Inspection Reports for
Merced Girard
129 Girard Street, San Francisco, CA 94134, San Francisco, CA, 94134
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
95% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Annual Inspection
Census: 40
Capacity: 42
Deficiencies: 0
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
| 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
Annual Inspection
Census: 40
Capacity: 42
Deficiencies: 0
Date: Jul 10, 2025
Visit Reason
The inspection was conducted as the Annual 1-year required visit to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. The physical plant, infection control practices, safety equipment, and environmental conditions were all inspected and met required standards.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Lee | Administrator | Met with during inspection and discussed report findings. |
| Yi Sam Jian | Licensing Program Analyst | Conducted the annual inspection visit. |
| April Cowan | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 42
Deficiencies: 0
Date: Jun 5, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that facility staff's neglect and failure to seek timely medical attention led to a resident's death and hospitalization with sepsis.
Complaint Details
The complaint involved allegations of neglect and failure to seek timely medical attention resulting in resident death and hospitalization with septic condition. The allegations were found to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. The resident appeared stable prior to hospitalization, and rapid progression of sepsis in elderly patients without obvious symptoms was noted by the attending physician. The allegations were determined to be unsubstantiated.
Report Facts
Facility capacity: 42
Census: 41
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Yi Sam Jian | Licensing Program Analyst | Conducted the complaint investigation |
| Joyce Lee | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 42
Deficiencies: 0
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
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
Date: Oct 21, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to deliver findings regarding allegations 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 toward residents. The allegations could not be proven or disproven due to conflicting information and were therefore unsubstantiated.
Report Facts
Capacity: 42
Census: 39
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Vado | Licensing Program Analyst | Conducted the complaint investigation |
| Michael Lee | Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 42
Deficiencies: 0
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
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
Date: 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.
Deficiencies (4)
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.
Four out of six residents have 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 resident appraisal needs and service plans were incomplete as they were not signed by the facility representative, resident, and/or responsible party.
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: 37
Capacity: 42
Deficiencies: 4
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.
Deficiencies (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
Capacity: 42
Census: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Lee | Administrator | Assisted with the inspection and named in plans of correction |
| Murial Han | Licensing Program Analyst | Conducted the inspection and signed the report |
| April Cowan | Supervisor | Named as supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 35
Capacity: 42
Deficiencies: 0
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
Capacity: 42
Census: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Lee | Administrator | Met with Licensing Program Analyst during inspection |
| Dominic Tobola | Licensing Evaluator | Conducted the inspection |
| Kimberley Mota | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Census: 35
Capacity: 42
Deficiencies: 0
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 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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