Complaint Investigation Report

410507207-3-22-2024-14-AS-KHOS-D3QGUC-20240326053855

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

03/21/2024 and conducted by Evaluator Komal Charitra

COMPLAINT CONTROL NUMBER: 14-AS-20240321150559

On March 22, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with CEO, Diana Conti, Interim Director of Program, Patrice Clay, Interim Director, Marites De La Cruz and explained the purpose of the visit.

Regarding the allegation, facility staff is storing expired milk, according to the reporting party, facility stored expired milk in the refrigerator. During the visit, LPA observed the refrigerator in the kitchen and the refrigerators located in the garage. LPA observed expired milk in the kitchen refrigerator. The expiration date observed on the gallon of milk was dated 03/21/2024.

Regarding the allegation, facility P&I ledger is inaccurate, according to the reporting party, the facility ledgers and balances did not match, the receipts were not saved, and the ledger was not initialed routinely by residents.

During the investigation, LPA interviewed the CEO and staff. According to interviews, it was acknowledged that based on all clients' ledger audit, there was one client (R1) whose ledger was illegible and had possible math errors. During the visit, LPA observed R1’s ledger and observed on 5/14/2023, R1 did not sign off on purchasing ice cream twice.

Therefore, based on the records reviewed, interviews conducted, and information collected, the allegations facility staff is storing expired milk and facility P&I ledger is inaccurate is determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties.