Cogir Of North Bay

Licensing Program Analyst (LPA) Magdaleno arrived unnanounced to continue a complaint investigation and deliver findings regarding the above allegation(s) and met with Administrator Davina Barker. Licensee not meeting care needs – Reporting Party (RP) alleges that facility does not maintain residents room leaving sanitation and fall hazards as well as medication mismanagement. During the course of this investigation LPA reviewed records, made observations, and conducted interviews. Review of Housekeeping Guidelines indicated standard tasks that are expected to be completed by housekeeping. Review of Housekeeping Checklist indicated housekeeping signing off and informing residents of completed cleaning. Review of the assigned task sheet indicated all tasks assigned to specific housekeepers including additional requests or comments from residents. Review of Resident Housekeeping Declination form indicated that residents are able to decline housekeeping services. Review of resident LIC602Read the full finding— CDSS inspection report, December 8, 2025 · control 21-AS-20251028103450

Licensing Program Analyst (LPA) A. Canela arrived unannounced for the purpose of gathering more information and delivering findings regarding the above allegation and met with Executive Director/Administrator, Tracy Freudendahl (S1). LPA previously toured the facility, resident (R1) room, toured parking lot, took statements and requested records. It was alleged the facility failed to safeguard residents belongings, when R1 was in the hospital. It was alleged R1s car had been driven and parked in another area and that there were things, including R1's checkbook and keys that were missing from the apartment. LPA toured the area and R1s vehicle was previously located in the front entrance parking lot. S1 had expressed that the car had been there for several months and it has not been moved since R1 left it there. LPA observed the vehicle appeared to have a low tire and observed there were several spider cobwebs around some tires, indicating the vehicle had been there and not moved for anRead the full finding— CDSS inspection report, March 19, 2025 · control 21-AS-20241121135902

Licensing Program Analyst (LPA) A. Canela arrived unannounced for the purpose of continuing complaint investigation and was greeted by Executive Director/Administrator, Tracy Freudendahl. LPA took additional statements and requested records. It was alleged the personal rights of a resident were violated due to a lack of communication by facility staff. Resident R2 was ready to return to the facility after a hospital emergency visit and it was reported Hospital staff made several calls to the facility explaining R2 was ready to be discharged but they were not able to speak with Health Wellness director to coordinate discharge and were just allowed to leave messages by the front staff. It was reported R2 was admitted to the hospital on 8/9/2024 and on 8/13 hospital was trying to discharge R2, but was not able to discharge until 8/15. Continue report see LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, December 16, 2024 · control 21-AS-20240816133812

Licensing Program Analyst (LPA) A. Canela arrived unannounced for the purpose of continuing complaint investigation regarding the above allegations and met with Executive Director/Administrator, Tracy Freudendahl. This investigation included site visits to the facility; statements taken and LPA observations. It has been alleged facility staff do not ensure that residents are served foods of good quality, in that foods are served burned or cold. LPA took several statements from residents and no one corroborated the allegation. Residents expressed they like the food and have never had an issue with food being burned or cold. It was also alleged staff did not ensure the facility is maintained in good repair in that the outside smoking area gazebo tent is torn to shreds and water fountains are not operational. LPA observed the tent is in perfect condition. Facility staff expressed it was replaced about a month and a half ago due to needing a new cover but it was never in shreds. LPA observRead the full finding— CDSS inspection report, August 21, 2024 · control 21-AS-20240620122804

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. This investigation included site visits to the facility; statements taken from witnesses and parties; as well as review of documents obtained during the course of the investigation. It has been alleged that the facility has not met R1's needs in that R1 has missed medical appointments; has not set up R1's voice mail; and does not wear a durable medical device prescribed following surgery because staff do not assist R1. The following determinations are made: R1 lives relatively independently with occasional transportation provided by the facility and has not contracted with the facility for additional care; R1's care plan and physician's assessment indicate R1 does not need assistance with activities of daily living; R1's states that R1 has chosen to not attend appointments or wear the medical device on occasions in the recent past. Although the allegation may be true, based oRead the full finding— CDSS inspection report, October 30, 2023 · control 21-AS-20231019125734

Licensing Program analyst Leibert arrived unannounced for the purpose of investigating this complaint. LPA met with the Administrator, discussed the allegation, tested the elevator. LPA observed that the button on the elevator panel that designates third floor is not functioning properly, although the elevator is still functional. LPA learned that the Administrator has received bids for repair and is awaiting corporate approval for the large expenditure that is needed due to the age of the elevator. The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided. $1,000.00 civil penalty issued for repeat violation within 12 months. Report left. SubstantiatedRead the full finding— CDSS inspection report, July 31, 2023 · control 21-AS-20230727145132

On 2/9/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced visit for the purpose of delivering complaint findings. LPA arrived and was greeted by Health Services Director, Dina Lopez. LPA toured the facility, reviewed staff and resident records, conducted interviews with staff and made observations. Complaint alleges facility staff failed to safeguard resident's (R1) funds. Based on a review of records, all caregiving staff that may have provided care to R1, did not have addresses matching the home address indicated of the alleged abuser. In addition, based on interviews with Health Service Director (HSD) and a review of R1’s records, LPA found that R1 was not able to handle their own finances and has a Power of Attorney in charge of their finances. Continued onto LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, February 9, 2023 · control 21-AS-20221103162806