380540292-6-11-2021-14-AS-KHOS-C48KG5-20210622075258

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380540292
Report Date: 06/11/2021
Date Signed: 06/11/2021 10:58:34 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2021 and conducted by Evaluator Murial Han

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20210520124418

FACILITY NAME:	SAN FRANCISCO TOWERS		FACILITY NUMBER:	380540292
ADMINISTRATOR:	CHRISTINA SPENCE		FACILITY TYPE:	741
ADDRESS:	1661 PINE STREET		TELEPHONE:	(415) 776-0500
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94109
CAPACITY:	350	CENSUS: 298	DATE:	06/11/2021
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Executive Director, Christina Spence		TIME COMPLETED:	11:10 AM

ALLEGATION(S):

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Facility is not having residents re-appraised

INVESTIGATION FINDINGS:

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On 6/11/2021, Licensing Program Analyst (LPA) Han conducted an unannounced complaint inspection to deliver the findings. LPA met with the Executive Director and explained the purpose of the visit.

Regarding to facility not having residents re-appraised, the complainant stated that there were many residents failing and not properly assessed after a change of condition or readmission from hospital. The complainant failed to provide any specifics and no additional information has been forthcoming. LPA reviewed records and found documentation of Resident Functional Evaluation completed by the Registered Nurse after a return from the hospital.

Based on records review, we have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

This report was discussed and reviewed with the Executive Director and a copy was provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Murial Han	TELEPHONE: (619) 209-9761
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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