385601116-7-26-2023-14-AS-KHOS-CU9JK2-20230731070625

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 385601116
Report Date: 07/26/2023
Date Signed: 07/26/2023 10:26:32 AM

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
07/24/2023 and conducted by Evaluator Komal Charitra

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20230724084145

FACILITY NAME:	COTERIE CATHEDRAL HILL		FACILITY NUMBER:	385601116
ADMINISTRATOR:	LALOYAN,SIRUN SARAH		FACILITY TYPE:	740
ADDRESS:	1001 VAN NESS AVENUE		TELEPHONE:	(415) 915-6615
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94109
CAPACITY:	260	CENSUS: 110	DATE:	07/26/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Executive Director, Sarah Lolayan		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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-Staff do not address scabies outbreak for the residents while in care
-Staff do not meet the residents hygiene needs while in care

INVESTIGATION FINDINGS:

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On July 26, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Executive Director, Sarah Lolayan, and Assistant General Managers, Armando Prado and Deborah Suarez and explained the purpose of the visit.

Regarding the allegation, staff do not address scabies outbreak for the residents while in care, according to the reporting party, the residents on the 4th floor, memory care unit are all infested with scabies and the facility is not following protocol by reporting to the state.

During the investigation, LPA interviewed Executive Director, two Assistant General Managers, and Care Coordination Director, Shirley Cheung, and reviewed facility records. According to the Executive Director and Care Coordination Director, Resident 1 (R1) was seen by a dermatologist on 7/8/2023 for a rash that did not subside despite treatment that was provided. The Executive Director stated that during this time 4 additional residents were observed to have similar rashes as R1, however scabies diagnosis was not confirmed until 7/21/2023 when R1's doctor notified the facility that R1 has a confirmed diagnosis of scabies. According to the Executive Director and Assistant General Manager, when the facility received confirmation that R1 was diagnosed with scabies on 7/21/202 , San Francisco Department of Public Health and Community Care Licensing were notified on the same day. Furthermore, the facility was able to provide LPA with a copy of the LIC624-Incident Report in relation to the scabies outbreak incident that was faxed to CCL on 7/21/2023.

Continue to 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cara Smith	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Komal Charitra	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

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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Control Number 14-AS-20230724084145

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: COTERIE CATHEDRAL HILL	FACILITY NUMBER: 385601116
	VISIT DATE: 07/26/2023

NARRATIVE

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Regarding the allegation that staff do not meet residents hygiene needs while in care, according to the reporting party, the residents on the 4^th floor with scabies are not being bathed nor changed.

During the investigation, LPA interviewed the Executive Director, Assistant General Manager, Deborah Suarez, and Care Coordination Director, Shirley Cheung and reviewed resident files. According to the Executive Director and staff interviewed, they denied this allegation. Based on the staff interviewed, it was indicated that when the facility received confirmation on 7/21/2023 that R1 tested positive for scabies, all residents and all staff in the memory care unit were treated with the scabies prescription on 7/22/2023. Furthermore, on 7/23/2023, all resident apartments were cleaned, staff provided all memory care unit residents with showers, changed their linens and laundered their personal clothing.

Therefore, based on the interviews conducted, and information collected, the allegations above are UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove that the alleged violation occurred.

Report is reviewed with the Executive Director, Sarah Lolayan and a copy is provided.

SUPERVISOR'S NAME: Cara Smith	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Komal Charitra	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

LIC9099 (FAS) - (06/04)

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