Inspection Reports for Merced Girard
129 Girard Street San Francisco, CA 94134, CA, 94134
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on July 10, 2025, which was clean and showed compliance with licensing requirements across physical plant, kitchen, infection control, medication storage, and safety equipment. Several complaint investigations were unsubstantiated, with no evidence found to support allegations of neglect or failure to seek timely medical attention. An earlier annual inspection on August 28, 2024, identified some deficiencies related to water temperature, missing physician orders for bed rails, facility maintenance, and incomplete resident service plans, but none were severe or resulted in enforcement actions. The facility appears to have addressed these issues, as later inspections showed no deficiencies. Overall, the record suggests improvement over time with mostly minor or isolated issues in the past.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 40
Capacity: 42
Deficiencies: 0
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
| Name | Title | Context |
|---|---|---|
| Michael Lee | Administrator | Met with Licensing Program Analyst during the inspection and discussed the report. |
| Yi Sam Jian | Licensing Program Analyst | Conducted the annual inspection visit. |
| April Cowan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 42
Deficiencies: 0
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.
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.
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.
Report Facts
Facility capacity: 42
Census: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yi Sam Jian | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Joyce Lee | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 42
Deficiencies: 0
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.
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.
Complaint Details
The complaint allegations were unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 42
Census: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation visit |
| Michael Lee | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 37
Capacity: 42
Deficiencies: 4
Aug 28, 2024
Visit Reason
The inspection was an annual unannounced visit conducted to evaluate the facility's compliance with regulatory requirements.
Findings
The inspection found multiple deficiencies including improper water temperature, lack of physician orders for bed rails, facility maintenance issues such as chipped paint and broken furniture, and incomplete resident appraisal and service plans.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Water temperature was measured at 84-94 degrees F in the kitchen and resident bathrooms, which is below the required minimum of 105 degrees F. | Type A |
| Four out of six residents have bed rails by the head of the bed without a physician's order. | Type A |
| Facility was not in good repair with issues observed by the bathroom, floors, furniture, etc. | Type B |
| Six out of six resident appraisal needs and service plans were incomplete as they were not signed by the facility representative, resident, and/or responsible party. | Type B |
Report Facts
Residents with bed rails without physician order: 4
Resident appraisal and service plans incomplete: 6
Facility capacity: 42
Resident census: 37
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Lee | Administrator | Assisted with the inspection and named in the report |
| Murial Han | Licensing Program Analyst | Conducted the inspection and signed the report |
| April Cowan | Licensing Program Manager | Supervisor named in the report |
Inspection Report
Annual Inspection
Census: 35
Capacity: 42
Deficiencies: 0
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 demonstrated compliance with infection control protocols including COVID-19 precautions, staff training, and proper sanitation practices. No deficiencies were cited during this inspection. Fire safety equipment was noted to be last inspected in 2019 with plans for reinspection within one week. Other safety and food storage requirements were met.
Report Facts
Capacity: 42
Census: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michael Lee | Administrator | Met with Licensing Program Analyst during inspection |
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