Report the concern to San Francisco Adult Protective Services at (415) 355-6700 or the 24-hour hotline at (800) 814-0009, and document what you’re observing with photos, dates, and notes. If your loved one lives in a licensed long-term care facility, the San Francisco Long-Term Care Ombudsman Program at (415) 751-9788 can also investigate directly on the resident’s behalf.