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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380540292
Report Date: 09/02/2025
Date Signed: 09/02/2025 10:52:30 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 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
08/25/2025 and conducted by Evaluator Grace Donato
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20250825160508
FACILITY NAME:SAN FRANCISCO TOWERSFACILITY NUMBER:
380540292
ADMINISTRATOR:MARK NITSCHEFACILITY TYPE:
741
ADDRESS:1661 PINE STREETTELEPHONE:
(415) 776-0500
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY:350CENSUS: 319DATE:
09/02/2025
UNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Lucy AscalonTIME COMPLETED:
11:05 AM
ALLEGATION(S):
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Licensee is not appropriately addressing change in resident's condition
INVESTIGATION FINDINGS:
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On 9/2/2025, LPA Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director Mark Nitsche, Director of Resident Health Services (DRHS), Lucy Ascalon, Health Care Administrator (HCA) Akendel Omoli and LPA explained the purpose of the visit.

For the allegation of Licensee is not appropriately addressing change in resident's condition, Reporting party (RP) stated that the resident (R1) was observed to have a decline in condition over the past 9 months, both physical and cognitive. RP noted two significant events: when R1 was admitted to the hospital with an infection (on or about November 6, 2024) and when R1 had a fall in his/her room (on or about January 6, 2025). RP expressed concern that the resident, who is currently in independent living, may need to move to assisted living.

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Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025
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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Control Number 14-AS-20250825160508
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SAN FRANCISCO TOWERS
FACILITY NUMBER: 380540292
VISIT DATE: 09/02/2025
NARRATIVE
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During today's investigation it was discovered that RP resides in independent living (IL). According to the interview with the administrator (ADM), DRHS and HCA, R1 is highly capable to make his/her own decisions. It was never mentioned by R1 that he/she wants to move to assisted living. DRHS also mentioned that facility has addressed the infection since there is an in-house nurse 24/7 and the primary care doctor has a regular visit to the resident.

Based on observation, while LPA was interviewing R1, it was observed that he/she is able to answer basic questions and doesn't look confused or disoriented.

Based on records review, R1s recent physician's report states that R1 is able to communicate his/her needs, R1 is not confused/disoriented. Power of Attorney is able to get copy of health assessments and progress notes from the doctor.

Based on interviews & records review, the department has determined that that the allegations were false, could not have happened and/or is without a reasonable basis, therefore the allegations are UNFOUNDED.

Report is reviewed and copy is provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025
LIC9099 (FAS) - (06/04)
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