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Inspection visit

Incident investigation

SAGEBROOK SENIOR LIVING AT SAN FRANCISCOLicense 385600423
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 4/10/2025, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of following up on a facility reported incident involving resident (R1). Incident indicates R1 leaving the facility unassisted. LPA interviewed staff and reviewed resident records. R1 was newly admitted to the facility and was in the process of transitioning to supervised care. R1 had left the facility through a kitchen exit not operated by caregivers. R1 was safely located and returned to the facility with no injuries or change of condition. Executive Director had implemented in-service training, updated signeage on exits/elevators and held multiple care conferences with R1 and R1's responsible party for updated care. R1 has since relocated and residing elsewhere. LPA found that the facility responded appropriately to the incident to ensure prevention and discussed further implementation of staff supervision with Executive Director. Technical violation issued during today's visit.

Citations

1 citation 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.

  • 87464(f)(1)Type A

    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.

FAQ · About this visit

Common questions about this visit

What happened during the April 10, 2025 inspection of SAGEBROOK SENIOR LIVING AT SAN FRANCISCO?

This was an other inspection of SAGEBROOK SENIOR LIVING AT SAN FRANCISCO on April 10, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to SAGEBROOK SENIOR LIVING AT SAN FRANCISCO on April 10, 2025?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.