Inspection Reports for
Cogir of Folsom Memory Care
1801 E Natoma St, Folsom, CA 95630, United States, CA, 95630
Back to Facility ProfileCitations (last 5 years)
Citations (over 5 years)
2 citations/year
Citations are regulatory findings recorded during state inspections.
50% better than California average
California average: 4 citations/yearCitations per year
8
6
4
2
0
Occupancy
Latest occupancy rate
64% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Capacity: 66
Citations: 0
Date: Mar 20, 2026
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff were not taking steps to prevent the spread of a communicable disease and were not following proper food safety protocols with residents in care.
Complaint Details
The complaint was unsubstantiated based on the investigation. The allegations included failure to prevent communicable disease spread and improper food safety protocols. Interviews with the Executive Director and a resident did not support the claims.
Findings
The investigation found that the facility did not have a policy restricting visitors to prevent disease spread, but staff wore masks and followed hygiene protocols; residents were not required to isolate if they refused. Regarding food safety, there was no evidence supporting the allegation of undercooked hamburger being served. Overall, the allegations were unsubstantiated.
Report Facts
Facility capacity: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Administrator | Facility administrator named in the report |
| Anthony Perez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 66
Citations: 0
Date: Mar 19, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation of lack of supervision resulting in a physical altercation between residents causing one resident to fall.
Complaint Details
The complaint alleged lack of supervision leading to a physical altercation between residents resulting in a fall. The allegation was unsubstantiated based on interviews and documentation.
Findings
The investigation included interviews and documentation review, concluding that although the incident may have occurred, there was insufficient evidence to substantiate the allegation. The facility was fully staffed at the time, and no deficiencies were cited.
Report Facts
Capacity: 66
Census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Elizabeth Cruz | Executive Director | Facility administrator met during the investigation |
Inspection Report
Capacity: 66
Citations: 0
Date: Feb 19, 2026
Visit Reason
The visit was a case management visit conducted to amend reports from a prior visit on February 3, 2026.
Findings
The department determined that due to a citation issued on February 3, 2026, an immediate civil penalty of $500 will be assessed for a violation resulting in injury or illness of a person in care. An additional civil penalty assessment is under review. No additional citations were issued during this visit.
Report Facts
Civil penalty amount: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Cruz | Executive Director | Met with Licensing Program Analyst during case management visit |
| Angela Hood | Licensing Program Analyst | Conducted the case management visit and signed the report |
| Maribeth Senty | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 66
Citations: 1
Date: Feb 3, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of neglect and lack of care and supervision resulting in a resident being pushed and sustaining fractures, as well as allegations regarding meal service attendance, showering needs, and room cleanliness.
Complaint Details
The complaint was substantiated regarding neglect and lack of supervision leading to a resident being pushed and sustaining fractures. The investigation found that the facility did not have enough staff scheduled based on residents' care needs at the time of the incident. An immediate civil penalty of $500 was assessed, with an additional penalty under review.
Findings
The investigation substantiated the allegation that a resident was pushed by another resident resulting in serious injury and cited a deficiency for insufficient staffing to provide adequate care and supervision. Other allegations regarding meal attendance, showering, and room cleanliness were unsubstantiated with no deficiencies cited.
Citations (1)
Facility did not ensure staff were sufficient in number to provide care and supervision to residents, posing an immediate health, safety, and personal rights risk.
Report Facts
Civil penalty amount: 500
Staff present at time of incident: 3
Capacity: 66
Census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Liz Cruz | Executive Director | Met with Licensing Program Analyst and provided staff schedules and information during investigation |
| Deborah Taylor | Administrator | Facility administrator named in report |
| Maribeth Senty | Supervisor | Supervisor overseeing the licensing evaluation |
| Karen Silva | Regional Health and Wellness Director | Provided information about shower logs and staff schedules |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 66
Citations: 0
Date: Dec 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was malodorous.
Complaint Details
The complaint was unsubstantiated based on observations made during the investigation. No violations were proven.
Findings
The investigation found no abnormal odors during multiple tours of the facility, and there was insufficient evidence to substantiate the allegation. Therefore, the complaint was unsubstantiated and no deficiencies were cited.
Report Facts
Capacity: 66
Census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Elizabeth Cruz | Executive Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 66
Citations: 0
Date: Oct 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2025-03-05 regarding resident care and staff conduct at the facility.
Complaint Details
The complaint investigation addressed allegations including failure to meet residents' showering needs, failure to intervene in verbal altercations, inappropriate staff communication, failure to provide refunds, and failure to provide medications as prescribed. All allegations were found unsubstantiated based on interviews with residents, staff, and review of records.
Findings
The investigation found all allegations to be unsubstantiated after extensive interviews, file reviews, and observations. No evidence supported claims that staff failed to meet residents' showering needs, intervened in verbal altercations, spoke inappropriately to residents, failed to provide refunds, or did not administer medications as prescribed.
Report Facts
Refund amount: 2075
Medication count: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Deborah Taylor | Administrator | Facility administrator named in the report |
| Anthony Perez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 42
Capacity: 66
Citations: 0
Date: Sep 16, 2025
Visit Reason
The purpose of the visit was to discuss the recent non-compliance at the facility during a virtual office meeting with Sacramento North Regional Office representatives and licensee representatives.
Findings
The meeting covered significant leadership changes, continuation of staff training, observation of residents' behavior expressions, and appropriate oversight at the facility. No deficiencies were issued in this report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Holly McMurray | Senior Vice President of Care and Compliance | Present in the meeting and recipient of the report copy. |
| Kristina Munoz | Senior Vice President Operations Northern CA | Present in the meeting. |
| Justin Stein | Assistant Chief Operating Officer | Present in the meeting. |
| Kimberly Eldridge | National Director of Resident Care | Present in the meeting. |
| Karen Silva | Regional of Health and Wellness | Present in the meeting. |
| Joel Goldman | Legal representative | Present in the meeting. |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 66
Citations: 1
Date: Sep 10, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted due to multiple allegations received on 2025-02-25 regarding staff not updating resident medical records, inadequate supervision resulting in a resident fall, failure to seek medical attention, failure to notify the resident's responsible party, and facility maintenance issues.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not update the resident's medical records. The allegation regarding inadequate supervision resulting in a resident fall was unsubstantiated. The allegations that staff did not seek medical attention and did not notify the resident's responsible party were unfounded. The allegation about the facility's AC/Heater wall unit being in disrepair was also unfounded.
Findings
The investigation substantiated the allegation that staff did not update a resident's medical records, resulting in the resident being sent to the wrong medical facility. The allegation of inadequate supervision resulting in a resident fall was unsubstantiated. The allegations that staff did not seek medical attention and did not notify the resident's responsible party were unfounded. The complaint about the facility's AC/Heater wall unit being in disrepair was unfounded as the unit was found to be in good condition.
Citations (1)
Resident record did not have updated medical physician information, causing resident to be transported to the wrong emergency medical facility.
Report Facts
Capacity: 66
Census: 43
Deficiency count: 1
Plan of Correction Due Date: Sep 30, 2025
Fine amount: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Deborah Taylor | Administrator | Facility administrator during the investigation |
| Anthony Perez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 66
Citations: 2
Date: Aug 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the licensee did not ensure staff were qualified to assigned duties and that staff mismanaged residents' medications.
Complaint Details
The complaint was substantiated based on evidence that staff were not qualified as required and medication mismanagement occurred. The substantiation means the allegations were valid based on the preponderance of evidence.
Findings
The investigation substantiated the allegations that a staff member (S1) worked without a required criminal record exemption and that a resident (R1) was not administered a prescribed medication dose on August 3, 2025, confirmed by medication audit and file review.
Citations (2)
Staff member (S1) worked at the facility without obtaining a required criminal record exemption as mandated prior to employment or initial presence.
Resident (R1) was not administered one dose of prescribed pentoxifylline medication, posing a potential risk to the resident.
Report Facts
Capacity: 66
Census: 44
Deficiency Type A POC Due Date: Aug 20, 2025
Deficiency Type B POC Due Date: Aug 26, 2025
Medication tablets missing: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Deborah Taylor | Administrator | Facility administrator at time of investigation |
| Anthony Perez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Census: 44
Capacity: 66
Citations: 1
Date: Aug 15, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to review multiple incident reports submitted to the Department earlier in the month.
Findings
The inspection found that approximately 17 incident reports were submitted late, exceeding the seven-day reporting requirement, posing a potential risk to residents. Deficiencies were cited related to reporting requirements.
Citations (1)
Failure to submit incident reports to the licensing agency within seven days as required, with approximately 17 reports exceeding the timeframe.
Report Facts
Incident reports submitted late: 17
Plan of Correction due date: Aug 22, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Deborah Taylor | Administrator/Director | Facility Administrator/Director mentioned in the report header |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 66
Citations: 1
Date: Aug 15, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff neglect resulted in resident dehydration and hospitalization.
Complaint Details
The complaint was substantiated. The allegation was that staff neglect resulted in resident dehydration and hospitalization. An immediate civil penalty of $500 was assessed for the injury due to staff neglect. The civil penalty assessment is under review and may be increased upon follow-up.
Findings
The investigation substantiated the allegation that staff neglect led to a resident (R1) being lost during a fire drill, resulting in heat exposure, dehydration, acute kidney injury, and hospitalization. Staff failed to conduct a required head count after the fire drill, allowing the resident to escape unnoticed for hours, posing an immediate health and safety risk.
Citations (1)
Failure to be aware of the resident's general whereabouts during a fire drill, resulting in the resident escaping to a locked courtyard unnoticed for hours, causing injury and posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500
Capacity: 66
Census: 44
Plan of Correction Due Date: Aug 16, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Deborah Taylor | Administrator | Facility administrator named in the report. |
Inspection Report
Annual Inspection
Census: 45
Capacity: 66
Citations: 0
Date: Jun 30, 2025
Visit Reason
The inspection was a case management annual continuation visit to ensure the health and safety of residents in care.
Findings
The facility was found to be clean, in good repair, and compliant with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during the inspection.
Report Facts
Resident records reviewed: 5
Personnel records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during inspection |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Annual Inspection
Census: 47
Capacity: 66
Citations: 0
Date: Jun 30, 2025
Visit Reason
The inspection was a required unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements, including discussion of COVID-19 outbreak cases and protocols.
Findings
The Licensing Program Analyst met with the Executive Director and discussed six active COVID-19 cases at the facility. The inspection was not fully completed on this date, with a walk-through inspection to be conducted at a later time. Staffing and COVID-19 protocols were also discussed.
Report Facts
Active COVID-19 cases: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during inspection |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 45
Capacity: 66
Citations: 0
Date: May 29, 2025
Visit Reason
A Non-Compliance Conference was held to address previous compliance history and develop a non-compliance plan with the licensee.
Findings
The licensee was in agreement with the drafted non-compliance plan. Due to improvements and new procedure implementation, no citations were issued as a result of the meeting.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Facility representative present at the Non-Compliance Conference. |
| Phil Altman | Senior Vice President of Operations | Facility representative present at the Non-Compliance Conference. |
| Lyndee Whaley | Regional Vice President of Operations | Facility representative present at the Non-Compliance Conference. |
| Shayla Hill | Health and Wellness Director | Facility representative present at the Non-Compliance Conference. |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 66
Citations: 0
Date: May 2, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff left a resident unattended for an extended period resulting in hospitalization and that staff were not meeting residents' needs.
Complaint Details
The complaint included allegations that staff left a resident unattended leading to hospitalization and that staff were not meeting residents' needs. The investigation found these allegations to be unfounded based on medical records, staff interviews, and training documentation.
Findings
The investigation included file reviews and interviews, concluding that both allegations were unfounded. The resident was found to have medical conditions unrelated to staff neglect, and staff were properly trained to meet residents' needs.
Report Facts
Facility capacity: 66
Census: 48
Staff training attendance: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 66
Citations: 0
Date: Mar 12, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-03-14 regarding staff response to resident calls, toileting needs, timely medical attention, and staff training.
Complaint Details
The complaint included allegations that staff did not respond to resident calls for assistance, did not meet resident toileting needs, failed to seek medical attention in a timely manner, and were not properly trained. The investigation found these allegations to be unfounded based on interviews with residents, staff, and review of incident and hospital records.
Findings
After extensive interviews, file reviews, and observations, all allegations were found to be unfounded. Staff responded appropriately to resident calls, met toileting needs, sought timely medical attention, and were properly trained.
Report Facts
Falls detected: 14
Median response time: 74
Average response time: 103
Response within 5 minutes: 92.31
Capacity: 66
Census: 44
Medication training hours: 8
Hands-on shadowing hours: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation |
| Phoebie Carcot | Administrator | Facility administrator mentioned in report header |
| Deborah Taylor | Met with Licensing Program Analyst during investigation | |
| S1 | Medication Technician Trainee | Employee who completed medication training and shadowing |
| S2 | Medication Technician Trainee | Employee who completed medication training and shadowing |
| S3 | Medication Technician Trainee | Employee who completed medication training and shadowing |
Inspection Report
Complaint Investigation
Census: 46
Capacity: 66
Citations: 1
Date: Feb 5, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-06-10, including resident not receiving medication, resident death due to neglect, staff dropping resident during transfer, and staff falsifying resident records.
Complaint Details
The complaint investigation was substantiated for the allegation that a resident was not receiving medication as prescribed. The allegation that a resident died due to neglect was unfounded. Allegations that staff dropped a resident during transfer and falsified resident records were unsubstantiated.
Findings
The investigation substantiated the allegation that a resident did not receive medication as prescribed, posing a potential health and safety risk. The allegation that a resident died due to neglect was found to be unfounded. Allegations that staff dropped a resident during transfer and falsified resident records were unsubstantiated due to lack of sufficient evidence.
Citations (1)
Licensee did not comply with CCR 87465(a)(4) requiring assistance with self-administered medications, as a resident was not administered medications as prescribed.
Report Facts
Capacity: 66
Census: 46
Plan of Correction Due Date: Feb 28, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation |
| Deborah Taylor | Facility representative met during the investigation | |
| Davina Barker | Administrator | Facility administrator named in the report |
Inspection Report
Census: 44
Capacity: 66
Citations: 0
Date: Jan 13, 2025
Visit Reason
The visit was an unannounced case management visit conducted by Licensing Program Analyst Cassie Yang to review facility compliance and request training documents for staff S1 and S2 for 2023 and 2024.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst requested copies of specific staff training documents to be provided by the end of the day via email.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Administrator/Director | Met with Licensing Program Analyst during the case management visit. |
| Cassie Yang | Licensing Program Analyst | Conducted the unannounced case management visit and requested training documents. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 34
Capacity: 66
Citations: 1
Date: Dec 23, 2024
Visit Reason
Unannounced complaint investigation visit conducted due to allegations of facility staff's lack of care and supervision resulting in a resident sustaining serious bodily injury and another resident's death.
Complaint Details
The complaint was substantiated. Allegations included lack of care and supervision leading to serious bodily injury and death of residents. The investigation found staff failed to intervene during an altercation between residents, violating facility protocols. An immediate civil penalty of $500 was assessed.
Findings
The investigation substantiated that staff failed to follow facility protocols during an altercation between residents, resulting in one resident sustaining severe injuries and subsequent death. Staff did not intervene or redirect as required, posing an immediate health and safety risk.
Citations (1)
Failure to provide care, supervision, and services that meet individual needs by staff sufficient in numbers, qualifications, and competency, as staff failed to follow protocol during an incident involving aggressive resident behavior.
Report Facts
Civil penalty amount: 500
Capacity: 66
Census: 34
Plan of Correction due date: Dec 24, 2024
Plan of Correction due date: Jan 23, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Anthony Perez | Licensing Program Manager | Oversaw the complaint investigation and signed report. |
| Phoebie Carcot | Administrator | Facility administrator during the investigation. |
| Deborah Taylor | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 31
Capacity: 66
Citations: 1
Date: Sep 26, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation regarding an allegation that facility staff served expired food to residents.
Complaint Details
The complaint was substantiated based on evidence that facility staff served expired food to residents. The allegation was validated by a preponderance of the evidence standard.
Findings
The investigation substantiated the allegation after a kitchen inspection revealed expired food items, including Hollandaise Sauce Mix and peanut butter, in the facility's dry pantry storage. The Executive Director confirmed the presence of expired salad dressing, which was properly disposed of prior to the inspection.
Citations (1)
Failure to comply with CCR 87555(a) General Food Service Requirements; expired food items were found in the pantry posing potential health, safety, and personal rights violations to residents.
Report Facts
Facility capacity: 66
Census: 31
Plan of Correction due date: Oct 4, 2024
Expired food items observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Administrator / Executive Director | Met with Licensing Program Analyst during investigation |
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Monitoring
Census: 29
Capacity: 66
Citations: 0
Date: Aug 13, 2024
Visit Reason
The visit was an informal conference conducted virtually to discuss pending open investigations and staffing concerns at the facility.
Findings
The Department agreed to monitor the facility and required proof of staff training on personal rights of residents. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met during the informal conference and named as facility representative. |
| Anthony Perez | Licensing Program Manager | Present during the informal conference and named as Licensing Program Manager. |
| Cassie Yang | Licensing Program Analyst | Present during the informal conference and named as Licensing Program Analyst. |
| Lyndee Whaley | Regional VP of Operations | Facility representative present during the informal conference. |
| Phil Altman | Senior VP of Operations | Facility representative present during the informal conference. |
| Kim Eldridge | Regional Director of Health & Wellness | Facility representative present during the informal conference. |
| Holly McMurray | Senior VP of Care & Compliance | Facility representative present during the informal conference. |
Inspection Report
Complaint Investigation
Capacity: 66
Citations: 0
Date: Aug 8, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the licensee denied a resident's hospice worker entry to the facility.
Complaint Details
The allegation was that the licensee denied a resident's hospice worker entry to the facility. The investigation found that the hospice nurse was not denied entry at the door, but was later requested by the facility not to return, a request agreed upon by the hospice agency. The allegation was determined to be unfounded.
Findings
The investigation included extensive interviews with the hospice agency supervisor, hospice nurse, Executive Director, and Health and Wellness Director. The department concluded the allegation was unfounded, finding no denial of entry occurred and no deficiencies were cited.
Report Facts
Facility capacity: 66
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during investigation |
| Anthony Perez | Supervisor | Supervisor overseeing the investigation |
| Davina Barker | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 27
Capacity: 66
Citations: 1
Date: Jul 25, 2024
Visit Reason
The visit was an unannounced case management inspection conducted due to a reported unusual incident involving a resident being threatened by a staff member to stop using the call light.
Complaint Details
The complaint was substantiated as the investigation confirmed the incident where staff member S1 threatened resident R1, violating personal rights and causing fear.
Findings
The investigation confirmed that staff member S1 threatened resident R1 to stop using the call light, causing fear in the resident. S1 was suspended and is no longer employed at the facility. The facility notified appropriate authorities and parties about the incident.
Citations (1)
Violation of CCR Title 22, Section 87468.1 Personal Rights of Residents in All Facilities: Resident was threatened by staff to stop using call light, causing fear and posing an immediate health and safety risk.
Report Facts
Capacity: 66
Census: 27
Deficiencies cited: 1
Plan of Correction Due Date: Jul 26, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the inspection and investigation |
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during inspection |
| Davina Barker | Administrator | Facility administrator present during inspection |
| Anthony Perez | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Census: 27
Capacity: 66
Citations: 0
Date: Jul 25, 2024
Visit Reason
The visit was an unannounced case management inspection conducted in response to an unusual incident/injury report involving a resident choking during lunch.
Findings
The incident involved a resident choking on meat which was dislodged by staff, followed by evaluation and a diet change. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Deborah Taylor | Executive Director | Met with Licensing Program Analyst during the visit and discussed the incident. |
| Davina Barker | Regional Director | Met with Licensing Program Analyst during the visit and discussed the incident. |
| Cassie Yang | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Anthony Perez | Supervisor | Named as supervisor in the report. |
Inspection Report
Annual Inspection
Census: 22
Capacity: 66
Citations: 0
Date: Jun 21, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate the facility's compliance using the full care tool.
Findings
The facility was found to be in substantial compliance with no deficiencies cited. The environment was clean, sanitary, in good repair, and residents were observed engaged in activities. Files reviewed were complete and liability insurance was current.
Report Facts
Residents on hospice services: 8
Care staff on AM and PM shifts: 3
Med tech on AM and PM shifts: 1
Care staff on night shift: 2
Perishable food supply: 2
Non-perishable food supply: 7
Facility temperature: 72
Resident files reviewed: 5
Personnel files reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Davina Barker | Executive Director | Met with Licensing Program Analyst during inspection and reported staffing information |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection visit |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 66
Citations: 0
Date: Jun 21, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by an allegation that the facility did not notify the responsible person of an increase in monthly rent rates.
Complaint Details
The allegation was that the facility did not notify the responsible person of an increase in monthly rent rates. The investigation found that a letter of Annual Care Level Rate Adjustment Notice was provided on October 31, 2023, with an effective date of January 1, 2024, and a subsequent letter on March 8, 2024, informed the responsible party of the annual base rent increase effective June 1, 2024. The allegation was determined to be unfounded.
Findings
The investigation included file reviews and interviews, concluding that the allegation was unfounded as documentation showed proper notification of rent increases and updated care service plans. No deficiencies were cited.
Report Facts
Capacity: 66
Census: 22
Care service cost for Level 1: 2550
Additional care level cost: 600
Annual base rent increase: 4875
Annual base rent increase: 5216
Initial assessment care total: 590
Updated assessment care total: 940
Memory Care Level 2 price range: 426
Memory Care Level 2 price range: 525
Memory Care Level 6 price range: 826
Memory Care Level 6 price range: 925
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Davina Barker | Executive Director | Met with Licensing Program Analyst during the investigation |
| Phoebie Carcot | Administrator | Facility administrator named in the report |
| Anthony Perez | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 22
Capacity: 66
Citations: 0
Date: Jun 12, 2024
Visit Reason
The visit was an unannounced case management inspection conducted on 06/12/2024 regarding an incident report received on 06/11/2024 involving a resident's fall.
Complaint Details
The visit was triggered by a complaint involving a welfare check by local law enforcement on 06/10/2024 due to a recent fall of resident R1. The incident was under review at the time of the visit.
Findings
The inspection found that the resident had a 'guided fall' on 06/03/2024 with no injury sustained and no hospital visit. The incident report LIC624 was not submitted as it was considered not a fall. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Davina Barker | Administrator | Met during the inspection and involved in discussion of the incident. |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection visit. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 22
Capacity: 66
Citations: 0
Date: Jun 12, 2024
Visit Reason
The visit was an unannounced case management inspection conducted on 06/12/2024 regarding an incident report received on 06/11/2024 involving a resident's guided fall.
Findings
The Licensing Program Analyst found that the incident involved a guided fall with no injury and no hospital transfer. No deficiencies were cited during this visit, and the incident remains under review.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassie Yang | Licensing Program Analyst | Conducted the case management visit and inspection. |
| Davina Barker | Administrator | Facility Administrator present during the visit. |
| Shayla Hill | Met with Licensing Program Analyst during the visit. | |
| Anthony Perez | Supervisor | Supervisor named in the report. |
Inspection Report
Complaint Investigation
Census: 15
Capacity: 66
Citations: 0
Date: May 16, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2022-11-16 regarding staff conduct and facility operations at Cogir of Folsom.
Complaint Details
The complaint investigation addressed allegations of staff shoving a pill into a resident's mouth, failure to assist resident into bed, staff violating resident privacy by listening to conversations without consent, and the signal system not being operational. All allegations were found to be unsubstantiated or unfounded after thorough investigation.
Findings
The investigation included interviews, record reviews, and facility observations. All allegations including staff forcibly administering medication, failure to assist residents, violation of resident privacy, and non-operational signal system were found to be unsubstantiated or unfounded due to lack of evidence or contradictory findings.
Report Facts
Capacity: 66
Census: 15
Number of resident interviews: 3
Number of staff interviews: 5
Dates of prior inspections: Prior inspections on 2022-11-22 and 2023-03-01 referenced
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Wendy Middleton | Memory Care Director | Facility representative met during investigation and exit interview |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
| Adebimpe Ekundare | Administrator | Facility administrator named in report header |
Inspection Report
Annual Inspection
Census: 16
Capacity: 66
Citations: 0
Date: Apr 26, 2023
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate the health and safety compliance of the facility using the CARE Inspection Tool.
Findings
The inspection found the facility to be in good condition with no deficiencies cited. Areas toured included resident rooms, bathrooms, kitchen, medication room, and common areas. Medications were properly stored and administered, and safety equipment was operable.
Report Facts
Residents' files reviewed: 5
Staff records reviewed: 5
Fire extinguisher last serviced: Mar 1, 2023
Hot water temperature: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassiana Bush | Executive Director | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Wendy Middleton | Memory Care Director | Participated in facility tour during inspection |
| Sarena Keosavang | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 16
Capacity: 66
Citations: 0
Date: Mar 9, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff do not ensure the facility is free from bed bugs.
Complaint Details
The complaint alleged that staff do not ensure the facility is free from bed bugs. The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.
Findings
The investigation found that although bed bugs were observed in the facility on 12/19/2022, the facility took all necessary steps to relocate the resident, wash bedding, and engage pest control professionals to eradicate the infestation. The complaint was determined to be unfounded.
Report Facts
Complaint Control Number: 25
Capacity: 66
Census: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation |
| Wendy Middleton | Memory Care Director | Met with the Licensing Program Analyst during the investigation and acknowledged receipt of the report |
| Laura Munoz | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 21
Capacity: 66
Citations: 0
Date: Dec 28, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that the facility was not following quarantine protocol and that the administrator was not present at the facility.
Complaint Details
The complaint alleged that the facility was not following quarantine protocol and that the administrator was not present at the facility. Both allegations were investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.
Findings
The investigation found both allegations to be unfounded. The facility was following all required COVID-19 positive protocols, including quarantine measures and staff training. The administrator was present at the facility for an adequate number of hours and fulfilled her responsibilities.
Report Facts
Capacity: 66
Census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Tracy Lehner | Administrator | Met with the Licensing Program Analyst during the investigation and was involved in the exit interview |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Census: 39
Capacity: 66
Citations: 0
Date: May 17, 2022
Visit Reason
An unannounced pre-licensing visit was conducted due to a change of ownership at the facility.
Findings
The facility was toured and inspected, including resident rooms and common areas. The facility meets licensing requirements and no deficiencies were noted.
Report Facts
Number of shared rooms: 28
Number of private rooms: 10
Number of full bathrooms: 4
Number of dining areas: 2
Number of television rooms: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Adebimpe Ekundare | Executive Director | Met with Licensing Program Analysts during the inspection and toured the facility |
| Lavinia Muscan | Licensing Program Analyst | Conducted the unannounced pre-licensing visit |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced pre-licensing visit |
| Troy Ordonez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 43
Capacity: 66
Citations: 0
Date: Apr 27, 2022
Visit Reason
The visit was conducted as part of a change of ownership application process for a Residential Care Facility for the Elderly. The applicant and administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations.
Findings
The applicant and administrator demonstrated understanding of facility operation, admission policies, staffing requirements and training, restricted/prohibited health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Signed documentation including LIC 809 and photo ID were obtained.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Malissa Acuna | Administrator | Named as facility administrator during the change of ownership application process |
| Adebimpe Ekundare | Participant in COMP II telephone interview | |
| Bethany Hunter | Licensing Evaluator | Conducted licensing evaluation and signed report |
| Jude De La Concepcion | Supervisor | Named as supervisor on the report |
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