ^ ^>=^S'OK &32 ^ 6 /^
6603 Fire 6604 6*t'<- f^^sfEh/ 4 " - CW-s^r ^ i'Q^Sd.
6WS Plumbing 6(06
66W Electrical 6608 . /\j(z> fSftco '
-<y^-. /\jo *o^-f '

Ai T- c

Time In:^:<s^ -HmtOut:

s'(. Total Tim«:

^ S&«i. (^kT
bispector R iv By
AdditionalHealth CodeViolationsand Correctiy^ActionsDescribedon Attached Page(s)
Page / of IIQ JebOTS
 LOCID58319-34 G'" STSENECA HOTELANNUAL BASELINE ROUTINE INSPECTION MARCH 5 2014

3/5/204 - Annual baseline routine inspection, vector control & Healthy Housing inspection ofall rooms
& common areas.

INSPECTIONDATA(FLOORS= 7, ROOMS= 204)

6TH FLOOR

Rms#604ok, 603 ok, 608ok, 607 ok, 602 ok, 601 ok, 605ok, 609vacant & ok, 610ok, 618(ok - very
organized), 617clean & organized ok, 611ok, 612 ok, 616vacant & ok, 615ok, 635 ok, 634ok, 628ok,
627ok(Hasbeeninthe unitfor 20years),623ok, 626ok,624ok, 625ok,632ok, 631ok, 630ok,
Exit Window & Signages - Clear & posted.

Shower only - Clean. No issues.

Garbage Room - Ok. No pests.

Bathtub/Toilet - Flushable.Clean.

Two Toilet Stalls - Flushable.

Bathtub & Toilet only#2 - Ok.

5TH FLOOR

Rms#530ok, 531ok, 532 ok, 533 ok, 528ok, 521ok, 520ok, 529 ok, 522 ok, 524ok, 525 ok, 526ok, 519
ok, 534ok, 535ok, 517 ok, 512ok, 516 Nice.Ok, 515ok - Nice& organized,S14ok, 518Vacant -
Cleaned & rehabilitated, 503 ok, (Nicely organized), 508ok, 504ok, 507ok, 506ok, 501ok, 502 ok, 505
ok.

Hallways- Tile & clean (LinoleumTileson this Floor)

Bathtub/Toilet - Flushable. Ok.

2 Toilet stalls - Clean & Flushable.

Trash Room by Room #510- ok.

Shower Room - Clean. No mold.