Inspection Reports for Cogir of North Bay
2261 Tuolumne St, Vallejo, CA 94589, United States, CA, 94589
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations determined to be unsubstantiated. The facility had a long record of clean annual inspections, including the most recent on February 14, 2025, which was free of deficiencies. Earlier reports showed a few isolated issues, such as an elevator control button malfunction in July 2023 that resulted in a $1,000 civil penalty and a substantiated finding related to insufficient staffing supervision in November 2022. These issues were addressed with repairs and corrections verified in a follow-up visit. Overall, the facility appears to have improved over time, with no deficiencies noted in the latest inspections.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
53% occupied
Based on a March 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 44
Capacity: 83
Deficiencies: 0
Mar 19, 2025
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that the facility failed to safeguard a resident's belongings while the resident was hospitalized.
Findings
The investigation found no preponderance of evidence to prove or disprove the allegation. The resident's belongings were inventoried and boxed by the facility, and the family took most items without allowing documentation. The allegation was determined to be unsubstantiated and no citations were issued.
Complaint Details
The complaint alleged the facility failed to safeguard resident R1's belongings, including a checkbook and keys, and that R1's car had been moved without authorization. The investigation was unsubstantiated.
Report Facts
Facility capacity: 83
Resident census: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Araceli Canela | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Tracy Freudendahl | Executive Director/Administrator | Facility administrator involved in investigation and statements |
| Kimberley Mota | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 44
Capacity: 83
Deficiencies: 0
Feb 14, 2025
Visit Reason
The inspection was an unannounced Required 1 Year visit to evaluate compliance with licensing regulations for an assisted living facility.
Findings
The facility was found to be clean, orderly, and compliant with safety, infection control, and emergency preparedness requirements. No deficiencies were cited during the visit.
Report Facts
Residents in care: 44
Licensed capacity: 83
Staff files reviewed: 7
Resident files reviewed: 8
Medication spot check: 5
Fire extinguisher service date: 202501
Last fire drill date: Jan 23, 2025
Hot water temperature range: 105-120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Freudendahl | Executive Director/Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Robert Frank | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 83
Deficiencies: 0
Dec 16, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 08/16/2024 regarding alleged violations of a resident's personal rights related to lack of communication by facility staff during a hospital discharge process.
Findings
The investigation found that although the allegation may be true, there was insufficient evidence to prove or disprove the claim. The facility denied the allegations and stated efforts were made to expedite assessments and coordinate care. The complaint was determined to be unsubstantiated and no citations were issued.
Complaint Details
The complaint alleged violation of personal rights due to lack of communication by staff during hospital discharge coordination for resident R2. The complaint was unsubstantiated based on the investigation.
Report Facts
Complaint received date: Aug 16, 2024
Facility capacity: 83
Facility census: 53
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Araceli Canela | Licensing Program Analyst | Conducted the complaint investigation |
| Kimberley Mota | Licensing Program Manager | Named in report as Licensing Program Manager |
| Tracy Freudendahl | Executive Director/Administrator | Met with Licensing Program Analyst during investigation |
| Annemarie Domizio | Administrator | Facility Administrator named in report |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 83
Deficiencies: 0
Aug 21, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding allegations that staff did not ensure residents were served foods of good quality and that the facility was not maintained in good repair.
Findings
The investigation found no corroboration from residents regarding poor food quality, and the facility's maintenance issues were either not substantiated or explained as precautionary measures. Therefore, the allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated based on statements from residents and observations. No citations were issued.
Report Facts
Facility capacity: 83
Census: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Araceli Canela | Licensing Program Analyst | Conducted the complaint investigation |
| Tracy Freudendahl | Executive Director/Administrator | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 65
Capacity: 83
Deficiencies: 0
Jan 12, 2024
Visit Reason
This was an unannounced annual visit conducted as a required 1-year inspection to evaluate the facility's compliance with licensing regulations.
Findings
The facility was toured and several resident and staff files were checked. Multiple topics were discussed, and no deficiencies were cited. Some documentation updates were requested to be submitted by 02/10/2024.
Report Facts
Capacity: 83
Census: 65
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Fruedendahl | Executive Director | Toured the facility with the Licensing Program Analyst |
| Kerry Hiratsuka | Licensing Program Analyst | Conducted the unannounced annual visit |
| Troy Ordonez | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 83
Deficiencies: 0
Oct 30, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint alleging that residents' needs were not being met by the facility.
Findings
The investigation found that the resident in question lives relatively independently and has not contracted with the facility for additional care. Although some allegations may be true, there was insufficient evidence to substantiate the complaint. Therefore, the allegation was unsubstantiated and no citations were issued.
Complaint Details
The complaint alleged that the facility did not meet a resident's needs, including missed medical appointments, failure to set up voicemail, and lack of assistance with wearing a prescribed medical device. The investigation concluded the allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 83
Census: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
Inspection Report
Plan of Correction
Census: 75
Capacity: 83
Deficiencies: 0
Aug 11, 2023
Visit Reason
The visit was conducted as a Plan of Correction (POC) unannounced visit to verify repairs and corrections made subsequent to the last visit.
Findings
Repairs to the elevator control button for the third floor have been completed and are fully functional. The previously cited deficiency is cleared. No citations were issued during this visit.
Report Facts
Capacity: 83
Census: 75
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Program Analyst | Conducted the Plan of Correction visit and verified repairs |
| Annemarie Domizio | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 83
Deficiencies: 1
Jul 31, 2023
Visit Reason
The inspection was an unannounced visit to investigate a complaint received on 07/27/2023 regarding the facility elevator being in disrepair.
Findings
The elevator button for the third floor was found to be malfunctioning, although the elevator remained functional. The Administrator has received bids for repair and is awaiting corporate approval for the expenditure. A $1,000 civil penalty was issued for a repeat violation within 12 months.
Complaint Details
The complaint was substantiated. The investigation confirmed the elevator button malfunction and issued a civil penalty for repeat violation.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Control button for third floor is not functioning properly, posing immediate risk to safety and personal rights of residents. | Type A |
Report Facts
Civil penalty amount: 1000
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Leibert | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Carla Martinez | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 38
Capacity: 83
Deficiencies: 1
Feb 9, 2023
Visit Reason
An unannounced Annual Required – 1 year Infection Control inspection was conducted to evaluate compliance with health and safety regulations.
Findings
The facility was found to be generally compliant with infection control and safety regulations, including proper food storage, adequate PPE supplies, and staff training. However, two elevators were found to be out of compliance due to expired inspection certificates, resulting in a cited deficiency.
Deficiencies (1)
| Description |
|---|
| Two out of two elevators were in need of inspection renewal, posing a potential health, safety, or personal rights risk to persons in care. |
Report Facts
Elevators in need of inspection renewal: 2
Deficiency Plan of Correction due date: Feb 16, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominic Tobola | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Kimberley Mota | Licensing Program Manager | Supervisor overseeing the inspection. |
| Dina Lopez | Health Services Director | Met with the Licensing Program Analyst during the inspection. |
| Tracy Freudendahl | Facility Director present and informed of the inspection. |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 83
Deficiencies: 0
Feb 9, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff failed to safeguard a resident's funds.
Findings
The investigation found that the allegation was unsubstantiated because the fraudulent activity started before the resident was admitted to the facility, and there was no evidence that facility staff failed to safeguard the resident's funds. No deficiencies were cited during the visit.
Complaint Details
The complaint alleged that facility staff failed to safeguard resident's funds. The allegation was found unsubstantiated as the fraudulent activity began before the resident's admission date, and the resident had a Power of Attorney managing their finances.
Report Facts
Complaint Control Number: 21-AS-20221103162806
Facility Capacity: 83
Census: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominic Tobola | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Dina Lopez | Health Services Director | Met with Licensing Program Analyst during the investigation |
| Kimberley Mota | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 83
Deficiencies: 1
Nov 3, 2022
Visit Reason
The visit was an unannounced Case Management visit conducted due to a resident-related incident reported to the Community Care Licensing Division involving a resident who was missing from their apartment and found outside the facility.
Findings
The Licensing Program Analyst found that the resident was AWOL (away without leave) despite being unable to leave the facility unassisted. The facility had a plan in place for AWOL prevention including security monitoring and updated front desk supervision hours. One deficiency was cited related to personnel requirements and supervision.
Complaint Details
The visit was complaint-related due to a reported incident of a resident (R1) missing from their apartment and found outside the facility. The resident was not able to leave unassisted. The complaint was substantiated by the finding of the resident being AWOL under staff supervision.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Personnel Requirements-General: Personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs. This was not met as evidenced by a resident being AWOL while under facility staff supervision, posing an immediate health and safety risk. | Type A |
Report Facts
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Freudendahl | Executive Director | Interviewed regarding resident-related incident and AWOL prevention plan |
| Dominic Tobola | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kimberley Mota | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 83
Deficiencies: 0
Mar 21, 2022
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2021-09-10 regarding resident neglect, lack of supervision, and unsanitary conditions.
Findings
The investigation found that the allegations of resident sustained pressure injuries due to neglect, neglect and lack of supervision, and unsanitary resident bedrooms were unsubstantiated due to insufficient evidence to prove the violations occurred.
Complaint Details
The complaint alleged that a resident sustained pressure injuries due to neglect, experienced neglect and lack of supervision causing multiple falls, and that resident bedrooms were not kept in sanitary condition. The investigation included interviews, observations, and record reviews, concluding the allegations were unsubstantiated.
Report Facts
Complaint Control Number: 21-AS-20210910170333
Capacity: 83
Census: 44
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dominic Tobola | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Kimberley Mota | Licensing Program Manager | Oversaw the complaint investigation |
| Annemarie Domizio | Administrator | Facility administrator met during the investigation |
Inspection Report
Annual Inspection
Census: 54
Capacity: 83
Deficiencies: 0
Feb 18, 2022
Visit Reason
The inspection was an unannounced Annual Required - 1 Year inspection focused on the Infection Control procedures and practices of the facility.
Findings
The facility was found to have infection control practices in place including face coverings, daily monitoring, temperature checks, daily cleaning, and PPE supply. No citations were issued during the visit. The facility was clean, with fire safety equipment properly maintained and sufficient food supplies.
Report Facts
Capacity: 83
Census: 54
Hospice waiver: 3
Non-ambulatory residents capacity: 55
Ambulatory residents capacity: 28
Fire extinguisher service date: Nov 18, 2021
COVID-19 Mitigation plan submission date: Jun 25, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Claudia Morales | Executive Director/Administrator | Met with Licensing Program Analyst during inspection |
| Andrew Glaes | Maintenance Director | Accompanied Licensing Program Analyst during facility tour |
| Araceli Canela | Licensing Program Analyst | Conducted the inspection |
| Kimberley Mota | Licensing Program Manager | Named in report header |
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