380500593-9-13-2021-14-AS-KHOS-C73HX7-20210921063441

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 380500593
Report Date: 09/13/2021
Date Signed: 09/13/2021 01:55:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/20/2021 and conducted by Evaluator Murial Han

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20210720143017

FACILITY NAME:	SEQUOIAS SAN FRANCISCO (THE)		FACILITY NUMBER:	380500593
ADMINISTRATOR:	GLEN GODDARD		FACILITY TYPE:	741
ADDRESS:	1400 GEARY BLVD		TELEPHONE:	(415) 922-9700
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94109
CAPACITY:	400	CENSUS: 262	DATE:	09/13/2021
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Administrator, Glen Goddard		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Facility does not maintain a comfortable temperature for residents.

INVESTIGATION FINDINGS:

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On 9/13/2021, Licensing Program Analyst (LPA) Murial Han conducted an unannounced complaint visit to deliver the findings. LPA met with the Executive DIrector, Glen Goddard and explained the purpose of the visit.

Regarding to the facility does not maintain a comfortable temperature for the residents, during the pre-investigation call, the Reporting Party explained that when the weather gets hot, the temperature in the room rises and it gets really uncomfortable. During the call, Reporting Party acknowledges of being aware of the facility's warm weather protocols and interventions such as the swamp cooler upon request, and cooling locations within the facility that are available to the residents such as the auditorium but at the same, the Reporting Parting is seeking for Licensing's support that the building should be paying for the air conditioning unit and not the residents since the facility is currently in the process of installing air conditioning unit upon resident's request. LPA explained that LPA will continue to investigate this allegation but will not be able to tell the facility to pay for the expenses of the air conditioning . However, LPA will inform the Continuing Care Retirement Communities (CCRC) Contract department to review the contract.

This report is continued onto LIC9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Julio Montes
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 14-AS-20210720143017

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SEQUOIAS SAN FRANCISCO (THE)	FACILITY NUMBER: 380500593
	VISIT DATE: 09/13/2021

NARRATIVE

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As part of the investigation, LPA toured and verified the facility's temperature on multiple floors, in multiple resident's rooms, and in common areas. LPA also interviewed those respective residents regarding to the temperature in their rooms. They reported that the room temperature was comfortable and when the temperature got high, they knew about the warm weather protocols, such as requesting for a swamp cooler and/or going to the cooling areas like the auditorium.

Below is a list of the rooms and common areas that LPA checked during the tour:
- Room 1608 was at 72 degrees F.
- Room 1606 was at 72 degrees F
- Room 1004 was at 73 degrees F
- Room 2303 was at 75 degrees F
- Room 316 was at 73 degrees F
- Room 314 was at 76 degrees F
- Room 906 was at 70 degrees F
- Rotunda Room's was at 76 degrees F
- CA Suites was at 72 degrees F
- Auditorium- was at 69 degrees F; the room has air condition but the facility added a portable air condition unit to ensure the temperature remains cool as the occupancy goes up.

Furthermore, LPA interviewed the Executive Director who stated that the facility has sent memorandums and letters to the residents alerting them of a heat wave and reminding them of the facility's warm weather protocols.

SUPERVISORS NAME: Julio Montes
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

LIC9099 (FAS) - (06/04)

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Control Number 14-AS-20210720143017

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SEQUOIAS SAN FRANCISCO (THE)	FACILITY NUMBER: 380500593
	VISIT DATE: 09/13/2021

NARRATIVE

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Regarding the expenses of installing the air conditioning unit, the Executive Director explained that when a resident puts in a request, the facility will pay for the bracket and the resident is responsible for the air conditioning unit. However, the facility will pay for the entire cost for the Assisted Living rooms that are facing the south side of the building as those rooms get hot and the residents require more assistance.

Base on record review, observation and interviews during the course of investigation, this allegation is unsubstantiated.

Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Julio Montes
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

LIC9099 (FAS) - (06/04)

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