Inspection Reports for AlmaVia of San Francisco

An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and ensure the safety and well-being of residents.

The facility was found to be generally compliant with regulations, including proper medication storage, clean kitchen and laundry areas, functional emergency equipment, and current staff and resident files. No citations were issued during this inspection.

The visit was an unannounced case management-incident inspection regarding a report (SOC 341) submitted by the facility about a resident being restrained improperly with a gait belt.

The inspection found that two staff members restrained a resident with a gait belt, limiting the resident's hands, which posed an immediate health, safety, and personal rights risk. The facility terminated the two staff members and conducted in-service training on restraint risks and reporting requirements.

The visit was a Case Management visit to deliver an Amended report related to a previously delivered report from 4/30/2024. The complaint was reopened due to additional information received by the Department.

During the visit, the Licensing Program Analyst reviewed the amended report with the Administrator and provided a copy of the report. A new finding was delivered to the Licensee on 4/17/2025.

This complaint was reopened due to additional information received by the Department. A new finding was delivered on 4/17/2025.

The visit was an unannounced case management inspection to address a complaint investigation regarding improper notice of rate increases to a resident.

The facility failed to provide proper notice of rate increases that included modification conditions and rate structure changes as required, resulting in inconsistencies between notices and payment ledgers for resident R1. This deficiency poses a potential health, safety, and personal rights risk to the resident.

The complaint was substantiated and involved allegations that facility staff did not provide proper notice of rate increase for resident R1, with inconsistencies found in invoices, payment ledgers, and rate increase notices dated 7/31/2020 and 4/30/2021.

The visit was an unannounced case management visit to discuss and request resident records based on additional findings from a Licensing Program Analyst's review of investigation evidence.

No deficiencies were cited during the visit. An amendment to the original report removed a previously cited deficiency, and no citation was issued.

Unannounced complaint investigation visit conducted in response to complaints alleging that prior to admission staff did not provide resident or resident's authorized person with an appraisal of the resident's individual service needs and that staff did not provide records to resident or resident's authorized person upon request.

The investigation found that the facility had completed an appraisal prior to admission and the resident expressed satisfaction with care. Interviews revealed inconsistent information and lack of corroborating evidence, resulting in all allegations being unsubstantiated with no deficiencies cited.

Complaint investigation was unsubstantiated due to inconsistent information and lack of corroborating evidence regarding allegations about appraisal of service needs and provision of records. No deficiencies were cited.

The document contains an error message stating 'Index out of range of report list', indicating no inspection report data is available.

No inspection or regulatory findings are present due to the error message.

The inspection was an unannounced complaint investigation triggered by an allegation that facility staff did not provide proper notice of rate increase for a resident.

The complaint was substantiated. The investigation found inconsistencies between the rate increase notices and the actual fees charged, including failure to clearly indicate modified conditions and rate structures in the notices and invoices.

Complaint alleges facility staff did not provide proper notice of rate increase for resident (R1). The allegation was substantiated based on evidence that notices did not match fees charged and lacked clear indication of modifications and rate structures.

The inspection was an unannounced complaint investigation initiated due to an allegation of lack of supervision resulting in a resident eloping from the facility.

The complaint was substantiated as it was found that a resident with dementia eloped from the facility during overnight hours because staff was asleep and failed to properly supervise. Deficiencies related to personnel requirements were cited and corrective actions were implemented.

The complaint was substantiated. Resident (R1) eloped from the facility on 9/28/2024 during overnight hours due to lack of supervision by staff (S1) who was asleep. R1 has dementia and wandering behavior and is not allowed to leave unassisted.

The inspection was an unannounced annual required one-year inspection to evaluate compliance with licensing regulations and facility standards.

The facility was found to be clean, well-maintained, and compliant with fire safety and food storage regulations. Resident care plans and staff training were mostly up to date, except for one staff member lacking a health screening report. No deficiencies were cited during the visit.

The inspection was conducted as an unannounced complaint investigation following allegations that a resident sustained injuries due to staff neglect and that staff did not ensure the facility transport vehicle was not in disrepair.

The investigation found that the resident's minor injury was not due to staff neglect as proper manual transportation protocols were followed, and although the facility vehicle's wheelchair lift was not electronically operational, it was equipped with a manual crank allowing proper function. Both allegations were found to be unsubstantiated due to lack of corroborating evidence.

The complaint alleged that a resident sustained injuries due to staff neglect and that staff failed to ensure the facility transport vehicle was not in disrepair. The investigation concluded both allegations were unsubstantiated.

The visit was an unannounced case management and incident follow-up related to a complaint investigation involving a resident injury during transport on 08/22/2024.

The facility failed to ensure safe accommodations and equipment for resident R1, who sustained a minor injury after falling from a wheelchair lift during transport. The wheelchair lift's manual crank caused a jerking motion contributing to the fall, and the resident's wheelchair type provided less stability.

The visit was complaint-related, investigating an incident where resident R1 was injured during transport due to wheelchair lift malfunction and inadequate accommodations. The injury was minor and not due to intent or neglect, but staff did not ensure safe equipment or additional support.

An unannounced complaint investigation was conducted in response to an allegation that the facility refused to take a resident back after hospital discharge.

The investigation found the allegation to be unfounded as the resident was assessed by the administrator at the hospital and returned to the facility with hospital discharge instructions. The resident is currently under home health care for wound treatment.

The complaint alleged that the facility refused to take resident #1 back after hospital discharge. The allegation was investigated and found to be unfounded.

An unannounced annual inspection was conducted to review compliance with licensing requirements, including infection control and facility safety.

The facility was found to be clean and tidy with appropriate storage of toxins and sharps, proper infection control signage, and adequate safety measures. No deficiencies were cited during this inspection.

The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2022-08-11 alleging that staff were not allowing residents to leave the facility.

The investigation substantiated the allegation that the facility staff prevented residents R1 and R2 from leaving the facility, violating Title 22 Division 6 Section 87468.1 regarding residents' personal rights to leave the facility at any time. The facility acknowledged the misunderstanding and reported that the residents have since returned home.

The complaint was substantiated. The allegation was that staff did not allow residents R1 and R2 to leave the facility. The investigation found that staff incorrectly interpreted the Durable Power of Attorney documents and prevented the residents from leaving, violating residents' rights.

The visit was an unannounced complaint investigation conducted in response to an allegation that a resident sustained a stage 3 pressure ulcer while in care.

The investigation found the allegation to be unsubstantiated as the facility took appropriate preventive and treatment actions for the resident's pressure ulcer, but the ulcer developed due to the resident's health condition.

The complaint alleged that a resident sustained a stage 3 pressure ulcer while in care. The investigation included interviews and record reviews, concluding that the allegation was unsubstantiated due to lack of preponderance of evidence.

An unannounced annual inspection was conducted to review compliance with infection control and COVID-19 protocols, including document review and facility tour.

The facility was found to be in compliance with infection control measures, including adequate PPE supplies, proper signage, and social distancing. Recommendations were made for additional COVID-19 signage and enhanced cleaning protocols for a public phone.

The inspection was an unannounced Case Management Inspection conducted in response to an incident reported by the facility on 4/15/2021, involving a resident who was bumped on the head by a falling lamp.

The Licensing Program Analyst conducted the inspection remotely due to the pandemic, reviewed relevant documents including physician reports and service plans, and discussed the report with the Executive Director. The report was to be signed and returned with requested documents.

An unannounced Case Management Inspection was conducted due to concerns reported to the San Bruno Regional Office regarding the facility's COVID-19 protocols.

The Licensing Program Analyst requested the facility's roster and COVID-19 updates from the Executive Director, Benito Del Toro, who agreed to provide the reports by 03/03/2021. The report was reviewed with the Administrator and provided for signature.