Complaint Investigation Report

415601085-5-22-2023-14-AS-KHOS-CSBNBY-20230530101956

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

08/04/2022 and conducted by Evaluator Audrey Jeung

COMPLAINT CONTROL NUMBER: 14-AS-20220804135812

Based on information reported by and obtained from facility staff, this allegation is substantiated. The preponderance of evidence standard has been met.

Upon review of current and former residents, there were 7 clients residing in facility from 1/28/22 through 3/22/22. Facility is licensed for 6.

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