Complaint Investigation Report

415600784-1-2-2024-14-AS-KHOS-CZALVW-20240108080614

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

10/12/2022 and conducted by Evaluator Audrey Jeung

COMPLAINT CONTROL NUMBER: 14-AS-20221012091342

- Staff spoke inappropriately to resident

- Staff handle resident in a rough manner

- Staff do not use the appropriate equipment to transfer resident resulting in injury to resident

- Staff did not inform resident's authorized representative of resident’s injuries

Based on client records reviewed and interviews with client and staff, these allegations are determined to be unsubstantiated. Not enough information was provided to conduct a more thorough investigation.

Client #3 moved out in November 2022 after facility issued 30-day notice.

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