Follow-up·October 8, 2025

On October 8, 2025, the Licensing Program Analyst (LPA) conducted an unannounced case management visit to follow up on the facility’s information update request and fire clearance status. Upon arrival, the LPA was greeted by caregiver Ruth Yap(S1). Licensee, Prosperidad Gonzales(S2), was not present at the facility at the time of the visit. The LPA contacted Licensee S2 by phone, explained the purpose of the visit, and received permission for caregiver S1 to sign the necessary documents on behalf of the licensee. The facility submitted an application to the Community Care Licensing (CCL) on August 29, 2025, requesting removal of one of the two licensees listed on the license. The facility reported that the licensee being removed had passed away. The LPA requested a copy of the licensee’s death certificate. The facility provided telephone numbers for further contact: 415-242-0848 (facility) and 415-971-0148 (licensee). The LPA also followed up on the fire clearance dated August 28, 2025, where the fire department denied the facility’s request to allow bedridden Resident R1 to remain in care in the future. Licensee S2 reported that Resident R1 recently passed away and that she is in the process of filing the death report. Licensee S2 stated that she will submit both the death certificate for the deceased licensee and the death report for Resident R1 to CCL. The report was reviewed with caregiver S1, and copies were provided.