Complaint Investigation Report

415601127-3-27-2024-14-AS-KHOS-D4KNWS-20240422105002

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

01/08/2024 and conducted by Evaluator Audrey Jeung

COMPLAINT CONTROL NUMBER: 14-AS-20240108140600

Mahogany (Natice) Coles and Jonamar Pascua

- Licensee not ensuring that infection control practices are maintained

LPA Jeung met with business office director and resident services director (RSD) and reviewed Infection Control Plan and related staff training. Administrator participated by phone.

Based on this investigation--which included observations of supplies of PPE and plastic garbage bags and interviews with staff--these allegations are determined to be unsubstantiated.

Although the allegations may have occurred or are valid, there is not enough evidence to prove the alleged violations did or did not occur.

It cannot be determined that caregivers wear the same gloves when caring for more than one resident, nor that shortage of plastic garbage can liners resulted in offensive odors due to absence of trash can liners.

During review and discussion of Infection Control Plan (LIC9282), it is noted that the current Infection Control Preventionist is RSD. Administrator agreed to submit revised ICP and proof of infection control training from a medical professional for RSD. LPA also recommended that documentation of 40 hour new hire training include infection control, as per CCR 87470 Infection Control Requirements.