St. Paul's Towers

On 11/07/2025 at 12:00 PM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a case management regarding an Unusual Incident Report LIC624 (UIR) received by the department on 11/06/2025. LPA met with Executive Director (ED) Connie Yuen and explained the purpose of the visit. LPA obtained and reviewed the Physician’s Report (602), Appraisal Needs and Services Plan (ANS), and R1’s personal Care Providers PCP) information. R1 is able to leave the facility unassisted and will usually leave with PCP. On this day, R1 left with PCP and while out to lunch the PCP became intoxicated and walked away from R1. R1 was found by Berkely police and taken to his Responsible Party (RP) who brought R1 back to the facility. R1 was evaluated by nursing staff and was not injured. R1 informed the facility that his PCP was driving irradicably, and clearly drunk. ED and R1’s RP spoke. RP informed ED that RP had fired the PCP. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 11/07/2025 at 10:15 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct a case management regarding two SOC341s reported by the facility to the department on 11/02/2025. LPA met with Executive Director (ED) Connie Yuen and explained the purpose of the visit. Spoke with ED regarding the incidents. ED reported one male got access to the building through a loading dock while deliveries were being made. The intruder gained access to a service elevator and rode it up to the seventeenth floor. The intruder got into a resident’s room by checking for unlocked doors. Inside a room, the intruder went into a resident’s bedroom and slapped the resident, R1, awake. The resident shouted at the intruder to leave the room. The intruder grabbed some of the resident’s personal belongings and dropped them, breaking some of the items. Security was notified and the intruder was escorted to lobby and asked to leave the building. Oakland police were notified. Before Oakland police arrived, the intruder walked around the building and again gained access to the building through the loading dock where deliveries were being made. This time the intruder climbed upped a fire latter near the electrical box for the building, climbed over a balcony wall and entered a resident’s patio door. Inside the intruder rummaged around some drawers, and was caught by a resident, R2. R2 pressed R2’s pendant, a nurse came to check in on R2 and removed the intruder from R2’s room. The nurse escorted the intruder out of the room and back to security. The nurse informed ED that he did not smell of alcohol but seemed to be on drugs as he was no coherent. The intruder was again escorted to the lobby and asked to leave. Oakland police did not take a police report from R1. Continued on LIC809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Continued form LIC809 ED has installed new cameras, hired a second NOC shift security and implemented new security procedures to prevent this from happening again. The new security precautions include monitoring all deliveries with one security staff watching and another from the monitors at the security desk. New cameras cover more areas, and new lock have been placed to secure fire gates. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 9/3/2021 starting at 11:20 AM, Licensing Program Analysts (LPAs) Catherine Lin and Grace Luk arrived unannounced to conduct Infection Control Inspection. LPAs met with Administrators Elena Davidenko and Director of Resident's Health Service Angela Vamarripa at the second floor at 12:05pm. During the Infection Control Inspection, LPAs toured facility with administrator including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, activity rooms, dining areas, kitchen, and back patio. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Facility has one entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer, and hand sanitizer were observed at screening station. LPAs were asked to sign-in with the Accushield machine after temperature checked. Cough/sneeze etiquette, face-covering, social distancing, and hand washing posters were observed throughout the facility. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location. Facility has a mitigation plan, emergency disaster plan, and maintains records of routine screening for residents, staff and visitors, resident's changing of health conditions, and N95 respirators fit testing for staff. No deficiency cited during visit. Exit interview conducted and a copy of this report provided.

On 07/08/2025 at 01:25 PM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Executive Director Connie Yuen and explained the purpose of the visit. LPAs toured the facility including but not limited to residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 75 degrees Fahrenheit. The hot water temperature in a shared bathroom was measured at 116.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic chemicals are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/14/2025. Emergency Disaster Plan was last posted on 10/17/2024. First aid kit was observed to be complete. Emergency disaster and fire drill were last conducted on 06/21/2025. LPAs reviewed five (5) residents records and five (5) staff records, all were complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 11/4/2024 at 9:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to amend report previously issued on 10/2/2024 and to assess civil penalty. LPA met with Healthcare Administrator, Cherry Marcelo and explained the purpose of the visit. LPA amended report (LIC9099C and LIC9099D) previously issued on 10/2/2024. LPA printed the amended reports and provided a copy. Facility will look for the original reports and mail it back to LPA. LPA assessed civil penalty of $500 for deficiency issued on 10/2/2024 regarding an individual who was not fingerprint cleared. LPA printed civil penalty and appeal rights and provided a copy. Exit interview conducted. A copy of the reports was provided.

On 08/09/2024 at 10:20 AM, Licensing Program Analysts (LPAs) Ardalan Gharchorloo and David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Nursing Administrator Cherry Marcelo and explained the purpose of the visit. LPAs toured the facility including but not limited to 3 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 118.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 06/17/2024. Emergency Disaster Plan was last posted on 06/20/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 06/20/2024. LPAs reviewed 6 residents records and 5 staff records. LPA also reviewed a sample of resident’s medications. The following documents were reviewed for the facility file: LIC 610E Emergency Disaster Plan, and Current Administrator’s Certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 11/9/22 at 3:50PM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of receiving residents from Grand Lake Gardens (GLG) and check on residents. LPA met with Resident Health Services Director and explained the purpose of the visit. A total of 15 residents from GLG are currently living in SPT including 2 in Assisted Living and 1 in Memory Care. There has no new admission from GLG since last visit. LPA met with 3 residents today who stated that they were feeling safe living at SPT and their needs were met. 1 resident concerned that she might move out after 3 months because SPT was not an affordable place for her. LPA will follow up with GLG. Supplies are adequate and staffing is stable. There was no imminent health/safety concerns on today's date. Exit interview conducted with Resident Health Services Director and copy of this report provided.

On 11/2/22 at 12:20PM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of receiving residents from Grand Lake Gardens (GLG) and check on residents. LPA met with Administrator and explained the purpose of the visit. During visit, LPA obtained GLG resident's roster and St. Paul's Towers (SPT) staff schedules. Total of 15 residents from GLG are currently living in SPT including 2 in Assisted Living and 1 in Memory Care. LPA met with 4 residents today who stated that they were feeling safe living at SPT and their needs were met. Adequate food, paper, PPE supplies were observed. Staffing is stable. There was no imminent health/safety concerns on today's date. Exit interview conducted with Administrator and copy of this report provided.

Based on the information obtained, the allegation is unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to provide the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiency cited. Exit interview conducted with Health Care Administrator and a copy of this report provided.

On 10/28/22 at 9:20AM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of receiving residents from Grand Lake Gardens (GLG) and check on residents. LPA met with Administrator and explained the purpose of the visit. During visit, LPA obtained GLG resident's roster and St. Paul's Towers (SPT) staff schedules. Total of 15 residents from GLG had moved in to SPT including 2 of them were in Assisted Living and 1 was in Memory Care Unit. LPA interviewed 2 residents who stated that they felt safe living at SPT, they were fed well and needs were met. Food, paper, PPE supplies were adequate. There was no imminent health/safety concerns on today's date. Exit interview conducted with Administrator and copy of this report provided.

Allegation: Staff are not providing a comfortable environment for residents – Unsubstantiated The Department has investigated this allegation and per record review and interviews found when air conditioner system was down, Administrator did guide residents to keep hydrated and open windows to cool down room temperature. Residents R1 and R2 stated that facility provided water, ice, and popsicles during the hot days. Based on interviews and record review, Administrator constantly communicated with vendor for repairing the system in daily bases until the problem resolved. This allegation was not observed or witnessed by the residents who were interviewed. Based on observation, records reviewed, and interview conducted, the above allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. No deficiency cited, exit interview conducted with administrator, and a copy of this report provided.

On 8/29/22 at 2:00pm, Licensing Program Analyst (LPA) C. Lin conducted unannounced case management visit to deliver the amended report dated on 8/22/22. LPA met with administrator Connie Yuen and explained the purpose of the visit. During visit, LPA deliver the amended report dated 8/29/2022, and obtained original report dated 8/22/2022. Exit interview conducted with Administrator and copy of this report provided .

On 7/27/2022 starting at 2:50 p.m., Licensing Program Analyst (LPA) Catherine Lin arrived unannounced to conduct Infection Control Inspection. LPA met with Director of Resident Health Services Angela Zamarripa and disclosed the purpose of the visit. Upon entry, LPA’s temperature was checked by the staff, asked to fill out Covid-19 questionnaire, and requested to wash hands with alcohol wipes. LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, bathrooms, kitchen, and common areas. There is one central entry point for universal screening for staff, residents, and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff, and visitors. No deficiency cited during visit. Exit interview conducted with Administrator, and a copy of this report provided.

On 06/01/21 at 9:15AM, Licensing Program Analyst (LPA) C. Lin conducted an unannounced case management visit as a result of receiving a self-report death of a resident dated on 05/25/22. LPA explained the purpose of the visit with administrator (ADM). During the course of interview, LPA obtained a package of documents that subjected resident left when her dead body was found in the apartment on 5/19/2022. The police report and cause of death report were not available at this time. ADM will provide the reports to CCL as soon as possible. ADM stated that the subjected resident was healthy, well being, positive, and independent. There was no knowledge or signs that the subjected resident might suicide. No deficiency cited during visit. Exit interview conducted with Administrator, and a copy of this report provided.