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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 385601097
Report Date: 02/08/2023
Date Signed: 02/08/2023 12:52:57 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/26/2022 and conducted by Evaluator Murial Han
COMPLAINT CONTROL NUMBER: 14-AS-20221026144655
FACILITY NAME:SUTRO HEIGHTS CORPORATIONFACILITY NUMBER:
385601097
ADMINISTRATOR:PACALDO, JULIETFACILITY TYPE:
740
ADDRESS:659 45TH STREETTELEPHONE:
(415) 571-8531
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY:14CENSUS: 12DATE:
02/08/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Manager, Oscar MadrigalTIME COMPLETED:
01:05 PM
ALLEGATION(S):
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Staff do not answer residents' call bells in a timely manner
INVESTIGATION FINDINGS:
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On 2/8/2023, Licensing Program Analyst (LPA) Murial Han conducted an unannounced visit to deliver the findings of complaint # 14-AS-20221026144655. LPA met with manager, Oscar and explained the purpose to today's visit.

Regarding to allegation of - staff do not answer residents' call bells in a timely manner, there is no additional details forthcoming from the reporting party, however, during the initial reporting, the reporting party stated that sometimes it takes staff ten minutes to answer call bell due to staffing challenges.

As part of the investigation, LPA interviewed the administrator who denied the allegation and stated that the facility is having adequate staffing to meet resident's needs.

LPA interviewed 5 residents and all of them reported that facility staff are responding to their calls timely, and sometimes it takes a littler longer because they are helping other residents but overall, their needs are being met.

Based on observation, and interviews during the course of the investigation, this allegation is deemed to be unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Cara SmithTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Murial HanTELEPHONE: (619) 209-9761
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 14-AS-20221026144655
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SUTRO HEIGHTS CORPORATION
FACILITY NUMBER: 385601097
VISIT DATE: 02/08/2023
NARRATIVE
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Although the above investigations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

This report is discussed and review with manager.

A copy is provided.
SUPERVISOR'S NAME: Cara SmithTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Murial HanTELEPHONE: (619) 209-9761
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2