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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380540292
Report Date: 05/05/2022
Date Signed: 05/05/2022 02:29:52 PM


Document Has Been Signed on 05/05/2022 02:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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



FACILITY NAME:SAN FRANCISCO TOWERSFACILITY NUMBER:
380540292
ADMINISTRATOR:CHRISTINA SPENCEFACILITY TYPE:
741
ADDRESS:1661 PINE STREETTELEPHONE:
(415) 776-0500
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY:350CENSUS: 306DATE:
05/05/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Health Services Administrator, Ryan BannerTIME COMPLETED:
12:15 PM
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On 5/5/22, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was properly screened by the security officers at the entrance.. LPA was greeted by health services administrator, Ryan Banner and LPA explained the purpose of today's visit.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident and staff daily monitoring records, containment strategies.

During the tour that was provided by health services administrator and director of assisted living, LPA observed COVID-19 signs posted throughout the facility including the elevators, hand washing instructions are posted by the bathroom and kitchen sinks, foot operated trash cans placed in multiple locations, hand sanitizer devices installed outside of each resident's room in the assisted living unit, and residents are wearing face covering in the dining room during activity, PPE supply and the environmental cleaning supply are adequate, bathrooms are equipped with liquid soap and paper towels.

In addition, the facility has designated specific bathrooms and outdoor terrace for staff to utilize while caring for positive COVID-19 residents.

Medications, toxins and sharps are stored appropriately and inaccessible to resident, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kit is inspected and complete.

No deficiency cited today. This report is reviewed and discussed with health services administrator, Ryan Banner and administrator, Christina Spence. A copy is provided.
SUPERVISOR'S NAME: Julio MontesTELEPHONE: (650) 266-8811
LICENSING EVALUATOR NAME: Murial HanTELEPHONE: (619) 209-9761
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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