Complaint Investigation Report

415601046-5-12-2023-14-AS-KHOS-CSQHW3-20230612063252

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

10/06/2022 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20221006165203

Staff did not prevent a skin rash outbreak at the facility

Staff lock residents in room from an extended period of time

Staff are not meeting resident's bathroom needs resulting in residents left in soiled clothing

Staff are not scheduling medical check ups for residents in care

Staff are not meeting resident's hyigene needs

Staff are not providing a safe and healthy environment to residents in care

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to begin the investigation process regarding the received allegations. LPA met with administrator Karen Nickolai and explained the purpose of today's investigation.

During the course of the investigation LPA conducted interviews with staff and made facility observations. LPA could not reach a preponderance of evidence standard to substantiate any of the allegations received as conflicting information, and one party's word over another, could not aid in the determination of any of the allegations. LPA was unable to confirm the merit of the received alletgations as LPA could not speak to the reporting party. These allegations are unsubstantiated.

Based on these observations, the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reveiwed with executive director Karen Nickolai.