Inspection Reports for
Cogir of Rohnert Park
4855 Snyder Ln, Rohnert Park, CA 94928, United States, CA, 94928
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
56% occupied
Based on a February 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 42
Capacity: 75
Deficiencies: 1
Date: Feb 23, 2026
Visit Reason
The inspection was conducted as a case management visit to address a resident incident reported by the facility involving a dependent resident left unattended on the toilet for approximately fifty-five minutes.
Complaint Details
The visit was complaint-related due to a resident incident where a dependent resident was left unattended on the toilet for approximately fifty-five minutes. The violation regarding the resident's personal rights was substantiated.
Findings
The investigation found that a caregiver left a dependent resident waiting on the toilet for about fifty-five minutes after the resident requested assistance. The staff involved was suspended and later terminated. A violation regarding the resident's personal rights was supported.
Deficiencies (1)
Additional Personal Rights of Residents in Privately Operated Facilities - failure to provide care, supervision, and services that meet individual needs by staff sufficient in numbers, qualifications, and competency.
Report Facts
Census: 42
Total Capacity: 75
Incident duration: 55
Staff response time requested: 30
Plan of Correction due date: Feb 27, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Omar Mendoza | Administrator | Met during inspection and named in findings |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Bethany Moellers | Licensing Program Manager | Named in report |
Inspection Report
Routine
Capacity: 75
Deficiencies: 0
Date: Feb 3, 2026
Visit Reason
Licensing Program Analyst conducted a required 1-year unannounced inspection to evaluate compliance with licensing requirements and facility conditions.
Findings
The facility was found to have required infection control and emergency plans, was fire cleared for 75 non-ambulatory residents, and maintained clean and orderly conditions including kitchen and medication storage. No deficiencies were cited during this inspection.
Report Facts
Hospice waiver approved residents: 10
Hot water temperature: 115.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rafael Mendoza | Interim Administrator | Met with Licensing Program Analyst during inspection |
| Tamra Richmond | Business Office Manager | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Capacity: 75
Deficiencies: 1
Date: Nov 20, 2025
Visit Reason
The inspection was conducted as a case management visit to obtain more information on a resident incident report where a resident fell and hit their head, and facility staff failed to contact 911 to ensure medical assessment.
Complaint Details
The visit was complaint-related due to a resident incident where staff did not contact emergency services after a head injury. The violation was substantiated based on incident report review and interviews.
Findings
The facility staff failed to contact 911 after a resident fell and hit their head, which is a violation of the California Code of Regulations. The Interim Administrator provided proof of staff training on managing medical emergencies during the inspection.
Deficiencies (1)
Facility staff failed to contact 911 for a resident who fell and hit their head, posing a health and safety risk.
Report Facts
Total licensed capacity: 75
Deficiency citation: 1
Plan of Correction due date: Dec 1, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Omar Mendoza | Interim Administrator | Met during inspection and provided proof of training for correction of deficiency |
| Dina Alviso | Licensing Program Analyst | Conducted the case management inspection |
| Bethany Moellers | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 75
Deficiencies: 0
Date: Aug 25, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that staff did not provide toileting needs to residents, did not address residents' change in condition, and did not seek needed medical attention for residents.
Complaint Details
The complaint was unsubstantiated due to insufficient information to prove or disprove the allegations that staff failed to provide toileting needs, address changes in condition, or seek needed medical attention for residents.
Findings
The investigation found that residents R1 and R2 were able to communicate their needs and that care staff and medication technicians provided care according to care plans, including toileting and medication administration. Emergency medical services were called when needed. There was insufficient evidence to substantiate the allegations, and no deficiencies were cited.
Report Facts
Facility capacity: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Ording | Administrator | Met with Licensing Program Analyst during complaint investigation and exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 75
Deficiencies: 0
Date: Aug 14, 2025
Visit Reason
The inspection was conducted as a complaint investigation following allegations that staff forced a resident to sit in the facility dining room and that medications were not provided to the resident as prescribed.
Complaint Details
The complaint was unsubstantiated. The investigation included review of medication records, staff files, resident files, and interviews with staff and related parties. No violations were found to support the allegations.
Findings
The investigation found that residents were receiving their medications as prescribed and there was no information to support that a resident was forced to sit in the dining room. The allegations were unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 75
Census: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Ording | Administrator | Met with Licensing Program Analyst during complaint investigation and exit interview |
| Dina Alviso | Licensing Evaluator | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 75
Deficiencies: 0
Date: Aug 14, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations that staff were over-medicating a resident and leaving the resident soiled.
Complaint Details
The complaint was unsubstantiated based on insufficient evidence to prove or disprove the allegations of over-medication and neglect related to resident care.
Findings
The investigation found no evidence to substantiate the allegations after reviewing medication records, hospice files, and interviews. No deficiencies were cited and the allegations were determined to be unsubstantiated.
Report Facts
Capacity: 75
Census: 43
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Ording | Administrator | Met with during the complaint investigation and exit interview |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Bethany Moellers | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Capacity: 75
Deficiencies: 2
Date: Jul 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted due to allegations of an unqualified adult providing residents' medications and staff not providing resident's medication as prescribed.
Complaint Details
The complaint investigation was substantiated regarding the allegation that an unqualified adult provided residents' medications. The allegation that staff did not provide resident's medication as prescribed was unsubstantiated due to insufficient evidence.
Findings
The investigation substantiated that an unqualified adult (staff S3) assisted residents with medications without meeting required training and criminal clearance standards. Another allegation that staff did not provide resident's medication as prescribed was unsubstantiated due to lack of evidence.
Deficiencies (2)
Employees assisting residents with self-administration of medication did not meet training requirements as staff S3 last completed required medication training on 11/11/2023 and 11/12/2023, which is out of compliance.
Criminal record clearance requirements were not met as staff S3 was not associated with the facility and had separated fingerprint clearances from agencies, violating regulation 87355(e)(2)(3).
Report Facts
Capacity: 75
Medication training last completed: Nov 11, 2023
Medication training last completed: Nov 12, 2023
Plan of Correction Due Date: Jul 30, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Ording | Administrator | Met during inspection and involved in providing information about staff S3 and facility policies |
| Dina Alviso | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Tamra Richmond | Business Office Manager | Met during inspection |
Inspection Report
Complaint Investigation
Capacity: 75
Deficiencies: 2
Date: 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.
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.
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.
Deficiencies (2)
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.
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).
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
| Name | Title | Context |
|---|---|---|
| Kelly Ording | Administrator | Met with Licensing Program Analyst during investigation and provided information about staff S3 |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Tamra Richmond | Business Office Manager | Met with Licensing Program Analyst during investigation |
| Bethany Moellers | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Capacity: 75
Deficiencies: 1
Date: Feb 13, 2025
Visit Reason
An annual unannounced inspection was conducted on 02/13/2025 to evaluate compliance with regulatory requirements for the assisted living facility.
Findings
The facility was generally compliant with infection control, emergency plans, medication storage, and resident activities. However, a deficiency was cited for hot water temperature in a resident bathroom sink exceeding the regulatory maximum.
Deficiencies (1)
Resident bathroom sink hot water temperature was 122.9 degrees Fahrenheit, exceeding the regulatory limit of 120 degrees Fahrenheit.
Report Facts
Deficiency cited: 1
Hospice waiver approved residents: 10
Fire cleared resident capacity: 75
Resident files reviewed: 6
Staff files reviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Named as facility administrator, not present during inspection |
| Tamra Richmond | Business Office Manager | Met with Licensing Program Analyst during inspection and exit interview |
| Shaianne Chantavong | Activity Director | Met with Licensing Program Analyst and reviewed activity calendars |
| Dina Alviso | Licensing Evaluator | Conducted the annual inspection |
| Bethany Moellers | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Capacity: 75
Deficiencies: 1
Date: 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)
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
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Named as facility administrator, not present during inspection |
| Tamra Richmond | Business Office Manager | Met with Licensing Program Analyst during inspection and exit interview |
| Shaianne Chantavong | Activity Director | Met with Licensing Program Analyst to review activity calendars |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Bethany Moellers | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Annual Inspection
Capacity: 45
Deficiencies: 1
Date: Feb 13, 2024
Visit Reason
The inspection was a continued annual inspection conducted on 02/13/2024 as part of the facility's annual compliance review.
Findings
The facility was found to have required infection control, emergency, and disaster plans, with appropriate fire clearance and emergency drills conducted. Resident and staff files were reviewed, with all resident files complete and staff having required criminal clearances. However, six out of eight direct care staff lacked first aid training, resulting in a cited deficiency.
Deficiencies (1)
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
Hospice waiver approved residents: 10
Fire clearance capacity: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Named as facility administrator; not available to meet with Licensing Program Analyst. |
| Tamra Richmond | Business Office Manager | Met with Licensing Program Analyst during inspection. |
| Dina Alviso | Licensing Program Analyst | Conducted the annual inspection. |
| Hope DeBenedetti | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Capacity: 45
Deficiencies: 1
Date: 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)
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
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Named as facility administrator; was not available to meet with Licensing Program Analyst. |
| Tamra Richmond | Business Office Manager | Met with Licensing Program Analyst during inspection. |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Hope DeBenedetti | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 21
Capacity: 75
Deficiencies: 0
Date: Jan 24, 2024
Visit Reason
Licensing Program Analyst conducted a Required - 1 Year unannounced inspection to evaluate the facility's compliance and licensing status.
Findings
The facility was found to have no deficiencies. The inspection included a tour of the assisted living areas, verification of infection control plans, and confirmation of fire safety compliance. An increase in licensed capacity from 45 to 75 residents was approved effective 01/24/2024.
Report Facts
Capacity increase: 75
Current census: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview. |
Inspection Report
Routine
Census: 21
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
Inspection Report
Complaint Investigation
Capacity: 45
Deficiencies: 0
Date: Oct 5, 2023
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to an allegation received on 07/28/2023 that staff were consuming alcohol and marijuana during their shift.
Complaint Details
The allegation was that staff were consuming alcohol and marijuana during their shift. After investigation, there was insufficient information to prove or disprove the allegation, and it was deemed unsubstantiated.
Findings
The investigation included interviews with staff and review of records, which revealed no evidence to support the allegation. The complaint was determined to be unsubstantiated with no deficiencies cited.
Report Facts
Facility capacity: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during complaint investigation and participated in exit interview |
| Dina Alviso | Licensing Evaluator | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Capacity: 45
Deficiencies: 0
Date: 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.
Complaint Details
The complaint alleging staff consumption of alcohol and marijuana during shifts was investigated and found unsubstantiated due to insufficient evidence.
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.
Report Facts
Facility capacity: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with during the investigation and named in the report |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in the report |
Inspection Report
Capacity: 45
Deficiencies: 0
Date: Mar 16, 2023
Visit Reason
The case management visit was conducted to amend the Required 1-Year visit report that was completed on 2023-01-30. The amended report was left with the Administrator and clearly states what was amended.
Findings
No deficiencies were cited during this case management visit. An exit interview was conducted with the Administrator.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst and Medication Technician during the case management visit. |
| Leekiesha Hoalst | Medication Technician | Met with Licensing Program Analyst during the case management visit. |
| Dina Alviso | Licensing Evaluator | Conducted the case management visit. |
| Hope DeBenedetti | Supervisor | Supervisor overseeing the licensing evaluation. |
Inspection Report
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during the case management visit. |
| Leekiesha Hoalst | Medication Technician | Met with Licensing Program Analyst during the case management visit. |
Inspection Report
Annual Inspection
Census: 26
Capacity: 45
Deficiencies: 1
Date: 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. However, a deficiency was cited for improper food storage in the kitchen, posing an immediate health and safety risk. Medications and toxins were properly secured.
Deficiencies (1)
Facility did not ensure that fruit, mayonnaise, an open box of beans, and open bags of rice were stored appropriately to protect safety and prevent contamination.
Report Facts
Capacity: 45
Census: 26
Hospice care waiver: 10
Deficiency due date: Jan 31, 2023
PPE expiration: Apr 5, 2023
PPE expiration: 202401
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during inspection and involved in food storage deficiency observation and plan of correction |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Annual Inspection
Census: 26
Capacity: 45
Deficiencies: 1
Date: 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)
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
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during inspection and involved in addressing food storage deficiency |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Carla Martinez | Licensing Program Manager | Named in report header |
| Hope DeBenedetti | Supervisor | Named in report |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 45
Deficiencies: 1
Date: 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 and not preventing the spread of COVID-19.
Complaint Details
The complaint investigation was substantiated for food service safety violations and unsubstantiated for COVID-19 infection control procedures.
Findings
The allegation regarding COVID-19 infection control was found unsubstantiated with no citations. However, the allegation that the facility was not following food service safety practices was substantiated due to food items not being kept at required temperatures, posing a health and safety risk to residents. A deficiency citation was issued for failure to maintain proper food temperatures.
Deficiencies (1)
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
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during inspection and discussed findings |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 25
Capacity: 45
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
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
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during inspection and discussed findings |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 23
Capacity: 45
Deficiencies: 0
Date: Mar 28, 2022
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2022-02-22 alleging that the facility was not providing adequate food service.
Complaint Details
The complaint alleging inadequate food service was investigated and found to be unfounded because the resident was not under the licensed assisted living care but in an independent living unit not covered by the license.
Findings
The investigation revealed that the resident involved in the complaint was not part of the licensed assisted living portion of the 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.
Report Facts
Capacity: 45
Census: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 23
Capacity: 45
Deficiencies: 0
Date: 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.
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.
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.
Report Facts
Facility capacity: 45
Census: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Acumabig | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Dina Alviso | Licensing Program Analyst | Conducted the complaint investigation |
| Hope DeBenedetti | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 23
Capacity: 45
Deficiencies: 0
Date: 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 safety requirements, with no deficiencies cited. All safety equipment was inspected and found in order, and pandemic policies were properly implemented.
Report Facts
Residents receiving hospice care: 1
Hospice care waiver approved residents: 5
Fire clearance capacity: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Emil DeGuzman | Health & Wellness Director | Met with Licensing Program Analyst during the inspection and provided information on infection control and facility operations. |
Inspection Report
Annual Inspection
Census: 23
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Emil DeGuzman | Health & Wellness Director | Met with Licensing Program Analyst during inspection and provided information on infection control and facility operations |
Inspection Report
Complaint Investigation
Capacity: 45
Deficiencies: 1
Date: Oct 7, 2021
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple allegations received on 2021-09-03 regarding resident care, eviction, billing, and refund issues at the facility.
Complaint Details
The complaint investigation was triggered by allegations including a resident not being accepted back after hospital discharge, illegal eviction, invalid care fee charges, and owed refund. The allegations regarding eviction and billing were unsubstantiated or unfounded, while the refund allegation was substantiated.
Findings
The investigation found the allegations that a resident was not accepted back after hospital discharge and that the resident received an illegal eviction to be unsubstantiated. The allegation that the resident was charged invalid care fees was found to be unfounded. However, the allegation that a due refund was owed to the resident/responsible party was substantiated, resulting in a cited deficiency for failure to provide timely refunds as required by law.
Deficiencies (1)
Failure to provide timely refund of fees paid in advance covering the time after the resident’s personal property was removed from the facility, violating H&S Code 1569.652(c).
Report Facts
Capacity: 45
Refund amount: 2332.38
Additional refund amount: 494.76
Plan of Correction due date: Oct 15, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted the complaint inspection and investigation |
| Steve Sarine | Administrator | Facility administrator met during inspection |
| Tamra Richmond | Business Office Manager | Met during inspection and involved in billing and refund discussions |
| Emil DeGuzman | Health & Wellness Director | Met during inspection |
| Hope DeBenedetti | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Capacity: 45
Deficiencies: 0
Date: Oct 7, 2021
Visit Reason
Case management inspection was 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
| Name | Title | Context |
|---|---|---|
| Steve Sarine | Administrator | Met with Licensing Program Analyst during case management inspection. |
| Emil DeGuzman | Health & Wellness Director | Provided additional information and documentation regarding resident incident reports. |
Inspection Report
Complaint Investigation
Capacity: 45
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
Failure to provide due refund to the resident/responsible party within the required timeframe as per Health & Safety Code 1569.652(c).
Report Facts
Capacity: 45
Refund amount: 2332.38
Additional refund amount: 494.76
Plan of Correction due date: Oct 15, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dina Alviso | Licensing Program Analyst | Conducted complaint inspection and delivered findings |
| Steve Sarine | Administrator | Facility administrator met during inspection |
| Tamra Richmond | Business Office Manager | Interviewed during investigation |
| Emil DeGuzman | Health & Wellness Director | Interviewed during investigation |
Inspection Report
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Steve Sarine | Administrator | Met with Licensing Program Analyst during case management inspection. |
| Emil DeGuzman | Health & Wellness Director | Provided additional information and documentation regarding resident incident reports. |
Inspection Report
Annual Inspection
Census: 27
Capacity: 45
Deficiencies: 0
Date: Sep 9, 2021
Visit Reason
An unannounced annual required inspection was conducted focusing 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. No deficiencies were found during the inspection.
Report Facts
Hospice waiver residents: 5
Fire clearance capacity: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Steve Sarine | Administrator | Met with Licensing Program Analyst during inspection |
| Dina Alviso | Licensing Program Analyst | Conducted the annual required inspection |
Inspection Report
Annual Inspection
Census: 27
Capacity: 45
Deficiencies: 0
Date: 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
| Name | Title | Context |
|---|---|---|
| Steve Sarine | Administrator | Met with Licensing Program Analyst during inspection |
| Dina Alviso | Licensing Program Analyst | Conducted the inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report header |
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