Inspection Reports for
Cogir of San Rafael

No deficiencies were cited during the visit. The Licensing Program Analyst obtained copies of relevant in-service training and conducted an exit interview with the facility's Executive Director.

No deficiencies were cited during the visit. The facility's Non-Compliance plan was extended for an additional two years with an end date of 06/20/2027, and progress will be reviewed after one year.

No deficiencies were cited during the visit. The Licensing Program Analyst reviewed employee records and in-service training documentation, and the facility is scheduled for additional training at the end of the month.

The complaint alleged that staff refused to assist Resident 1 with morphine medication during extreme pain and forced medication administration against family wishes. It also alleged verbal harassment and physical altercation involving the resident's family. The investigation found these allegations unsubstantiated due to conflicting statements and lack of evidence.

The investigation found that facility staff administered morphine medication per physician and hospice orders and that the allegations of staff refusing medication assistance and verbal harassment were unsubstantiated. Conflicting statements and lack of evidence led to no deficiencies cited.

The complaint was unsubstantiated based on interviews, document reviews, and observations. No preponderance of evidence was found to prove or disprove the allegations regarding food service and medical attention.

The investigation found that the dishwasher was operative and sanitation protocols were followed. Facility menus complied with regulations, and food service satisfaction was reported by family members. Medical records showed timely medical attention for a resident with no evidence supporting the allegations. The complaint was determined to be unsubstantiated with no citations issued.

The complaint involved an incident where Staff Member 1 was seen trying to clean a resident who was resistant, resulting in the resident falling and hitting their head. Staff Member 1 did not report the fall and was suspended pending internal investigation.

The investigation found that a staff member was observed grabbing a resident who fell backward and hit their head, but the fall was not reported by the staff member. The facility conducted an assessment and made all required notifications. No deficiencies were cited during the visit.

Allegation of failure to report potential abuse involving a medication error was investigated and found to be unfounded.

The allegation was found to be unfounded based on interviews, document review, and observations. No deficiencies were cited during the visit.

The visit was complaint-related due to a self-reported incident involving staff throwing water on a resident. The facility is investigating internally. No deficiencies were cited.

The facility is in the process of conducting an internal investigation. Licensing staff obtained documents and spoke with a witness. No deficiencies were cited during this inspection.

Facility was found clean, with appropriate infection control, sufficient supplies, and compliance with safety regulations. No deficiencies were cited during the visit. The annual inspection was not completed and will continue at a later date.

The facility hired 2 individuals between July and October 2024 and has either conducted or scheduled required training for them. Administrator paperwork was received to update the administrator to Kimberly Humphrey. No deficiencies were cited during the visit.

The complaint was unsubstantiated. Allegations included staff not following doctor's orders for wound care and overcharging a resident. Prior substantiated concerns regarding billing and wound care services were addressed and charges removed. The facility did not deny home health agency access.

The investigation found no preponderance of evidence to substantiate the allegations. The facility stopped providing discontinued compression devices as ordered, did not deny home health agency access for wound care, and removed disputed charges from the resident's bill. No deficiencies were cited during the visit.

No deficiencies were cited during the visit. The Licensing Program Analyst reviewed employee training documentation and was informed of a change in facility administration.

The complaint investigation involved two allegations: 1) Staff did not provide responsible party with 30-day eviction notice, which was unsubstantiated; 2) Staff did not report incident to CCL, which was unfounded.

The investigation found the allegation regarding failure to provide a 30-day eviction notice to be unsubstantiated, as the resident was still at the facility and no formal eviction occurred. The allegation that staff did not report an incident to CCL was found to be unfounded, with documentation showing the incident was reported timely. No deficiencies were cited during the visit.

The complaint alleged an unlawful eviction of a resident. The investigation reviewed eviction notices and related documents, finding that the notices met regulatory requirements and the eviction was due to nonpayment of fees. The complaint was found to be unfounded.

The investigation found that the eviction notices were issued due to nonpayment of fees and complied with Title 22 regulations. The complaint of unlawful eviction was determined to be unfounded, with no deficiencies cited during the visit.

The facility serves residents with dementia and has an approved fire clearance and hospice waiver. Five employees hired between July and October 2023 have received or are scheduled for required training. The facility is undergoing scheduled renovations with safety measures in place. Multiple self-reported incidents involving resident altercations and staff communication concerns were reviewed and addressed with appropriate notifications and training. No deficiencies were cited during the visit.

No deficiencies were cited during the Non-Compliance Conference. The issuance of a Civil Penalty is under review related to a violation potentially constituting physical abuse or serious bodily injury to a resident.

Multiple incidents involving resident altercations were reviewed, with facility staff increasing supervision and making appropriate notifications. No injuries were observed and no deficiencies were cited during the visit.

The facility was found to be clean, with proper COVID-19 signage, hand-washing signs, and staff wearing masks. The facility has adequate PPE supplies, daily screening for COVID-19 symptoms, and a cleaning schedule. Fire safety equipment and drills were up to date. No deficiencies were cited during the visit.

No deficiencies were cited during the visit. The Licensing Program Analyst and Health and Wellness Director discussed the missing documents and confirmed an appointment was made to complete the requirements.

The Licensing Program Analyst conducted a walk-through and observed residents participating in activities and the facility being clean with no exits obstructed. Discussions were held regarding Administrator paperwork and vaccination events. No deficiencies were cited during the visit.

No deficiencies were cited during the visit. The facility understands that once a permanent Executive Director is established, their paperwork will need to be submitted to Community Care Licensing for review.

The facility was found to be clean, safe, and in compliance with regulations, including operational fire extinguishers, smoke and carbon monoxide detectors, emergency preparedness, proper food storage and dietary accommodations, medication security, and sufficient PPE training. No deficiencies were observed or cited during the inspection.

The facility was found to be clean, with all exits free from obstruction, fire extinguishers charged, and emergency systems functioning. The facility has appropriate care plans for residents with dementia, sufficient food supplies, and provisions for special dietary needs. Staff have been trained and fit tested for COVID-19 PPE use.