Complaint Investigation Report

385601084-9-19-2023-14-AS-KHOS-CWVHZK-20231023063830

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SF COASTAL AC/SC , 851 TRAEGER AVE., SUITE 360

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/07/2023 and conducted by Evaluator Audrey Jeung

COMPLAINT CONTROL NUMBER: 14-AS-20230307165826

------------This report is an amendment of original Complaint Investigation Report dated 6/30/23---------

Facility admitted a resident without consent

Based on review of client and facility records and interviews with staff, witnesses, as well as resident, this allegation is determined to be substantiated.

Former client #1 was admitted to facility on 11/4/21 directly from SNF, after sustaining a hip fracture. Placement into the memory care unit with delayed egress was facilitated by client's Durable Power of Attorney and deemed to be the most appropriate, considering client's safety and risk assessment. In addition to client's physical condition, she exhibited poor judgement, increased confusion and risky behaviors prior to the injury. Client did not object to admission to RCFE. However, she did not provide verbal or written consent of admission to memory care unit with delayed egress.

Deficiency of the California Code of Regulations, Title 22 is cited on a following page.