Sagebrook Senior Living at San Francisco

874111(a) Personnel Requirements-General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement was not met as evidenced by: Based on record review, the Licensee did not ensure R1's safety (who is not allowed to leave the facility unassisted according to the LIC 602)

Based on interview and record review, the licensee did not ensure they had documentation on file of one staff member who has CPR and first aid training on duty and on the premises at all times, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not ensure that resident and personnel files were accessible and could be reviewed by the LPA for 2 hours, which poses/posed a potential health, safety or personal rights risk to persons in care.

Care and supervision as defined by statute and rules

87464(f)(1) Basic Services(f)- Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This was not met as evidence by**:Based upon facility incident report, interviews with staff and a review of facility incident reports, resident records and interviews with staff the facility failed to ensure staff had provided necessary services of care and supervision to meet resident R1's resutling in injury to R1.

Based on observation, the licensee did not comply with the section cited above in 1 oxygen use signage not posted on resident shared bedroom which poses/posed a potential health, safety or personal rights risk to persons in care.

Care and supervision as defined by statute and rules

87464(f)(1) Basic Services(f)- Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). This was not met as evidence by**: Based upon facility incident report, interviews with staff and a review of resident records, it was found that R1 had AWOL from the facility without staff supervision. This serves a potential health & safety risk to resident in care.

Submit and maintain current mailing address

Based on records review, licensee failed to obtain a criminal record clearance for S1 which poses an immediate health and safety risk to clients in care. It is confirmed that S1 does not have a criminal record clearance on this day 1/11/2024.

Obtain required California clearance or exemption

Based on records review, licensee failed to request a transfer of criminal record clearance for S1 and S2 which poses an immediate health and safety risk to clients in care. It is confirmed that S1 and S2 are not associated to the facility on this day 1/11/2024.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation...(a) The facility shall be clean, safe, sanitary and in good repair at all times.This requirement is not met as evidenced by R1's bathroom window is very hard to open and close which poses a potential health risk to resident in care.

87307 Personal Accommodations and Services..(d) The following space and safety provisions shall apply to all facilities:..(3) All persons shall be protected against hazards within the facility... The requirement is not met as evidence by facility provided a space heater for R1 to replace the heater as the heater was malfunctioned and the space heater was observed next to resident's bed which posed an immediate health risk to resident in care.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation...(a) The facility shall be clean, safe, sanitary and in good repair at all times.This requirement is not met as evidenced by R1's window has been broken since 2021 and the heater radiator has been broken for many months which posed a potential risk for resident in care.

SAFEGUARDS FOR RESIDENT CASH, PERSONAL PROPERTY AND...(b) Every facility shall take appropriate measures to safeguard residents'..personal property and valuables which have been entrusted to the licensee or facility staff..... This requirement is not met as evidenced by the facility proceeded to put a dry clean duvet in a regular washer which posed potential health and safety risks to resident in care.

§1569.58 Persons prohibited from being a licensee,..(a) The department may prohibit any person from being a licensee,...or continuing the employment of, or allowing in a licensed facility, or allowing contact with clients of a licensed facility by, any employee, prospective employee, or person who is not a client and who has done any of the following:(2) Engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility, or the people of the State of California.