Inspection Reports for Kokoro Assisted Living
1881 Bush Street, San Francisco, CA 94109, CA, 94109
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the most recent report on October 3, 2025, showing no issues during a Case Management visit related to a change in management. Earlier inspections noted only minor technical violations, such as incomplete documentation for emergency drills and resident assessments, and one safety concern in 2024 involving unsecured maintenance tools that was promptly addressed. Several complaint investigations were unsubstantiated, though a few substantiated complaints from 2021 involved failures in resident care communication and medical follow-up, but no fines or enforcement actions were listed in the available reports. The facility’s record shows improvement over time, with recent inspections consistently clean and no repeat serious deficiencies. Overall, the issues identified were isolated and less frequent in recent years.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
67% occupied
Based on a October 2025 inspection.
Census over time
Inspection Report
Census: 41
Capacity: 61
Deficiencies: 0
Date: Oct 3, 2025
Visit Reason
The visit was conducted to perform a Case Management inspection related to a Change in Management application at the facility.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst collected the facility's current LIC 500 and discussed the Change in Management process with facility staff.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Calandra | Licensing Program Analyst | Conducted the Case Management visit and discussed the Change in Management application. |
| Chantelle Hudson | Administrator/Director | Named as the facility administrator/director. |
| Angie Esplana | Business Office Director | Met with the Licensing Program Analyst during the visit and explained the purpose of the visit. |
| Jessica Quintana | Operations Specialist | Spoke with the Licensing Program Analyst regarding the Change in Management. |
| Trevor Ogden | Spoke with the Licensing Program Analyst regarding the Change in Management. |
Inspection Report
Annual Inspection
Census: 39
Capacity: 61
Deficiencies: 2
Date: Sep 22, 2025
Visit Reason
An unannounced Annual Required – 1 year inspection was conducted to evaluate compliance with licensing requirements at Kokoro Assisted Living Facility.
Findings
The facility was found clean, well-maintained, and compliant with safety and food storage standards. Two technical violations were issued for lack of documentation regarding one resident's refusal of annual medical assessment and the first quarterly emergency drill. No deficiencies were cited.
Deficiencies (2)
Lack of documentation of one resident's refusal of annual medical assessment visit
Lack of documentation for the first quarterly emergency drill
Report Facts
Capacity: 61
Census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chantelle Hudson | Administrator | Named in report as facility administrator present during inspection |
| Angie Esplana | Business Office Director | Named in report as business office director present during inspection |
| Julia Webb | Staff member who greeted Licensing Program Analyst during inspection | |
| Jian | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Annual Inspection
Census: 46
Capacity: 61
Deficiencies: 1
Date: Oct 10, 2024
Visit Reason
An unannounced annual required 1-year inspection was conducted to evaluate compliance with licensing regulations and facility conditions.
Findings
The facility was found clean, safe, and well-maintained with proper food storage, fire safety equipment, and resident care plans in order. A technical violation was issued for incomplete staff annual training records, with proof of completion due by 11/6/2024. A maintenance cart with potentially dangerous tools was found unsecured but was immediately removed and secured during the visit.
Deficiencies (1)
Maintenance cart containing power tools and other potentially dangerous items was accessible in a stairwell adjacent to resident bedrooms, posing a potential health and safety risk to residents with dementia.
Report Facts
Residents receiving hospice services: 2
Staff training completion: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chantelle Hudson | Executive Director | Met with Licensing Program Analyst during inspection; named in plan of correction for securing maintenance cart. |
| Angie Esplana | Business Office Director | Met with Licensing Program Analyst during inspection; mentioned in relation to staff training progress. |
| Dominic Tobola | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Andrea Medlin | Licensing Program Manager | Supervisor of the inspection. |
Inspection Report
Census: 44
Capacity: 61
Deficiencies: 0
Date: Mar 12, 2024
Visit Reason
The visit was an unannounced Case Management visit to assess a resident for whom the facility had submitted a total care exception request.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst observed the resident during a pre-scheduled appointment and lunch.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Executive Director | Met with Licensing Program Analyst during the visit and was involved in the assessment. |
| John Calandra | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
Inspection Report
Census: 45
Capacity: 61
Deficiencies: 0
Date: Mar 8, 2024
Visit Reason
The visit was an unannounced Case Management visit regarding an Exception request submitted by the facility for a resident believed to need total care.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst interviewed the resident and staff, and the visit will be continued at a later date.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Calandra | Licensing Program Analyst | Conducted the Case Management visit and interviewed resident and staff. |
| Angelina Esplana | Director of Marketing and Administration | Met with Licensing Program Analyst and reviewed the report. |
| Naoko Jones | Administrator | Named as Executive Director but was off and unable to join the visit. |
| Sakae Hamilton | Director of Resident Care | Was off and unable to join the visit. |
Inspection Report
Complaint Investigation
Census: 47
Capacity: 61
Deficiencies: 0
Date: Apr 7, 2023
Visit Reason
Unannounced complaint investigation visit conducted due to allegations including a resident sustaining a fracture while in care, lack of activities for residents, and inadequate feeding of residents.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included resident fracture, lack of activities, and inadequate feeding. Incident reports were submitted for medical emergencies, and food service was overseen by a certified dietician. Activities were limited due to COVID-19 but individualized visits were provided.
Findings
The investigation found the allegations to be unsubstantiated based on observations, interviews, and document reviews. Although some issues such as curtailed activities due to COVID-19 and individualized social visits were noted, there was insufficient evidence to prove violations occurred.
Report Facts
Capacity: 61
Census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Administrator | Facility administrator named in report header |
| Audrey Jeung | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Cara Smith | Licensing Program Manager | Named as licensing program manager overseeing the investigation |
| Sakae Hamilton | Person met with during the investigation |
Inspection Report
Annual Inspection
Census: 48
Capacity: 61
Deficiencies: 0
Date: Oct 11, 2022
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices at the assisted living facility.
Findings
No deficiencies were cited during the inspection. The facility was found to have appropriate infection control measures, emergency call systems, adequate PPE supplies, and proper food storage temperatures.
Report Facts
Refrigerator temperature: 28
Freezer temperature: -1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Administrator | Met with Licensing Program Analyst during inspection |
| Murial Han | Licensing Program Analyst | Conducted the inspection |
| Cara Smith | Licensing Program Manager | Named in report |
Inspection Report
Annual Inspection
Census: 40
Capacity: 61
Deficiencies: 0
Date: Oct 12, 2021
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and infection control practices.
Findings
No deficiencies were cited. The facility demonstrated adequate infection control measures, proper storage of medications and sharps, and maintained a safe environment with sufficient lighting and comfortable temperature.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Administrator | Met with during inspection and discussed report findings. |
| Murial Han | Licensing Program Analyst | Conducted the unannounced annual inspection. |
| Julio Montes | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 61
Deficiencies: 3
Date: Oct 12, 2021
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 08/19/2021 regarding alleged violations of resident rights and confidentiality at Kokoro Assisted Living Facility.
Complaint Details
The complaint was substantiated based on evidence that the facility shared confidential resident information without consent, failed to keep the resident's representative informed about care activities, and did not respond promptly to communications from the representative.
Findings
The investigation substantiated that the facility failed to maintain confidentiality of resident records by sharing medical information without consent, did not regularly inform the resident's representative about care activities, and failed to respond promptly to communications from representatives. These deficiencies posed potential health and safety risks to residents.
Deficiencies (3)
Facility failed to obtain prior authorization from the Responsible Party before providing resident's confidential information to an outside organization.
Facility arranged for an outside consultant to conduct an on-site assessment for a resident without informing the Responsible Party.
Facility failed to provide complete medical records and documents to the Responsible Party promptly as requested.
Report Facts
Capacity: 61
Census: 40
Plan of Correction Due Date: Oct 26, 2021
Plan of Correction Medical Records Due Date: Oct 15, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Administrator | Met during investigation and discussed findings |
| Murial Han | Licensing Program Analyst | Conducted the complaint investigation visit |
| Julio Montes | Licensing Program Manager | Oversaw the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 61
Deficiencies: 2
Date: Jul 22, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff failed to address residents' changes in medical condition and failed to follow proper reporting requirements.
Complaint Details
The complaint was substantiated based on evidence that staff failed to address a resident's significant weight loss in a timely manner and failed to follow proper reporting requirements after a resident's unwitnessed mechanical fall.
Findings
The investigation substantiated the allegations that the facility failed to arrange appropriate medical care for a resident with significant weight loss and failed to provide written reports to the person responsible for a resident after an incident, only providing verbal reports.
Deficiencies (2)
Failed to arrange for medical care appropriate to Resident 4's conditions and needs, posing potential health risks.
Failed to submit written reports to the person responsible for the resident within seven days of an incident, posing potential health and safety risks.
Report Facts
Weight loss percentage: 10.62
Deficiency count: 2
Capacity: 61
Census: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Executive Director | Met during investigation and discussed findings |
| Murial Han | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Garcia | Licensing Program Analyst | On whose behalf the investigation was conducted |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 61
Deficiencies: 0
Date: Jul 22, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to conduct emergency preparedness drills.
Complaint Details
The complaint alleged failure to conduct emergency preparedness drills. The facility had previously been cited for this deficiency in January 2020 but had corrected it. At the time of the complaint investigation, the facility was found to be in compliance.
Findings
The investigation found the complaint to be unfounded, meaning the allegation was false or without reasonable basis, and the complaint was dismissed.
Report Facts
Complaint Control Number: 14-AS-20200305140351
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Executive Director | Met during the complaint investigation visit. |
| Murial Han | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Brenda Chan | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 61
Deficiencies: 0
Date: Jul 22, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2020-03-05 regarding resident injuries from falls, staff leaving residents in soiled diapers for extended periods, inability to locate a resident, failure to notify authorized representatives of incidents, and administration of discontinued medication.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that although the allegations may have occurred or are valid, there was insufficient evidence to substantiate the claims. Specific findings included an unwitnessed fall with no fall prevention plan for a low-risk resident, regular continence care provided, a resident leaving the facility authorized and documented, incidents reported verbally to responsible persons, and discontinued medication administration stopped prior to the alleged date.
Report Facts
Facility capacity: 61
Resident census: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Murial Han | Licensing Program Analyst | Conducted the complaint investigation visit |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 61
Deficiencies: 0
Date: May 12, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint alleging that residents were not provided with plastic utensils such as forks and spoons.
Complaint Details
The complaint alleged residents were not provided with plastic utensils (forks and spoons). The investigation was unsubstantiated based on record review and interviews with staff and residents.
Findings
The investigation found that during times when plastic utensils were unavailable, residents were provided with chopsticks and small wooden spoons, and those who could not use chopsticks were offered silverware or cleaned plastic utensils saved from previous meals. Most residents preferred chopsticks and no complaints were reported. The allegation was unsubstantiated.
Report Facts
Facility capacity: 61
Resident census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Administrator | Facility Administrator involved in the investigation and exit interview |
| Murial Han | Licensed Program Analyst | Conducted the complaint investigation and follow-up inspection |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 61
Deficiencies: 0
Date: May 4, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations including untimely linen changes, lack of scheduled activities, failure to report incidents, incomplete administrator certification, and insufficient staff training.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included untimely linen changes, no scheduled activities, failure to report incidents, administrator not completing required 80-hour RCFE certification, and staff not receiving required training. All were found unsubstantiated after review and interviews.
Findings
All allegations were investigated through record reviews and interviews with staff, residents, and responsible parties. Each allegation was found to be unsubstantiated based on evidence including housekeeping schedules, activity calendars, incident reports, training records, and certifications.
Report Facts
Facility capacity: 61
Census: 38
Complaint received date: Apr 8, 2021
Inspection visit time: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Naoko Jones | Administrator | Facility Administrator involved in the investigation and exit interview |
| Murial Han | Licensed Program Analyst | Evaluator who conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Manager overseeing the complaint investigation |
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