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Inspection visit

Complaint

AEGIS LIVING SAN FRANCISCOLicense 4156011012 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

LPA also reviewed incident reports submitted to Licensing and it was found out that this incident was also not reported upon knowledge of the incident. Based on interviews, the above allegations are determined to be SUBSTANTIATED. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Copy of Report and Appeals Rights are provided. Page 2 of 2 LPA interviewed S1 and it was mentioned that R1 was having a zoom call with the family members during this time. S1 was passing by the R1s rooms and saw that R1 was on the floor. S1 then proceeded to assist R1 back on the wheelchair and when asked didn’t mention any discomfort or pain. The wheelchair was locked when S1 was assisting R1. Based on records review, part of a police report that R1 stated that he/she was having a zoom meeting with family members, tried to get up from the wheelchair, loss balance and fell. R1 also mentioned being ok and that he/she is happy and pleased with the staff. Regarding the allegation that staff did not respond to requests for communication regarding resident in a timely manner and the facility’s phone system is in disrepair, RP stated that RP tried calling facility on Friday, Saturday & Sunday. Sometimes they picked up the phone but was never able to get a hold of staff and was unable to leave a message as the phone tree system was not working. LPA interviewed S2 & S3 and both mentioned that when the phone line is not answered, the family members or responsible parties have the direct line. So even if the main phone number is not available, they can call the mobile numbers of either the administrator or resident care director. Based on interviews and record reviews, the department has determined that although these allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed and copy is provided. Page 2 of 2

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.

  • 87466Type B

    Regular observation and documentation of resident changes

    87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. ... the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This was not met as evidenced by:Based on interviews, S2 confirmed that the bruising was not reported by staff to management, which poses an immediate health, safety, or personal rights risk to clients in care.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including... (1)A written report shall be submitted... This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name... (D)Any incident which threatens the welfare, safety or health of any resident... This was not met as evidenced by:Based on records review, Licensee did not submit an incident report regarding R1s bruising, which poses an immediate health, safety, or personal rights risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 12, 2024 inspection of AEGIS LIVING SAN FRANCISCO?

This was a complaint inspection of AEGIS LIVING SAN FRANCISCO on June 12, 2024. 2 citations were issued: 2 Type B.

Were any citations issued to AEGIS LIVING SAN FRANCISCO on June 12, 2024?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physica..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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