Inspection Reports for
Cogir of Stock Ranch
7418 Stock Ranch Rd, Citrus Heights, CA 95621, United States, CA, 95621
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
30% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
64% occupied
Based on a March 2026 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 63
Capacity: 99
Deficiencies: 0
Date: Mar 2, 2026
Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff were not following universal precautions to prevent the spread of scabies.
Complaint Details
The complaint alleged that staff were not following universal precautions to prevent the spread of scabies. The allegation was found to be unfounded based on observation, record review, and staff statements.
Findings
The investigation found that the facility was following infection control requirements, including use of PPE and staff training on handwashing and universal precautions. The allegation was determined to be unfounded.
Report Facts
Capacity: 99
Census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst | Conducted the complaint investigation |
| Jose Barajas | Executive Director | Met with investigator during complaint investigation |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 99
Deficiencies: 0
Date: Mar 2, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-12-08 regarding staff mismanaging residents' medication, not responding to residents' calls for assistance, and not following reporting requirements.
Complaint Details
The complaint investigation was unsubstantiated for medication mismanagement and failure to respond to calls for assistance, and unfounded for not following reporting requirements. The findings indicate no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found insufficient evidence to substantiate the allegations of medication mismanagement and failure to respond to residents' calls for assistance. Additionally, the allegation that staff were not following reporting requirements was found to be unfounded, with records showing timely reporting of all reportable incidents.
Report Facts
Capacity: 99
Census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lavinia Muscan | Licensing Program Analyst (LPA) | Conducted the complaint investigation |
| Jose Barajas | Executive Director (ED) | Met with the evaluator during the investigation |
| Ricky David Jr. | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 99
Deficiencies: 0
Date: Feb 5, 2026
Visit Reason
The inspection was conducted as a case management follow-up on an incident report submitted on February 4, 2026, regarding a resident choking incident.
Complaint Details
The visit was triggered by a complaint/incident report concerning a resident choking while eating, resulting in loss of consciousness and requiring CPR and emergency medical evaluation. The incident was substantiated as described, and the facility took corrective actions.
Findings
The facility responded appropriately and timely to the choking incident involving resident (R1), who was successfully resuscitated and taken to the emergency room. The resident recovered fully with no new medications or diet changes, and no deficiencies were issued in this report.
Report Facts
Capacity: 99
Census: 63
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jose Barajas | Administrator Designee | Met with Licensing Program Analyst during inspection |
| Sabrina Calzada | Licensing Program Analyst | Conducted the inspection |
| Alyssa Kayl | Resident Care Coordinator | Met with Licensing Program Analyst during inspection |
| Robert DeVol | Health and Wellness Director | Met with Licensing Program Analyst during inspection and provided information about resident care |
Inspection Report
Annual Inspection
Census: 66
Capacity: 99
Deficiencies: 0
Date: Jan 15, 2026
Visit Reason
The inspection was a required 1-year annual unannounced inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, safe, sanitary, and in good repair with no deficiencies observed. Medications for five residents were reviewed with no discrepancies, and staff files showed all required clearances.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David Jr | Executive Director | Met with Licensing Program Analyst during inspection and named in the report. |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Laura Munoz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 99
Deficiencies: 1
Date: Dec 29, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-04-14 alleging multiple issues including medication mismanagement and other resident care concerns.
Complaint Details
The complaint investigation was substantiated for medication mismanagement but unsubstantiated or unfounded for other allegations including falsifying medication records and failure to meet residents' hygiene and care needs.
Findings
The investigation substantiated the allegation that staff were mismanaging residents' medication, finding discontinued medications retained and ordered medications missing. The allegation of falsifying medication administration records was unsubstantiated. Multiple allegations related to resident care needs such as showering, incontinence, repositioning, pressure injury prevention, hygiene, bedding cleanliness, and room sanitation were found to be unfounded.
Deficiencies (1)
Facility is retaining residents discontinued medication and ordered medications are not in the facility.
Report Facts
Residents audited: 5
Facility capacity: 99
Facility census: 72
Plan of Correction due date: Jan 12, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and medication audit |
| Laura Munoz | Licensing Program Manager | Supervisor involved in the investigation |
| Ricky David | Executive Director | Facility representative met during the investigation |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 99
Deficiencies: 1
Date: Oct 8, 2025
Visit Reason
The inspection visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-04-18 regarding alleged failure to meet reporting requirements and allegations of questionable death and multiple falls resulting in serious bodily injury.
Complaint Details
The complaint investigation was substantiated for failure to meet reporting requirements due to missing incident reports for a resident's fall. The allegations of questionable death and multiple falls resulting in serious bodily injury were unsubstantiated.
Findings
The investigation substantiated the allegation that the facility failed to meet reporting requirements by not submitting an incident report for a resident's fall on 2025-02-13. The allegations of questionable death and multiple falls resulting in serious bodily injury were found to be unsubstantiated based on the evidence and interviews.
Deficiencies (1)
Facility failed to submit required incident reports within seven days of occurrence, specifically missing report for resident R1's fall on 02/13/2025.
Report Facts
Capacity: 99
Census: 74
Deficiencies cited: 1
Plan of Correction Due Date: Oct 22, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and delivered final findings |
| Ricky David | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
Inspection Report
Annual Inspection
Census: 77
Capacity: 99
Deficiencies: 2
Date: Feb 11, 2025
Visit Reason
The inspection was an unannounced Required 1 Year inspection conducted to evaluate compliance with licensing regulations at Cogir of Stock Ranch.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health regulations. No deficiencies were cited during the inspection, although a technical violation was noted regarding one elevator permit not being displayed and a medication order discrepancy for one resident, which was addressed with the administrator.
Deficiencies (2)
One out of two elevator permits not displayed in the elevators (LIC 9102-Technical Violation)
Discrepancy in medication orders for one resident (LIC 9102-Technical Violation)
Report Facts
Resident files reviewed: 5
Resident medication orders reviewed: 5
Residents with medication discrepancy: 1
Fire extinguisher last charged: 2024
Emergency Disaster Drill last conducted: 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David Jr. | Administrator | Met with Licensing Program Analysts and was educated on medication order discrepancy |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the inspection and reviewed resident files and medication orders |
| Kayla Adkison | Licensing Program Analyst | Participated in the unannounced inspection visit |
Inspection Report
Annual Inspection
Census: 77
Capacity: 99
Deficiencies: 2
Date: Feb 11, 2025
Visit Reason
The inspection was an unannounced required 1-year inspection conducted to evaluate compliance with licensing regulations at Cogir of Stock Ranch.
Findings
The facility was found to be clean, well-maintained, and compliant with safety and health regulations. No deficiencies were cited during the inspection, although a technical violation was noted for one elevator permit not being displayed and a medication order discrepancy was identified and addressed with education to the administrator.
Deficiencies (2)
One out of two elevator permits not displayed in the elevators (LIC 9102-Technical Violation).
Discrepancy in medication orders for one resident (LIC 9102-Technical Violation).
Report Facts
Resident files reviewed: 5
Resident medication orders reviewed: 5
Residents with medication discrepancy: 1
Facility capacity: 99
Facility census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David Jr. | Administrator | Met with Licensing Program Analysts during inspection and was educated on medication order discrepancy |
| Farhaan Sarangi | Licensing Program Analyst | Conducted the inspection and authored the report |
| Kayla Adkison | Licensing Program Analyst | Participated in the inspection visit |
| Lauren Crocker | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 0
Date: Sep 26, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-08-14 alleging that the facility did not update Needs and Services Plans for residents.
Complaint Details
The complaint alleged that the facility did not update Needs and Services Plans for residents. The Department reviewed records and conducted interviews, finding the allegation unfounded, meaning it was false or without reasonable basis.
Findings
The investigation included interviews and document reviews related to the allegation. The Department found the allegation to be unfounded after reviewing the needs and service plans for seven residents and confirming that updates were in progress and procedures were in place to ensure timely reassessments.
Report Facts
Residents reviewed for reassessment: 7
Months between reassessments: 6
Days for new resident reassessment: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Ricky David | Executive Director | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 0
Date: Sep 26, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-08-14 alleging that the facility did not update Needs and Services Plans for residents.
Complaint Details
The complaint alleged that the facility did not update Needs and Services Plans for residents. The investigation found this allegation to be unfounded, meaning it was false or without reasonable basis.
Findings
The Department reviewed records and conducted interviews, including reviewing the needs and service plans for seven residents due for reassessment. The allegation was found to be unfounded as staff were actively updating the plans and the facility had a system to notify staff of reassessments.
Report Facts
Residents reviewed for reassessment: 7
Capacity: 99
Census: 76
Reassessment interval: 6
New resident reassessment period: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Ricky David | Administrator / Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 0
Date: Jul 24, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-04-15 alleging that staff did not meet residents' dietary needs, did not comply with admission agreements, and did not treat residents with dignity and respect.
Complaint Details
The complaint was investigated and found to be unfounded.
Findings
The investigation found that Resident #1 lived on an independent living floor not licensed by Community Care Licensing and was independent without need for care or supervision. The complaint was determined to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Capacity: 99
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Met with during the investigation and provided information about Resident #1 |
| Laura Munoz | Licensing Program Manager | Conducted the complaint investigation |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation |
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 0
Date: Jul 24, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 03/28/2024 regarding allegations that staff were not meeting residents' showering needs and other resident needs.
Complaint Details
The complaint involved allegations that staff were not meeting residents' showering needs and other resident needs. Interviews revealed some showers were occasionally missed but residents sometimes showered themselves or were offered schedule changes. Staff reported challenges when caregivers called out. Residents generally felt their other needs were met despite occasional delays in staff response. The complaint was found unsubstantiated.
Findings
The investigation included interviews with staff and residents and a review of records. The allegations that staff were not meeting residents' showering needs and other needs were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred.
Report Facts
Capacity: 99
Census: 76
Staff interviewed: 4
Residents interviewed: 8
Caregivers per shift: 3
Complaint received date: Mar 28, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Met with Licensing Program Analysts during investigation |
| Laura Munoz | Licensing Program Manager | Conducted complaint investigation |
| Cheyenne Ratajczak | Licensing Evaluator | Conducted complaint investigation |
| Graham Gunby | Licensing Program Analyst | Assisted in complaint investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 2
Date: Jul 24, 2024
Visit Reason
The visit was an unannounced Case Management inspection conducted to follow up on deficiencies found during a medication audit performed on 03/28/2024 as part of a complaint investigation.
Complaint Details
The inspection was triggered by a complaint investigation involving a medication audit conducted on 03/28/2024. Deficiencies related to medication discrepancies and improper medication handling were substantiated.
Findings
Deficiencies were found related to medication administration, including inaccurate documentation of dispensed medications and pre-pouring of medications up to four days in advance, which poses a potential health and safety risk to residents. Citations will be issued based on these violations.
Deficiencies (2)
Medications were not being documented accurately, posing a potential health and safety risk to residents.
Medications were being pre-poured more than 24 hours in advance, up to four days, which poses a potential health and safety risk to residents.
Report Facts
Census: 76
Total Capacity: 99
Deficiency count: 2
Plan of Correction Due Date: Jul 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David Jr. | Executive Director | Met with during inspection and named in relation to medication audit findings |
| Laura Munoz | Licensing Program Manager | Supervisor conducting the inspection and cited in report |
| Cheyenne Ratajczak | Licensing Program Analyst | Licensing evaluator conducting the inspection and cited in report |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 0
Date: Jul 24, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-04-15 alleging that staff did not meet resident dietary needs, did not comply with admission agreements, and did not treat residents with dignity and respect.
Complaint Details
The complaint was investigated and found to be unfounded; allegations were false, could not have happened, and/or were without reasonable basis.
Findings
The investigation found that Resident #1 lived in an independent living area not licensed by Community Care Licensing and was independent without need for care or supervision. The complaint was determined to be unfounded, meaning the allegations were false or without reasonable basis.
Report Facts
Complaint Control Number: 59
Capacity: 99
Census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Munoz | Licensing Program Manager | Conducted the complaint investigation and delivered findings |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Graham Gunby | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Ricky David | Executive Director | Facility representative met during the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 0
Date: Jul 24, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2024-03-28 alleging that staff were not meeting residents' showering needs and other resident needs.
Complaint Details
The complaint alleged that staff were not meeting residents' showering needs and other resident needs. Interviews revealed some showers were missed occasionally but residents sometimes showered themselves or were offered schedule changes. Staff reported challenges with staffing and pager issues affecting response times. The complaint was determined to be unsubstantiated.
Findings
The investigation included interviews with staff and residents and a records review. The allegations that staff were not meeting residents' showering needs and other needs were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred.
Report Facts
Staff interviewed: 4
Residents interviewed: 8
Caregivers per shift: 3
Facility capacity: 99
Facility census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David Jr. | Executive Director | Met with Licensing Program Analysts during the investigation |
| Laura Munoz | Licensing Program Manager | Conducted the complaint investigation |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation |
| Graham Gunby | Licensing Program Analyst | Assisted in delivering final findings during the investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 0
Date: Jul 24, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-03-12 regarding allegations that staff did not give resident medication as prescribed and that staff illegally evicted a resident.
Complaint Details
The complaint involved two allegations: 1) staff did not give resident medication as prescribed, and 2) staff illegally evicted a resident. The medication audit showed medications were administered and logged correctly. Conflicting information was received regarding the eviction allegation, and it could not be proven or disproven. Both allegations were unsubstantiated.
Findings
The investigation included interviews, record reviews, and medication audits for four residents. Both allegations were found to be unsubstantiated due to insufficient evidence to prove the alleged violations occurred.
Report Facts
Residents reviewed in medication audit: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Munoz | Licensing Program Manager | Conducted the complaint investigation and delivered final findings |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the complaint investigation and medication audit |
| Ricky David | Executive Director | Facility representative met during investigation |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 99
Deficiencies: 2
Date: Jul 24, 2024
Visit Reason
The visit was an unannounced Case Management inspection conducted to follow up on deficiencies found during a medication audit performed on 03/28/2024 as part of a complaint investigation.
Complaint Details
The visit was triggered by a complaint investigation involving a medication audit conducted on 03/28/2024, which revealed discrepancies in medication counts and improper medication handling.
Findings
Deficiencies were found related to inaccurate medication documentation and improper medication storage practices, including pre-pouring medications up to four days in advance and storing them in locked cabinets accessible only to specific staff. These practices pose potential health and safety risks to residents.
Deficiencies (2)
Medications were not being documented accurately, posing a potential health and safety risk to residents.
Medications are being pre-poured more than 24 hours in advance, up to four days, and stored in locked cabinets accessible only to specific staff, posing a potential health and safety risk.
Report Facts
Medication discrepancy: 2
Medication discrepancy: 1
Medication pre-pouring timeframe: 4
Plan of Correction due date: Jul 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laura Munoz | Licensing Program Manager | Conducted the inspection and medication audit. |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the inspection and medication audit. |
| Graham Gunby | Licensing Program Analyst | Conducted the inspection. |
| Ricky David | Executive Director | Facility representative met during the inspection. |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 99
Deficiencies: 1
Date: May 15, 2024
Visit Reason
The inspection was an unannounced case management visit regarding an absent without leave incident report received by the department on 2024-05-03 involving a resident who left the facility unassisted.
Complaint Details
The visit was complaint-related due to an absent without leave incident involving a resident who left the facility unassisted despite a physician's report indicating the resident was unable to leave unassisted. The resident was located outside the facility later that night. The complaint was substantiated by the findings.
Findings
The facility failed to comply with regulations as a resident deemed unable to leave unassisted was found missing from the facility and located outside the community, posing an immediate health and safety risk. Deficiencies were cited related to staff awareness of residents' whereabouts.
Deficiencies (1)
Failure to ensure staff are aware of the resident's general whereabouts, allowing a resident unable to leave unassisted to leave the community.
Report Facts
Census: 75
Total Capacity: 99
Deficiencies cited: 1
Plan of Correction Due Date: May 16, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David Jr. | Executive Director | Met with Licensing Program Analyst during inspection and discussed incident |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the inspection and authored the report |
| Laura Munoz | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 99
Deficiencies: 1
Date: May 15, 2024
Visit Reason
The visit was an unannounced case management inspection regarding an absent without leave incident involving a resident (R1) who left the facility unassisted, contrary to physician's orders.
Complaint Details
The visit was triggered by a complaint regarding an absent without leave incident reported on 05/03/2024. The complaint was substantiated as the resident left the facility unassisted against physician's report.
Findings
The facility was found deficient for failing to ensure staff awareness of residents' ability to leave unassisted, as R1 left the community unassisted posing an immediate health and safety risk. Deficiencies were cited under LIC 809-D, Title 22 Regulations.
Deficiencies (1)
Failure to be aware of the resident's general whereabouts, as R1 left the community unassisted which poses an immediate health and safety risk.
Report Facts
Deficiencies cited: 1
Capacity: 99
Census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the inspection and authored the report |
| Ricky David | Executive Director | Met with Licensing Program Analyst during inspection |
| Laura Munoz | Licensing Program Manager | Supervising Licensing Program Manager named in report |
Inspection Report
Annual Inspection
Census: 75
Capacity: 99
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
The visit was an unannounced required 1-year annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements.
Findings
The facility was found to be clean, safe, sanitary, and in good condition with appropriate staffing and required supplies. However, a deficiency was noted due to all eight staff files reviewed missing First Aid training.
Deficiencies (1)
Eight out of eight staff files reviewed did not have First Aid training, posing a potential health and safety risk to persons in care.
Report Facts
Staff files missing First Aid training: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David Jr. | Executive Director | Met with Licensing Program Analyst during inspection and discussed findings |
| Cheyenne Ratajczak | Licensing Program Analyst | Conducted the inspection and authored the report |
| Laura Munoz | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 99
Deficiencies: 0
Date: Dec 27, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-07-21 regarding a questionable death due to neglect at the facility.
Complaint Details
The complaint alleged a questionable death due to neglect. The investigation included interviews with staff and residents, review of medical records, and EMS reports. The allegation was found unsubstantiated due to lack of sufficient evidence to prove the violation.
Findings
The investigation found that the resident's oxygen concentrator was turned off prior to EMS arrival, with inconsistent staff statements about the incident. Medical records and interviews indicated insufficient evidence to substantiate the allegation of wrongful death, and the complaint was found to be unsubstantiated.
Report Facts
Facility capacity: 99
Census: 100
Number of staff interviewed: 11
Number of residents interviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Cheyenne Ratajczak | Licensing Program Analyst | Assisted in complaint investigation |
| Jenette Mariano | Business Office Manager | Met with investigators during the visit and provided information |
| Ricky David Jr. | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 0
Date: Dec 27, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 07/21/2023 regarding a questionable death due to neglect at the facility.
Complaint Details
The complaint alleged a questionable death due to neglect. The investigation included interviews with staff and residents, review of medical records, and EMS reports. The allegation was found to be unsubstantiated as there was not a preponderance of evidence to prove the violation occurred.
Findings
The investigation found that the oxygen concentrator for resident R1 was turned off, and staff made inconsistent statements about the incident. Medical personnel stated it was difficult to determine if lack of oxygen contributed to R1's death. The allegation of wrongful death was found to be unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 99
Complaint received date: Jul 21, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Cheyenne Ratajczak | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Ricky David Jr. | Administrator | Facility administrator named in the report |
| Jenette Mariano | Business Office Manager | Met with investigators during the visit |
| Troy Ordonez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 0
Date: Nov 30, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-10-10 alleging inadequate food service, kitchen disrepair, sewage problems, and non-working toilets at the facility.
Complaint Details
The complaint alleged inadequate food service due to kitchen disrepair, sewage problems, and non-working toilets. After interviews with staff, residents, and review of documents and repair invoices, the allegations were found to be unsubstantiated or unfounded. The kitchen flooding was due to dishwasher water, not sewage. Repairs were timely and effective. Staff and residents had access to working toilets.
Findings
The investigation found all allegations to be unsubstantiated or unfounded. The kitchen was in disrepair but food service was adequate, the sewage problem was addressed promptly with repairs completed in 13 days, and the non-working toilets were limited to staff areas and repaired within 7 days. No citations were issued.
Report Facts
Facility capacity: 99
Census: 97
Repair duration: 13
Repair duration: 7
Number of staff interviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Met with Licensing Program Analyst during investigation and provided statements regarding kitchen and toilet conditions |
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 0
Date: Nov 30, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-10-10 alleging inadequate food service, kitchen disrepair, sewage problems, and non-working toilets at the facility.
Complaint Details
The complaint alleged inadequate food service, unclean kitchen, sewage problems, and non-working toilets. The investigation found these allegations unsubstantiated or unfounded based on staff interviews, document reviews, and observations. The kitchen flooding was caused by dishwasher water, not sewage. Plumbing repairs were completed within 13 days. Staff break room toilets were out of order but residents' toilets were functional. No violations were found.
Findings
The investigation found all allegations to be unsubstantiated or unfounded. Staff interviews and documentation showed that food service was adequate despite kitchen disrepair, the kitchen flooding was due to dishwasher water not sewage, and the facility addressed plumbing repairs timely. Toilets in the staff break room were out of order but residents had working toilets. No citations were issued.
Report Facts
Capacity: 99
Census: 97
Complaint received date: Oct 10, 2023
Inspection visit date: Nov 30, 2023
Repair duration: 13
Bathroom repair duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Met with Licensing Program Analyst during investigation and provided statements regarding kitchen and plumbing issues |
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Troy Ordonez | Licensing Program Manager | Oversaw the complaint investigation process |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 99
Deficiencies: 1
Date: Nov 2, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-09-26 regarding allegations that staff do not assist residents with showering and do not meet residents' dietary needs.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not assist residents with showering due to staffing shortages. The allegation regarding dietary needs was found to be unsubstantiated.
Findings
The allegation that staff did not assist residents with showering was substantiated due to staffing shortages causing missed showers for resident R1 who requires assistance. The allegation that staff did not meet residents' dietary needs was unsubstantiated as the facility provided appropriate dietary options and followed physician diet orders.
Deficiencies (1)
Staff did not assist resident R1 with scheduled showers, posing a potential health and safety risk.
Report Facts
Capacity: 99
Census: 99
Deficiencies cited: 1
Plan of Correction Due Date: Nov 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation and delivered final findings |
| Ricky David | Executive Director | Facility representative met during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 99
Deficiencies: 1
Date: Nov 2, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2023-09-26 alleging that staff do not assist residents with showering and do not meet residents' dietary needs.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not assist residents with showering due to staffing shortages and missed scheduled showers for resident R1. The dietary needs allegation was unsubstantiated after investigation.
Findings
The allegation that staff did not assist residents with showering was substantiated based on interviews and records indicating staffing shortages and missed showers for resident R1. The allegation regarding dietary needs was found to be unsubstantiated after review of dietary plans, interviews with staff and residents, and observation of meal services.
Deficiencies (1)
Staff did not assist resident R1 with scheduled showers, posing a potential health and safety risk.
Report Facts
Capacity: 99
Census: 99
Plan of Correction Due Date: Nov 9, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Met with Licensing Program Analyst during investigation and provided statements regarding staffing and shower scheduling |
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Troy Ordonez | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 0
Date: Aug 24, 2023
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 2023-08-22 alleging that staff do not clean residents' rooms and that a resident's room was malodorous.
Complaint Details
The complaint alleged that staff did not clean residents' rooms and that a resident's room was malodorous. The investigation found these allegations unsubstantiated based on interviews and evidence. The resident in question had moved out prior to the investigation, and staff reported cleaning the room. The resident refused cleaning and assistance services.
Findings
The investigation found the allegations to be unsubstantiated. Staff and responsible party interviews indicated that the resident refused cleaning and assistance services, and the evidence did not support the claims of unclean or malodorous conditions at the time of the visit.
Report Facts
Capacity: 99
Census: 97
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rick David Jr. | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation |
| Anthony Perez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 99
Deficiencies: 0
Date: Aug 24, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 08/22/2023 alleging that staff do not clean residents' rooms and that a resident's room was malodorous.
Complaint Details
The complaint alleged that staff did not clean residents' rooms and that a resident's room was malodorous. The investigation found these allegations unsubstantiated based on staff and responsible party interviews and evidence that the resident refused services.
Findings
The investigation found the allegations to be unsubstantiated. Staff and responsible party interviews indicated that the resident refused cleaning and assistance services, and the room was cleaned after the resident moved out.
Report Facts
Capacity: 99
Census: 97
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation |
| Rick David Jr. | Executive Director | Met with Licensing Program Analyst during investigation |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 56
Capacity: 99
Deficiencies: 0
Date: Feb 10, 2023
Visit Reason
The Licensing Program Analyst arrived unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain to ensure the health and safety of residents in care.
Findings
No immediate health, safety, or personal rights violations were observed. The facility was found to be in substantial compliance with infection control requirements. No deficiencies were cited.
Report Facts
Capacity: 99
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Met with Licensing Program Analyst during inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
| Sarena Keosavang | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 99
Deficiencies: 0
Date: Jan 5, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that the facility did not protect a resident from sexual abuse.
Complaint Details
The complaint alleged that the facility did not protect a resident from sexual abuse occurring on 7/12/2022. Investigations included hospital reports, police and staff interviews, and forensic lab results. The police closed their investigation and the Department found insufficient evidence to substantiate the allegation.
Findings
The investigation included interviews and documentation review. The allegation was found to be unsubstantiated as there was not a preponderance of evidence to prove the violation occurred.
Report Facts
Capacity: 99
Census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Ricky David Jr. | Executive Director | Met with Licensing Program Analyst during investigation and received report |
| Anthony Perez | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 99
Deficiencies: 0
Date: Jan 5, 2023
Visit Reason
Unannounced complaint investigation visit conducted in response to an allegation that the facility did not protect a resident from sexual abuse.
Complaint Details
The complaint alleged that the facility did not protect a resident from sexual abuse occurring on 7/12/2022. The resident reported the assault, but forensic testing found no foreign bodily fluids. Staff interviews indicated no suspicious activity. The criminal investigation was closed and the allegation was unsubstantiated by the licensing department.
Findings
The investigation included interviews and document reviews. The allegation was found to be unsubstantiated due to lack of preponderance of evidence, with no unusual activity observed and the criminal investigation closed without further action.
Report Facts
Complaint Control Number: 25
Complaint Control Number Suffix: 20220713150640
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Ricky David Jr. | Executive Director | Met with Licensing Program Analyst during investigation and exit interview. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 99
Deficiencies: 1
Date: Nov 30, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility fire alarm was in disrepair.
Complaint Details
The complaint was substantiated based on evidence and interviews. The facility was found to have a malfunctioning fire alarm sub panel, but was actively managing the issue with fire watch logs and repair plans. No citation was issued.
Findings
The investigation found that the fire alarm sub panel was malfunctioning, but the rest of the system was operable. The facility had hired a third-party company to conduct daily fire watch logs and submitted these to the Fire Department. The allegation was substantiated, but no citation was issued due to the facility's due diligence and cooperation.
Deficiencies (1)
Facility fire alarm is in disrepair.
Report Facts
Capacity: 99
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Interviewed during complaint investigation regarding fire alarm issue |
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation visit |
| Anthony Perez | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 99
Deficiencies: 1
Date: Nov 30, 2022
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that the facility fire alarm was in disrepair.
Complaint Details
The complaint was substantiated based on interviews and records reviewed. The fire alarm sub panel was found to be faulty, but the facility had implemented fire watch logs and was actively addressing the issue. No citation was issued due to the facility's due diligence.
Findings
The investigation found that the fire alarm sub panel was malfunctioning, but the rest of the panels were operable. The facility had taken due diligence by hiring a third-party company to conduct daily fire watch logs and submitted these to the Fire Department. The allegation was substantiated, but no citation was issued due to the facility's proactive measures. The facility will be monitored by the Licensing Program Analyst.
Deficiencies (1)
Facility fire alarm is in disrepair.
Report Facts
Capacity: 99
Census: 64
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ricky David | Executive Director | Met with Licensing Program Analyst during complaint investigation and provided information about fire alarm system |
| Sarena Keosavang | Licensing Program Analyst | Conducted the complaint investigation |
| Anthony Perez | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 99
Deficiencies: 0
Date: Aug 5, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation of a questionable death received on 2022-05-02.
Complaint Details
The complaint involved an allegation of a questionable death. The allegation was investigated and found to be unfounded based on the resident's independent living status and lack of care or supervision provided in that section.
Findings
The investigation determined that the resident in question lived in an independent living section of the facility not licensed for care or supervision. The Community Care Licensing Division does not have authority over this section as it provides only residential housing without care. Therefore, the allegation was found to be unfounded.
Report Facts
Capacity: 99
Census: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jenette Mariano | Business Office Coordinator | Met with Licensing Program Analyst during the investigation and received the report |
| Ricky David | Executive Director | Interviewed during the investigation regarding resident living arrangements |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 99
Deficiencies: 0
Date: Aug 5, 2022
Visit Reason
Unannounced complaint investigation visit conducted due to an allegation of a questionable death at the facility.
Complaint Details
Allegation of questionable death was investigated and found to be unfounded based on the resident living in an unlicensed independent living portion of the facility without care or supervision.
Findings
The investigation determined that the resident in question lived in an independent living section of the facility that is not licensed or supervised by Community Care Licensing. The allegation was found to be unfounded as the independent living area does not provide care or supervision and the Department lacks authority over that section.
Report Facts
Capacity: 99
Census: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jenette Mariano | Business Office Coordinator | Met with Licensing Program Analyst during investigation and received report |
| Ricky David | Executive Director | Interviewed during investigation regarding resident living arrangements |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 95
Capacity: 99
Deficiencies: 0
Date: Jul 20, 2022
Visit Reason
An office meeting was held via Microsoft Teams to discuss various operational topics including improvements in operations for Cogir of Folsom, operations of the 3rd floor for Cogir of Stock Ranch, and COVID-19 vaccine booster implementation.
Findings
The report summarizes discussions held during the office meeting with licensing staff and facility representatives regarding operational improvements and COVID-19 vaccine booster implementation. No deficiencies or violations are noted in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benoit Levesque | Senior Regional Director of Operations | Met with during the office meeting |
| David Eskenazy | CEO | Present during the office meeting |
| Dave Peper | Regional Director of Operations | Present during the office meeting |
| Ethelia Hines | Regional Health Services Director for California | Present during the office meeting |
| Jessica Zepeda | Interim Executive Director | Present during the office meeting |
| Joel S. Goldman | Attorney | Present during the office meeting |
| Josh Allen | Facility Consultant RN | Present during the office meeting |
| Anthony Perez | Licensing Program Manager | Licensing staff present |
| Michael Hood | Licensing Program Analyst | Licensing staff present |
| Alycia Berryman | Regional Manager | Licensing staff present |
Inspection Report
Census: 95
Capacity: 99
Deficiencies: 0
Date: Jul 20, 2022
Visit Reason
An office meeting was held via Microsoft Teams to discuss various operational topics including improvements in operations for Cogir of Folsom, operations of the 3rd floor for Cogir of Stock Ranch, and COVID-19 vaccine booster implementation.
Findings
The report summarizes a meeting involving licensing staff and facility representatives to discuss operational improvements and COVID-19 vaccine booster implementation. No deficiencies or violations are noted in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benoit Levesque | Senior Regional Director of Operations | Met with during the office meeting |
| David Eskenazy | CEO | Present during the office meeting |
| Dave Peper | Regional Director of Operations | Present during the office meeting |
| Ethelia Hines | Regional Health Services Director for California | Present during the office meeting |
| Jessica Zepeda | Interim Executive Director | Present during the office meeting |
| Joel S. Goldman | Attorney | Present during the office meeting |
| Josh Allen | Facility Consultant RN | Present during the office meeting |
| Anthony Perez | Licensing Program Manager | Licensing staff present |
| Michael Hood | Licensing Program Analyst | Licensing staff present |
Inspection Report
Annual Inspection
Census: 60
Capacity: 99
Deficiencies: 0
Date: Dec 3, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection focusing on infection control to ensure compliance with health and safety standards.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Daoro-Lehner | Executive Director | Met with Licensing Program Analysts during the inspection and involved in infection control domain completion. |
| Michael Hood | Licensing Evaluator | Conducted the inspection and signed the report. |
| Angela Hood | Licensing Program Analyst | Conducted the inspection. |
| Anthony Perez | Supervisor | Supervisor overseeing the inspection. |
Inspection Report
Annual Inspection
Census: 60
Capacity: 99
Deficiencies: 0
Date: Dec 3, 2021
Visit Reason
The inspection was a Required-1 Year unannounced visit to conduct an annual inspection utilizing the infection control domain.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracy Daoro-Lehner | Executive Director | Met with Licensing Program Analysts during the inspection and completed the infection control domain. |
| Michael Hood | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Angela Hood | Licensing Program Analyst | Conducted the inspection. |
| Anthony Perez | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 99
Deficiencies: 0
Date: Apr 17, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 10/07/2020 regarding diabetic diets not being provided and a resident experiencing delay in physical assistance.
Complaint Details
Two separate allegations were investigated: 1) diabetic diets not provided and prescribed, which was found to be unfounded; 2) a resident experienced delay in physical assistance, which was found to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found the allegation that diabetic diets were not provided to be unfounded, with evidence showing appropriate dietary accommodations. The allegation of delay in physical assistance was found to be unsubstantiated due to insufficient evidence to prove the alleged violation occurred. No deficiencies were cited in either case.
Report Facts
Capacity: 99
Census: 89
Complaint received date: Oct 7, 2020
Emergency call button pushed time: 63336
Staff response time: 64113
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Reber | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Toyin Spencer | Activity Director | Met with the analyst during the investigation and received the report |
| Tracy Daoro-Lehner | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 99
Deficiencies: 0
Date: Apr 17, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2020-10-07 regarding diabetic diets not being provided and a resident experiencing delay in physical assistance.
Complaint Details
Two allegations were investigated: 1) diabetic diets not provided and prescribed, which was found to be unfounded; 2) a resident experienced delay in physical assistance, which was found to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found the allegation that diabetic diets were not provided to be unfounded, with evidence showing appropriate dietary accommodations. The allegation of delay in physical assistance was found to be unsubstantiated due to insufficient evidence regarding the timing and staff response after a resident fall. No deficiencies were cited in either case.
Report Facts
Capacity: 99
Census: 89
Complaint received date: Oct 7, 2020
Emergency call time: 63336
Staff response time: 64113
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Reber | Evaluator / Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Toyin Spencer | Activity Director | Facility staff member met during investigation and recipient of report copy |
| Tracy Daoro-Lehner | Administrator | Facility administrator named in the report |
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