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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380540292
Report Date: 01/22/2025
Date Signed: 01/22/2025 12:57:05 PM

Unsubstantiated


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
10/29/2024 and conducted by Evaluator Dominic Tobola
COMPLAINT CONTROL NUMBER: 14-AS-20241029151555
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: DATE:
01/22/2025
UNANNOUNCEDTIME BEGAN:
11:14 AM
MET WITH:Mark Nitsche, Executive DirectorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff interfered with residents visits
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/22/2025, Licensing Program Analyst (LPA), Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Executive Director, Mark Nitsche. LPA toured the facility, interviewed staff, resident, outside parties and reviewed resident records and made observations during the course of the investigation.

Complaint alleges facility staff interfered with resident (R1) visit with individual (I1). LPA conducted interviews with several individuals including staff (S1, S2, S3, S4, S5, S6) and outside individuals (I2 & I3) who confirmed that it was either directly observed or reported that a visiting individual (I1) was in fact granted access into the facility for visitation but had been observed or reported to be in a disruptive manner. Based upon review of facility visitation protocols, the facility is allowed to exercise their ability to limit or restrict visitations to protect residents including denying access to visitors who are inebriated or disruptive for the safety of residents in care.

In addition, LPA conducted interview with resident (R1) and was provided conflicting statements towards the allegation. R1 did not report any concerns of the facility disrupting or interfering with visitation or telephone calls. Due to a lack of corroborating evidence and contradicting information gathered, the allegation is found to be unsubstantiated.

A finding that the complaint allegation, staff interfered with residents visits is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. No
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Andrea Medlin
LICENSING EVALUATOR NAME: Dominic Tobola
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
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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