Inspection Reports for
The Sequoias San Francisco

The complaint alleged that staff #1 observed resident #1 sleeping in a wet bed full of urine or with briefs above the knees because night shift staff #2 did not clean the resident. The allegation was investigated through interviews and observation. Staff #2 denied the allegation and stated residents may urinate shortly after being cleaned. Four other staff members reported no witnessing of such conditions. The director observed the resident and did not find the condition as reported. Re-education was provided to staff #2. The allegation was unsubstantiated.

The investigation found no preponderance of evidence to substantiate the allegation. Observations, interviews with staff and the director, and record reviews indicated the resident was well cared for, and the allegation was deemed unsubstantiated.

No deficiencies were cited during the visit. The Licensing Program Analyst collected and requested updated administrative documents related to the new administrator.

No deficiencies were cited during the visit. The Licensing Program Analyst collected the new Administrator's certificate and requested updated documentation to be submitted by 10/08/2025.

The complaint alleged that residents were not provided care with activities of daily living, social interaction and participation in activities, appropriate foods meeting dietary restrictions, and incontinence care needs. The investigation concluded these allegations were unsubstantiated due to lack of preponderance of evidence.

The investigation found no evidence to substantiate the complaints. Observations, interviews with residents and staff, and facility records indicated that residents received adequate care with daily living activities, social interaction, appropriate dietary provisions, and incontinence care. No deficiencies were cited.

The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred regarding care with activities of daily living, social interaction, dietary restrictions, and incontinence care.

The investigation found no evidence to substantiate the complaints. Observations, interviews with residents and staff, and facility record reviews indicated that residents received adequate care in daily living activities, social participation, appropriate dietary provisions, and incontinence care. No deficiencies were cited.

The visit was complaint-related, triggered by an incident involving a resident hospitalized for ingesting an illegal substance. The facility's reporting was timely and complete.

The facility was found to have reported the incident in a timely manner with appropriate documentation submitted to relevant agencies. No deficiencies were cited during the visit.

The visit was triggered by a complaint related to the health status of a resident (R1) hospitalized for ingesting an illegal substance. The facility's reporting was found timely and appropriate.

The facility was found to have reported the incident in a timely manner with appropriate documentation submitted to all relevant agencies. No deficiencies were cited during the visit.

The inspection found that all reviewed staff files were complete, medications in the Memory Care unit were properly labeled and matched records, and no deficiencies were cited during the visit.

The inspection found that all reviewed staff files were complete, medications in the Memory Care unit were properly labeled and matched medication records, and no deficiencies were cited during the visit.

No deficiencies were cited during the visit. The Annual inspection will be completed at a later date.

No deficiencies were cited during this visit. The Annual inspection will be completed at a later date.

The inspection found that the facility met all requirements with no deficiencies cited. The physical plant, safety equipment, medication storage, and resident files were all in compliance.

The facility was found to be in compliance with no deficiencies cited. The physical plant, safety equipment, medication storage, and resident files were all inspected and found satisfactory.

The complaint involved allegations that a resident sustained serious injuries from a fall and was not receiving nutritious meals, leading to malnourishment and weakness. The investigation found these allegations to be unfounded.

The investigation determined the allegations to be unfounded, meaning the allegations could not have happened or lacked reasonable basis. The resident's fall was attributed to house slippers, and the facility has a full-time registered dietician responsible for food service. Documentation showed the resident had extensive food preferences and allergies.

The complaint involved allegations of a resident sustaining serious injuries from a fall and not receiving nutritious meals leading to malnourishment. The investigation found these allegations unfounded.

The investigation determined the allegations to be unfounded, meaning the allegations could not have happened or were without reasonable basis. The resident's fall was attributed to her house slippers, and the facility has a full-time registered dietician responsible for food service. The resident had extensive food preferences and allergies documented.

During the visit, Licensing Program Analysts reviewed staff records including criminal clearance, first aid certificates, health screenings, and training hours. Two Assisted Living residents were interviewed. No deficiencies were cited during this inspection.

During the visit, Licensing Program Analysts reviewed staff records including criminal clearance, first aid certificates, health screenings, and training hours. Two Assisted Living residents were interviewed. No deficiencies were cited during this inspection.

The facility was observed to be clean, tidy, and in good repair with appropriate furniture and safety equipment. Resident records were reviewed and found to have medical assessments signed by a medical professional. No deficiencies were cited during this inspection.

The facility was observed to be clean, tidy, and in good repair with appropriate furniture and safety equipment. No deficiencies were cited during this inspection.

The inspection found no deficiencies. Infection control practices, PPE supplies, medication security, and environmental conditions were all adequate. The facility was compliant with COVID-19 protocols and safety standards.

The inspection found no deficiencies. Infection control practices, PPE supplies, medication security, and environmental conditions were adequate and compliant with regulations.

The complaint alleged that the facility does not maintain a comfortable temperature for residents. The allegation was investigated through interviews, temperature measurements in various rooms, and review of facility protocols. The complaint was found to be unsubstantiated.

The investigation found that room temperatures were comfortable across multiple floors and common areas, residents were aware of warm weather protocols, and the facility has taken steps such as installing portable air conditioning units and sending heat wave alerts. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the facility does not maintain a comfortable temperature for residents. The allegation was unsubstantiated after investigation, which included temperature measurements and resident interviews. The facility pays for air conditioning units in Assisted Living rooms facing the south side, while residents pay for units in other rooms.

The investigation found that room temperatures were comfortable across multiple floors and common areas, residents were aware of warm weather protocols, and the facility had taken steps such as adding portable air conditioning units and notifying residents of heat waves. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The Executive Director was interviewed and requested to provide the facility's roster report by 2/12/2021. The report was reviewed with the Executive Director and prepared for signature.