Inspection Reports for
Merced Girard

129 Girard Street, San Francisco, CA 94134, San Francisco, CA, 94134

Back to Facility Profile

5 Reports

2021–2025

Inspection Report — Jul 10, 2025

Annual Inspection
Date: Jul 10, 2025

Visit Reason
The inspection was conducted as the required annual 1-year unannounced visit to evaluate compliance with licensing requirements.

Findings
The facility was found to be in compliance with all licensing requirements. The physical plant, kitchen, infection control practices, medication storage, safety equipment, and environmental conditions were inspected and found satisfactory. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Michael LeeAdministratorMet with Licensing Program Analyst during the inspection and discussed the report.
Yi Sam JianLicensing Program AnalystConducted the annual inspection visit.
April CowanLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report — Jun 5, 2025

Complaint Investigation
Date: Jun 5, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2025-01-24 regarding neglect and failure to seek timely medical attention for a resident.

Complaint Details
The complaint alleged that facility staff's neglect and lack of care led to a resident's death and failure to seek timely medical attention for a resident admitted with sepsis. The investigation concluded the allegations were unsubstantiated due to insufficient evidence.
Findings
The investigation found that although the allegations may have occurred or be valid, there was not a preponderance of evidence to substantiate them. The resident's condition could progress rapidly without obvious signs, and the family's decision for comfort care was deemed appropriate. Therefore, the allegations were unsubstantiated.

Report Facts

Employees mentioned
NameTitleContext
Yi Sam JianLicensing Program AnalystConducted the complaint investigation and delivered findings
Joyce LeeAdministratorMet with Licensing Program Analyst during the investigation

Inspection Report — Oct 21, 2024

Complaint Investigation
Date: Oct 21, 2024

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2024-07-25 alleging that facility staff did not seek medical attention for a resident in a timely manner and that staff yelled at a resident in care.

Complaint Details
The complaint allegations were unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation included interviews and document reviews. Medical attention was sought when alerted by the resident's family, and staff were observed speaking loudly but not angrily to residents. The allegations could not be proven or disproven due to conflicting information and were therefore unsubstantiated.

Report Facts

Employees mentioned
NameTitleContext
Jaime VadoLicensing Program AnalystConducted the complaint investigation visit
Michael LeeAdministratorMet with Licensing Program Analyst during investigation

Inspection Report — Aug 28, 2024

Annual Inspection
Date: Aug 28, 2024

Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing regulations at the Merced Girard Residential Care Facility.

Findings
The inspection found multiple deficiencies including improper water temperature regulation, lack of physician orders for postural supports (bed rails), facility maintenance issues such as chipped paint and broken furniture, and incomplete resident appraisal and service plans. Plans of correction were required for all deficiencies.

Citations (4)
Water temperature was measured at 84-94 degrees F in the kitchen and resident bathrooms, not meeting the required 105-120 degrees F range.
Four out of six residents had bed rails by the head of the bed without a physician's order.
Facility was not in good repair with issues observed by the bathroom, floors, furniture, etc.
Six out of six residents' appraisal needs and service plans were incomplete and not signed by required parties.
Report Facts
Residents with bed rails without physician order: 4 Resident appraisal plans incomplete: 6

Employees mentioned
NameTitleContext
Michael LeeAdministratorAssisted with the inspection and named in plans of correction
Murial HanLicensing Program AnalystConducted the inspection and signed the report
April CowanSupervisorNamed as supervisor overseeing the inspection

Inspection Report — Dec 21, 2021

Annual Inspection
Date: Dec 21, 2021

Visit Reason
The inspection was an unannounced Required - 1 Year annual inspection focused on infection control procedures and practices at the Residential Care Facility for Elderly.

Findings
The facility was found to have appropriate infection control practices including COVID-19 precautions, PPE training for staff, and proper cleaning protocols. No deficiencies were cited during this inspection. Fire safety equipment and other regulatory requirements were reviewed and found compliant or scheduled for timely inspection.

Report Facts

Employees mentioned
NameTitleContext
Michael LeeAdministratorMet with Licensing Program Analyst during inspection
Dominic TobolaLicensing EvaluatorConducted the inspection
Kimberley MotaSupervisorSupervisor overseeing the inspection

Viewing

Loading inspection reports...