380540292-12-10-2024-14-AS-AMEN-DCGMYS-20241231090159

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380540292
Report Date: 12/10/2024
Date Signed: 12/10/2024 03:35:33 PM

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
11/22/2024 and conducted by Evaluator Dominic Tobola

COMPLAINT CONTROL NUMBER: 14-AS-20241122165817

FACILITY NAME:	SAN FRANCISCO TOWERS		FACILITY NUMBER:	380540292
ADMINISTRATOR:	MARK NITSCHE		FACILITY TYPE:	741
ADDRESS:	1661 PINE STREET		TELEPHONE:	(415) 776-0500
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94109
CAPACITY:	350	CENSUS:	DATE:	12/10/2024
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Ryan Banner, Healthcare Director		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility did not provide resident records upon legal request

INVESTIGATION FINDINGS:

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On 12/10/2024, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Ryan Banner, Healthcare Administrator. LPA Interviewed staff, outside parties and reviewed records during the course of the investigation.

Complaint alleges, Facility did not provide resident records upon legal request. Based upon interviews and information provided by Executive Director (S1) and Healthcare Administrator (S2), LPA found that the facility received notification from legal attorney’s office representing former resident, (R1). The letter request was dated 9/27/2024 and received by the facility on 9/30/2024. Based upon review of facility records, LPA found that S2 had been in contact with the attorney’s office and provided all requested documents regarding R1 beginning 10/2/2024 with a final date of all records provided by 10/8/2024. The facility had complied with the legal record request and provided R1’s records within a timely manner.

This agency has investigated the complaint allegation listed above. We have found that the complaint allegation was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. No deficiencies cited.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Andrea Medlin	TELEPHONE: (650) 266-8811
LICENSING EVALUATOR NAME: Dominic Tobola	TELEPHONE: (650) 393-9128
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024

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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