Complaint Investigation Report

415600874-5-31-2023-14-AS-KHOS-CT6L38-20230626082331

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

01/06/2021 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20210106160408

R1 was left sitting on the toilet for long periods of time without any assistance

Facility is not following dietary needs of the reisdent based on his condition

Staff ignored the clients calls for help so R1 had to call Fire Department for assistance

On this day, Licensing Program Analyst (LPA) conducted an unannounced complaint investigation visit in order to deliver the findings regarding the allegations. LPA met with administrator Monica and explained purpose of today's visit.

During the course of the investigation interviews were conducted and review of pertninent documents were made. Due to the COVID pandemic at the time of the allegations several staffing impacts took place in regards to staffing changes, temporary agency use utilization, and multiple staff leaving, the stafffing levels fluctuated within the facility this was something the facility was not able to control due to the pandemic. Staff tended to residents the best they could to meet residents needs. At no point was it found that there were no staff present. These allegations are unsubstantiated.

Based on these observations, the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time.

Report is reviewed with the administrator. No citations issued.