Inspection
No deficiencies recorded in this report
LYNNE & ROY M FRANK RESIDENCES
ONE AVALON AVENUE, San Francisco CA 94112
220 bedsLatest official report Mar 11, 2026Licensed
Additional info
- Telephone
- (415) 562-2855
- Licensee
- HEBREW HOME FOR AGED DISABLED
- Administrator
- ROBERT SARISON
- Contact
- ROBERT SARISON
- License first date
- Sep 11, 2020
- License effective date
- Sep 11, 2020
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 7 Type B deficiencies for this facility.
- Most recent inspection
- Mar 11, 2026
- Most recent deficiency
- Mar 25, 2024
9 later reports, from Aug 8, 2024 through Mar 11, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 13 San Francisco County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 22 reports for this facility: 13 inspections, 9 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 7 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 13
- Recorded deficiencies
- 10
- Type A deficiencies
- 3
- Type B deficiencies
- 7
- Substantiated complaints
- 3
- Repeated topics
- 0
More than the typical 5
2 in the last 12 months
Well above the typical 4
0 in the last 12 months
More than the typical 1
0 in the last 12 months
More than the typical 3
0 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations3 substantiated · 2 unsubstantiated · 0 unfounded · 4 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
OBSERVATION OF THE RESIDENT The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs... the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met, as client #1 did not receive timely medical intervention when pressure ulcers were observed, which poses a potential health, safety or personal rights risk to clients.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE
Deadline recorded: Apr 8, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 8, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(8)
- Regulation authority
- CCR
What the official deficiency says
PERSONAL RIGHTS OF RESIDENTS IN ALL FACILITIES Residents in all RCFEs shall have...the following personal rights: To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met, as responsible parties of client #1 were not notified when staff observed pressure injuries on client #1. Licensee failed to ensure that responsible parties of client #1 received timely report that pressure injuries were observed, which posed a potential health, safety or personal rights risk to clients.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE
Deadline recorded: Apr 8, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 8, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(1)
- Regulation authority
- HSC
What the official deficiency says
This training shall consist of 40 hours... A staff member shall complete 20 hours, including 6 hours specific to dementia care, as required by subdivision (a) of Section 1569.626 ...before working independently with residents. The remaining 20 hours shall include 6 specific to dementia care and shall be completed within the first four weeks of employment. This requirement was not met, as there is no evidence that staff #2 and #3--who were hired 4/23 and 12/22 respectively--received at least 12 hours of dementia specific training, which posed a potential health, safety or personal rights risk to clients.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE
Deadline recorded: Apr 8, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 8, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 1569.625(b)(2)
- Regulation authority
- HSC
What the official deficiency says
...training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626... This requirement was not met, as there is no documentation that staff #1, who was hired 5/22, received at least 8 hours of dementia specific training. Licensee failed to ensure that staff received required annual dementia training, which posed a potential health, safety, or personal rights risk to clients in care.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE
Deadline recorded: Apr 8, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 8, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · investigated over 2 visits
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 1569.698(f)
- Regulation authority
- HSC
What the official deficiency says
Any person who is not a conservatee and is entering a locked or secured perimeter facility pursuant to this section shall sign a statement of voluntary entry. The facility shall retain the original statement and shall send a copy of the statement to the department. This requirement was not met, as client #1 was not conserved and did not sign a statement of voluntary entry into facility's memory care unit. Licensee failed to obtain written consent from client #1 upon admission to memory care unit with delayed egress, which posed a potential health, safety or personal rights risk to clients in care.
Official plan of correction
Plan of correction to be submitted by DUE DATE
Deadline recorded: Oct 3, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Oct 3, 2023
Deficiency Dismissed Type B 10/03/2023 Section Cited HSC 1569.698(f)
Plan of correction recorded
Correction deadline recordedDeadline Oct 3, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Sep 19, 2023 · Control 14-AS-20230307165826
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met as evidenced by the delayed egress exit door for the memory care unit was malfunctioned and R1 eloped the unit throught this exit and was found on the 5th floor roof top which poses an immediately health and safety risk for residents in care.
Official plan of correction
The facility will develop a plan to ensure all the delayed egress door(s) at the facility is routinely checked and document the outcomes. The administrator will submit a copy of the plan to CCL by 12/6/2022. Plan of correction cleared.
Deadline recorded: Dec 6, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 6, 2022
Correction not verified in available records
Dementia careType B
- Official classification
- Type B
- Official code
- 87705(c)(3)(A)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (c) Licensees who accept..residents with dementia shall be responsible for ensuring the following:.(3) In addition to the on-the-job training requirements..(A) Dementia care including, but not limited to, the environment,.. This requirement is not met as evidenced by after R1 eloped the unit through the delayed egress door, the alarm went off and the staff did not checked the exit/stairwell that was led to the roof top where R1 was found poses a potential health and safety risks to resident in care.
Official plan of correction
The administrator/licensee will provide in-services to staff on the importance of following the facility's protocols when the delayed egress door alarm goes off. The facility will provide a copy of the sign-in records for this in-service. Plan of correction cleared.
Deadline recorded: Dec 6, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 6, 2022
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
Personal Rights of Residents...(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(8) To have their representatives regularly informed by the licensee of activities related to care... This requirement is not met as evidenced by: the facility administered R1's flu shot without a consent from R1's responsible party which posed a potential health and safety risks to residents in care.
Official plan of correction
The administrator and/or designee will provide in-service to facility staff on informing and obtaining prior consent from residents and/or responsible party prior to the respective care is rendered. The administrator and/or the designee will submit a copy of the in-service lesson plan and the sign-in sheet to CCL by the plan of correction due date 5/5/2022.
Deadline recorded: May 5, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 5, 2022
Correction not verified in available records
Complaint
Allegations3 substantiated · 2 unsubstantiated · 1 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights...(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(3) To be free from punishment, humiliation, intimidation, abuse.... This requirement was not met as evidenced by: the facility failed to ensure R1 was free from punishment and abuse as R1 was handled roughly by a former staff who grabbed R1 and R1 sustained an injury which posed an immediate health and safety risks to resident in care.
Official plan of correction
When the facility discovered this incident, the facility immediately removed this former staff from the work, reported to the proper departments and investigated the incident. After the investigation, the staff never returned to work and the facility provided training on Elder Abuse and submitted a copy of the in-service record to LPA during the initial 10-day complaint visit. Therefore this deficiency is cleared.
Deadline recorded: Apr 21, 2022. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Apr 21, 2022
Correction deadline recordedDeadline Apr 21, 2022
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464(f)(1) Basic Services(f)- Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: there was no care and supervision provided when R2 and R3 were watching TV in the TV room which posed an immediate health and safety risks to resident in care.
Official plan of correction
The administrator and/or designee will provide training to facility staff on care and supervision and provide a copy of the sign-in sheet to CCL by the plan of correction due date 4/25/2022.
Deadline recorded: Apr 25, 2022. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn Apr 25, 2022
Deficiency Dismissed Type A 04/25/2022 Section Cited CCR 87464(f)(1)
Plan of correction recorded
Correction deadline recordedDeadline Apr 25, 2022
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology