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Inspection visit

Follow-up on corrections

SAGEBROOK SENIOR LIVING AT SAN FRANCISCOLicense 3856004231 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 7/27/2021, the facility reported that a caregiver had been removed from the facility after it was found to have engaged in an inappropriate contact with a resident. The Department made a case management visit regarding the incident on 7/28/2021 and initiated an investigation. On 11/3/2021, Licensing Program Analyst (LPA) Murial Han conducted a follow-up to deliver the findings of the investigation. The Department determined that on 7/26/2021, a staff member (S1) indicated to another staff (S2) intentions to give a resident (R1) a shower. After a few minutes, S2 went to assists S1 and found S1 with pants down and in underwear within the bathroom and in the presence of R1. S1 denied a sexual encounter but acknowledged an emotional relationship with R1; therefore, the S1 was removed from the facility immediately. During the investigation, the Department collected documentation and conducted interviews. S1 denies engaging in sexual contact with R1 but acknowledges a relationship with the resident. R1 is unable to communicate and unable to acknowledge any relationship, and given R1’s health condition, unable to consent. No other staff acknowledged awareness of S1’s claimed relationship with R1. Based on interviews conducted, there is preponderance evidence to show that S1 engaged in inimical behavior and engaged in inappropriate contact with a resident in care. Therefore, facility staff violated the resident’s personal rights. Appeal rights and penalty assessments have been explained to Facility Representative, and the following Type A deficiency is cited based on Title 22, Division 6 of California Code of Regulations.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.58(a)(2)Type A

    §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.

  • 87217(b(Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the November 3, 2021 inspection of SAGEBROOK SENIOR LIVING AT SAN FRANCISCO?

This was an other inspection of SAGEBROOK SENIOR LIVING AT SAN FRANCISCO on November 3, 2021. 1 citation were issued: 1 Type A (serious).

Were any citations issued to SAGEBROOK SENIOR LIVING AT SAN FRANCISCO on November 3, 2021?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "§1569.58 Persons prohibited from being a licensee,..(a) The department may prohibit any person from being a licensee,......"

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.