Inspection Reports for Cogir of Rohnert Park

4855 Snyder Ln, Rohnert Park, CA 94928, United States, CA, 94928

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Inspection Report Complaint Investigation Capacity: 75 Deficiencies: 2 Jul 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations including an unqualified adult providing residents' medications and staff not providing resident's medication as prescribed.
Findings
The investigation substantiated the allegation that an unqualified adult (staff S3) assisted residents with medications without current required medication training and proper criminal record clearance. Another allegation regarding staff not providing medication as prescribed was unsubstantiated due to lack of evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that an unqualified adult provided residents' medications, with evidence showing lack of current medication training and criminal record clearance for staff S3. The allegation that staff did not provide resident's medication as prescribed was unsubstantiated due to insufficient evidence.
Severity Breakdown
Type A: 2
Deficiencies (2)
DescriptionSeverity
Employees assisting residents with self-administration of medication did not meet training requirements; staff S3 last completed required medication training on 11/11/2023 and 11/12/2023, which is out of compliance.Type A
Criminal record clearance requirements were not met; staff S3 was not associated with the facility and had separated fingerprint clearance from related agencies, violating regulation 87355(e)(2)(3).Type A
Report Facts
Facility capacity: 75 Medication training hours: 24 Medication training last completed: Nov 12, 2023 Plan of Correction due date: Jul 30, 2025
Employees Mentioned
NameTitleContext
Kelly OrdingAdministratorMet with Licensing Program Analyst during investigation and provided information about staff S3
Dina AlvisoLicensing Program AnalystConducted the complaint investigation
Tamra RichmondBusiness Office ManagerMet with Licensing Program Analyst during investigation
Bethany MoellersLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Annual Inspection Capacity: 75 Deficiencies: 1 Feb 13, 2025
Visit Reason
The inspection was an annual required unannounced visit conducted to evaluate compliance with licensing regulations and facility operations.
Findings
The facility was generally compliant with regulations including infection control, emergency plans, medication storage, and resident activities. One deficiency was cited for hot water temperature exceeding the regulatory maximum.
Deficiencies (1)
Description
Hot water temperature at a resident bathroom sink was 122.9 degrees Fahrenheit, exceeding the regulatory maximum of 120 degrees Fahrenheit.
Report Facts
Hot water temperature: 122.9 Deficiency citation: 1 Hospice waiver capacity: 10
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorNamed as facility administrator, not present during inspection
Tamra RichmondBusiness Office ManagerMet with Licensing Program Analyst during inspection and exit interview
Shaianne ChantavongActivity DirectorMet with Licensing Program Analyst to review activity calendars
Dina AlvisoLicensing Program AnalystConducted the inspection
Bethany MoellersLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Annual Inspection Capacity: 45 Deficiencies: 1 Feb 13, 2024
Visit Reason
The inspection was a continued annual inspection conducted on 02/13/2024 as part of the annual visit started on 01/24/2024, to evaluate compliance with regulatory requirements including infection control, emergency plans, and staff training.
Findings
The facility was found to have required infection control and emergency plans, sufficient supplies, and complete resident and staff files. However, six out of eight direct care staff lacked required first aid training, resulting in a cited deficiency.
Deficiencies (1)
Description
Six (6) out of eight (8) direct care staff did not have first aid training as required by Personnel Requirements - General Section 87411(c)(1).
Report Facts
Staff without first aid training: 6 Total direct care staff: 8 Facility capacity: 45 Hospice waiver limit: 10 Fire clearance capacity: 75
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorNamed as facility administrator; was not available to meet with Licensing Program Analyst.
Tamra RichmondBusiness Office ManagerMet with Licensing Program Analyst during inspection.
Dina AlvisoLicensing Program AnalystConducted the inspection and authored the report.
Hope DeBenedettiLicensing Program ManagerSupervisor overseeing the inspection.
Inspection Report Routine Census: 21 Capacity: 45 Deficiencies: 0 Jan 24, 2024
Visit Reason
The inspection was a Required - 1 Year unannounced routine visit to evaluate the facility's compliance and operations.
Findings
The facility was found to have a required infection control plan, renovated resident units except two vacant ones, and properly serviced fire extinguishers. The facility applied for and was approved to increase capacity from 45 to 75 residents. No deficiencies were cited during this inspection.
Report Facts
Capacity increase approval: 75
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorMet with Licensing Program Analyst during inspection and participated in exit interview
Inspection Report Complaint Investigation Capacity: 45 Deficiencies: 0 Oct 5, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2023-07-28 alleging that staff were consuming alcohol and marijuana during their shifts.
Findings
The investigation found no evidence to substantiate the allegation. Staff interviews and record reviews did not support that any staff consumed alcohol or marijuana while on shift. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleging staff consumption of alcohol and marijuana during shifts was investigated and found unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 45
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorMet with during the investigation and named in the report
Dina AlvisoLicensing Program AnalystConducted the complaint investigation
Hope DeBenedettiLicensing Program ManagerNamed in the report
Inspection Report Capacity: 45 Deficiencies: 0 Mar 16, 2023
Visit Reason
The case management visit was conducted to amend the Required 1-Year visit that was completed on 2023-01-30.
Findings
No deficiencies were cited during this case management visit. An amended report was left with the Administrator, clearly stating what was amended.
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorMet with Licensing Program Analyst during the case management visit.
Leekiesha HoalstMedication TechnicianMet with Licensing Program Analyst during the case management visit.
Inspection Report Annual Inspection Census: 26 Capacity: 45 Deficiencies: 1 Jan 30, 2023
Visit Reason
The inspection was a required 1-Year unannounced visit focused on infection control procedures and practices at the facility.
Findings
The facility was found to have appropriate infection control screening and PPE use, but deficiencies were cited related to improper food storage in the kitchen, posing an immediate health and safety risk. The Administrator agreed with the findings and began corrective actions during the inspection.
Deficiencies (1)
Description
Improper storage of fruit, mayonnaise, open box of beans, and open bags of rice in the kitchen, risking contamination and posing an immediate health and safety risk.
Report Facts
Residents in care: 25 Residents receiving hospice care: 1 Hospice care waiver capacity: 10 Facility capacity: 45 Deficiency count: 1 Plan of Correction due date: Jan 31, 2023 Training proof submission due date: Feb 6, 2023
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorMet with Licensing Program Analyst during inspection and involved in addressing food storage deficiency
Dina AlvisoLicensing Program AnalystConducted the inspection and cited deficiencies
Carla MartinezLicensing Program ManagerNamed in report header
Hope DeBenedettiSupervisorNamed in report
Inspection Report Complaint Investigation Census: 25 Capacity: 45 Deficiencies: 1 Oct 20, 2022
Visit Reason
The inspection was conducted as a complaint investigation based on allegations that the facility was not following food service safety practices/procedures with food being served to residents and not preventing the spread of COVID-19 or following infection control procedures.
Findings
The allegation regarding food service safety practices was substantiated, with findings that food items were not kept at required temperatures, posing a health and safety risk to residents. The allegation regarding COVID-19 infection control procedures was unsubstantiated due to insufficient evidence. A deficiency citation was issued for the food service violation.
Complaint Details
The complaint investigation was substantiated for the allegation of improper food service safety practices. The allegation regarding failure to prevent the spread of COVID-19 and not following infection control procedures was unsubstantiated due to insufficient evidence.
Deficiencies (1)
Description
Facility is not following food service safety practices/procedures with food being served to residents; food items not kept at required cold or hot temperatures.
Report Facts
Capacity: 45 Census: 25 Deficiency citation: 1 Plan of Correction Due Date: Oct 21, 2022
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorMet with Licensing Program Analyst during inspection and discussed findings
Dina AlvisoLicensing Program AnalystConducted the complaint investigation
Hope DeBenedettiLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Complaint Investigation Census: 23 Capacity: 45 Deficiencies: 0 Mar 28, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2022-02-22 alleging the facility was not providing adequate food service.
Findings
The investigation revealed that the resident involved in the complaint was not part of the licensed assisted living facility but resided in an independent living unit, which is outside the Department's jurisdiction. Therefore, the allegation of inadequate food service was found to be unfounded.
Complaint Details
The complaint was regarding inadequate food service. The complaint was investigated and found to be unfounded because the resident was not part of the licensed assisted living facility but an independent living resident.
Report Facts
Facility capacity: 45 Census: 23
Employees Mentioned
NameTitleContext
Jose AcumabigAdministratorMet with Licensing Program Analyst during complaint investigation
Dina AlvisoLicensing Program AnalystConducted the complaint investigation
Hope DeBenedettiLicensing Program ManagerNamed in report header
Inspection Report Annual Inspection Census: 23 Capacity: 45 Deficiencies: 0 Feb 22, 2022
Visit Reason
The inspection was a required 1 Year unannounced visit focused on infection control procedures and practices at the facility.
Findings
The facility was found to be in compliance with infection control and pandemic policies, with no deficiencies cited. All safety measures including visitor and staff screening, PPE supply, and fire safety equipment were observed to be adequate.
Report Facts
Residents receiving hospice care: 1 Hospice care waiver approved residents: 5 Fire clearance capacity: 45
Employees Mentioned
NameTitleContext
Emil DeGuzmanHealth & Wellness DirectorMet with Licensing Program Analyst during inspection and provided information on infection control and facility operations
Inspection Report Complaint Investigation Capacity: 45 Deficiencies: 1 Oct 7, 2021
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple allegations received on 09/03/2021 regarding resident acceptance after hospital discharge, illegal eviction, improper billing, and refund issues.
Findings
The investigation found the allegations that the resident was not accepted back after hospital discharge and received an illegal eviction to be unsubstantiated. The allegation of improper billing was unfounded. However, the allegation that a refund was owed to the resident/responsible party was substantiated, with a deficiency cited for failure to provide a timely refund as required by law.
Complaint Details
The complaint investigation addressed allegations including the resident not being accepted back after hospital discharge, illegal eviction, improper care fee billing, and due refund owed. The first two allegations were unsubstantiated, the billing allegation was unfounded, and the refund allegation was substantiated with a deficiency cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
Failure to provide due refund to the resident/responsible party within the required timeframe as per Health & Safety Code 1569.652(c).Type B
Report Facts
Capacity: 45 Refund amount: 2332.38 Additional refund amount: 494.76 Plan of Correction due date: Oct 15, 2021
Employees Mentioned
NameTitleContext
Dina AlvisoLicensing Program AnalystConducted complaint inspection and delivered findings
Steve SarineAdministratorFacility administrator met during inspection
Tamra RichmondBusiness Office ManagerInterviewed during investigation
Emil DeGuzmanHealth & Wellness DirectorInterviewed during investigation
Inspection Report Capacity: 45 Deficiencies: 0 Oct 7, 2021
Visit Reason
The inspection was a case management visit conducted to obtain more information on some resident incident reports submitted to the Licensing office.
Findings
The Licensing Program Analyst reviewed the incidents with the Health Services Director and obtained additional information and documentation. The incident reports had been reported as required, and no deficiencies were cited during this visit.
Employees Mentioned
NameTitleContext
Steve SarineAdministratorMet with Licensing Program Analyst during case management inspection.
Emil DeGuzmanHealth & Wellness DirectorProvided additional information and documentation regarding resident incident reports.
Inspection Report Annual Inspection Census: 27 Capacity: 45 Deficiencies: 0 Sep 9, 2021
Visit Reason
The inspection was an unannounced Annual Required inspection focused on the Infection Control procedures and practices of the facility.
Findings
The facility was found to be clean, orderly, and compliant with infection control protocols including screening procedures, PPE availability, and safe medication storage. No deficiencies were found in the areas inspected.
Report Facts
Hospice waiver residents: 5 Fire clearance capacity: 45 Residents in care: 27
Employees Mentioned
NameTitleContext
Steve SarineAdministratorMet with Licensing Program Analyst during inspection
Dina AlvisoLicensing Program AnalystConducted the inspection
Hope DeBenedettiLicensing Program ManagerNamed in report header

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