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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 385601116
Report Date: 11/14/2024
Date Signed: 11/14/2024 12:28:15 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 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
08/30/2024 and conducted by Evaluator Dominic Tobola
COMPLAINT CONTROL NUMBER: 14-AS-20240830083504
FACILITY NAME:COTERIE CATHEDRAL HILLFACILITY NUMBER:
385601116
ADMINISTRATOR:LALOYAN,SIRUN SARAHFACILITY TYPE:
740
ADDRESS:1001 VAN NESS AVENUETELEPHONE:
(415) 915-6615
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY:260CENSUS: 180DATE:
11/14/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Matt Turner, General ManagerTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility devices not properly working
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/14/2024, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by General Manager, Matt Turner. LPA toured the facility, interviewed staff, reviewed facility and resident records and made observations during the course of the investigation.

Complaint alleges facility devices not properly working including elevator and swimming pool lift. Based upon interview with General Manager (S1) LPA found that 1 out of 4 resident utilized elevators located in the lobby were not operating upon time of visit on 9/6/2024. However this does not prevent the overall accessibility for residents to utilize elevators. Upon observation LPA found that 3 elevators were still in functioning condition and accessible for resident use. In addition, LPA was provided documentation of contact with elevator repair services. Allegation also indicates swimming pool lift is inoperable. Based upon observation and interview with S1, LPA also found that the pool lift was in the process of repair and awaiting parts for completion. LPA also provided documentation of repair services in process. LPA found that the facility is aware of the devices in need of repair and have taken initiative to repair devices. Lastly, upon final inspection, all elevators and pool lift were in operating condition. Due to contradicting information gathered and a lack of corroborating evidence, the allegation is found to be unsubstantiated.

A finding that the complaint allegations, facility devices not properly working is unsubstantiated meaning that although the allegation 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 allegations are UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Andrea Medlin
LICENSING EVALUATOR NAME: Dominic Tobola
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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