Senior Care Records.

Complaint Investigation Report

Arbor House, South San Francisco09/13/2023Licence 415601122

Census3
Date signed09/13/2023 02:02:09 PM
The inspector’s account

415601122-9-13-2023-14-AS-KHOS-CVZK6R-20230925073756

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

12/09/2022 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20221209144007

- Facility staff are drinking alcohol at the facility

On this day Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings into the allegations received. LPA met with administrator Victoria Alejandro and explained the purpose of today's visit.

During the course of the investigation LPA conducted interviews and made observations. Interviews conducted revealed that the above allegation did take place. This discovery was made by a facility manager who made a late night visit to the facility around 10:45pm and discovered the staff persons S2, S3, and S4 in the garage of the facility playing loud music and observing a bottle of alcohol and cups present. These staff persons and other staff persons employed at this time were terminated, or resigned, for not reporting these items to the administrator. This allegation is substantiated.

Based on LPA interviews and items letters received, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC9099D.

Report is reviewed with the administrator Victoria Alejandro.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction