St. Paul's Towers

Type of visit: Annual/Random

On 08/31/2026 at 10:30 AM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director Kathleen McCarron and explained the purpose of the visit. LPAs toured the facility including but not limited to residents’ apartments, bathrooms, multiple activity rooms, kitchen, and common areas. LPA 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 113.7 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 01/15/2026. Emergency Disaster Plan was last posted on 10/29/2025. First aid kit was observed to be complete. Fire and emergency disaster drills are conducted monthly. The last fire was conducted on 08/20/2026, 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.the state’s words, verbatim · CDSS document, Aug 31, 2026

Type of visit: Case Management - Incident

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 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.the state’s words, verbatim · CDSS document, Nov 7, 2025

Type of visit: Case Management - Incident

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.the state’s words, verbatim · CDSS document, Nov 7, 2025

Type of visit: Required - 1 Year

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.the state’s words, verbatim · CDSS document, Jul 8, 2025

Allegation investigated: Facility staff financially abused residents in care. Facility staff did not notify residents' and their authorized representatives of incident.

On 01/24/2025 around 09:05 AM, Licensing Program Analysts (LPA) L. Holmes conducted unannounced complaint visit to deliver the findings for the above allegations. LPA met with Cherry Marcelo, Nursing Home Administrator, Staff #1 (S1). LPAs L. Holmes and D. Doidge conducted the intial 10-day complaint visit on 09/23/24. During the course of the investigation and visit, LPA L. Holmes conducted interviews, requested resident roster, staff roster, police report, APS report, Ombudsman contact information, resident returned checks, facility memos, notifications and documents regarding the alledged actions of Staff #4 (S4) against residents and notification to the Responsible Parties (RP). Continued on LIC9099C... Substantiated ...continued from LIC9099. Facility staff financially abused residents in care. On 08/16/24, S2 reported to the Oakland Police Department (OPD) that Witness #4 (W4) had a check taken from her apartment and fraudulently written on 08/05/24 and cashed on 08/12/24. On 08/30/24, S2 reported a second incident to OPD. S1 shared with S2 that Resident #3 (R3’s) check was stole, cashed and written by S4; a third and same incident occurred with R4. On 09/08/24, W3 emailed Staff (S2, S3, S5, S6) to alert them that he/she had discovered checks were stolen from R1 and had been cashed by W4 per the signatures. On 09/13/24, S2 reported to OPD that R5 discovered a check had been written against his/her account on 09/05/24. S2 reported to OPD and LPA that S5 was able to identify S4 from the merchant’s camera footage. A series on fraudulent incidents continued to occur affecting but not limited to R7, R8, R9, R10, R11, R12, & R13. S7 reported that the Executive Director advised him/her to suspend all investigation measures and that Regional Human Resources would be taking over. S3 confirmed that W4 no longer worked at the facility as of 09/24/24. Facility staff did not notify residents' and their authorized representatives of incident. After LPA investigated the allegation facility staff financially abused residents in care, interviews with S1, S2 and records reviewed revealed that the ED did not inform all of the St. Paul Tower residents of financial abuse amongst residents until 09/26/24 and LPA confirmed from S1 during the visit that the RPs were informed via an emailed memo on 10/11/2024. Based on interviews, observations, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations are SUBSTANTIATED. Deficiencies are cited from Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, a copy of this report and appeal rights provided to Cherry Marcelo, S1.the state’s words, verbatim · CDSS document, Jan 24, 2025 · control 15-AS-20240918171632

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.269(a)(10) · Plan of correction due date: Feb 7, 2025

1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (10) To be free from...financial exploitation...punishment, humiliation, intimidation, and verbal, mental, physical ... - This requirement is not met as evidence by: -Based on records reviewed and interviews, the licensee did not comply with the section above once staff financially abused residents which poses/posed a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 24, 2025

Plan of correction: Licensee & ED to assist residents with reconciling financial records and assist residents with securing lost funds via police reports, credit reporting agencies and their banking institutions and conduct in-service training by POC.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Feb 7, 2025

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following. (1) A written report … to the person responsible for the resident within seven days … (D) Any incident which threatens the welfare, safety or health of any resident …-This requirement is not met as evidence by: which threatens the welfare, safety or health …-This requirement is not met as evidence by: Based on records reviewed and interviews, the licensee did not comply with the section above when ED did not report the financial abuse incidents to all residents within seven days which poses/posed a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 24, 2025

Plan of correction: Licensee & ED to ensure that regulatory incidents are reported to all residents and RPs, and that all are aware of the incident of fraudulent abuse & conduct in-service training by POC.

Type of visit: Case Management - Other

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.the state’s words, verbatim · CDSS document, Nov 4, 2024

Allegation investigated: Staff did not check background of caregiver prior to caregiver providing care to residents.

On 10/2/2024 at 1:50PM, Licensing Program Analysts (LPAs) G. Luk and D. Doidge arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPAs met with Executive Director, Connie Yuen and Director of Resident Health Services, Angela Zamarripa. During the course of investigation, LPA G. Luk interviewed 2 staff, complainant, and witness. LPA reviewed and obtained staff roster, resident roster, physician's report, emergency contact information, admission agreement, and care plan. Interview with staff and complainant revealed that a private caregiver was not fingerprint cleared prior to providing care to resident (R1). S3 stated that facility's Resident Services Manager would handle the on boarding process for private caregivers which includes fingerprint clearance and cannot be at the facility until clearance is complete. (Continue on LIC9099C...) Substantiated ***This is an amended copy of report issued on 10/2/2024*** Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. Heath and Safety Code are being cited on the attached LIC9099D. Civil penalty of $500 is being assessed. Exit interview conducted with Connie Yuen. A copy of this report, civil penalty, and appeal rights provided.the state’s words, verbatim · CDSS document, Oct 2, 2024 · control 15-AS-20240423151822

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.17 · Plan of correction due date: Oct 3, 2024

***This is an amended copy of report issued on 10/2/2024*** Fingerprints and criminal records...An individual shall be required to obtain either a criminal record clearance or a criminal record exemption from the State Department of Social Services... This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not having private caregiver fingerprint cleared which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Oct 2, 2024

Plan of correction: ***This is an amended copy of report issued on 10/2/2024*** Executive Director has agreed to create a plan to address fingerprint clearance for private caregivers and submit the plan to CCLD by POC date. Civil penalty of $500 is being assessed.

Type of visit: Required - 1 Year

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.the state’s words, verbatim · CDSS document, Aug 9, 2024