Complaint Investigation Report

415600874-12-29-2022-14-AS-CSMH-CMLS5S-20221230123448

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

11/09/2022 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20221109110234

Staff is serving expired food to residents.

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to close and deliver findings in regards to the allegation received. LPA met with Wellness Director Baneen Amiri and explained purpose of today's visit.

During the course of the investigation LPA interviewed staff and made observations in regards to food storage and supplies. In an interview with the diining director Xuan Tran, it was stated that the milk was not expired. A review of the milk served was made in the food supply and she confirmed it was not expired. It was explained that the milk was left out for the resident for lunch, and the resident did not pick it up. The milk was warm but not expired. The food was not sitting out for a long time but long enough to have the milk get warm. The facility implimented a plan so that the resident's food and milk is not sitting out and the is stored if food if not picked up right away. This allegation is unsubstantiated.

Report is reveiwed with the welness director Baneen Amiri.