Complaint Investigation Report

415601039-12-8-2022-14-AS-KHOS-CQCPT9-20230328113530

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

11/29/2022 and conducted by Evaluator Audrey Jeung

COMPLAINT CONTROL NUMBER: 14-AS-20221129102154

- Facility is operating without an Administrator

- Transportation vehicles are in disrepair

LPA Jeung met with business office manager and discussed the above allegations. Copies of vehicle maintenance records for Ford Starcraft bus and qualifications of interim administrator/vice-president of operations are provided and reviewed.

9/21/22 was administrator/executive director's last working day. Since that time, vice president of operations has been acting in this position. LPA was made aware of this transition during a case management visit on 9/22/22 for an unrelated incident. Personnel Report (LIC500) and RCFE administrator certificate for Kelly Metz was submitted to CCLD as requested. According to LIC500, Ms. Metz maintains a regular and reasonable schedule at facility.

According to Ms. Madrid, the Ford Starcraft bus is the only facility vehicle, and it has not been driven for over 3 months because the Class B driver resigned on 8/18/22 and no one has filled this position. Prior to transporting residents and upon hiring a Class B driver, the bus will be inspected for maintenance and safety and cleared for service. Despite expired registration stickers on license plate, vehicle registration was paid on 6/1/22 and proof of payment is provided to LPA.

Based on this investigation, this complaint is determined to be unfounded, meaning that the allegations could not have happened and/or are without a reasonable basis.