Cogir of South Bay

Type of visit: Case Management - Deficiencies

On 3/12/26, Licensing Program Analyst (LPA) Alfonso Iniguez conducted a Case Management Deficiencies visit at the facility. The LPA met with Casey Ferreras, Medtech, and the purpose of the visit was explained. On 11/26/25, during an annual inspection, LPA Iniguez cited the facility since (5) employee records were not available to review by LPA Iniguez during the visit. LPA Iniguez informed facility administrator Oliver Joshua that the plan of correction will consist of bringing the five employee records to the regional office by 12/1/2025. The facility administrator did not attend the plan-for-correction meeting. Therefore, on 3/12/2026, LPA Iniguez will re-cite the same citations that were given on 11/26/25. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See page D for details. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. * An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Casey Ferreras/Medtech.the state’s words, verbatim · CDSS document, Mar 12, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(f) · Plan of correction due date: Mar 16, 2026

(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: This requirement is not met as evidenced by: Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having (5) facility staff records available and complete during the annual evaluation which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 12, 2026

Plan of correction: Licensee will adhere to Title 22 at all times. As plan of correction, the licensee will go to the Regional office by due date and show all (5) staff records that were not available for review during the annual evaluation. Citations will be cleared the day of the POC meeting.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87412(g) · Plan of correction due date: Mar 16, 2026

(g) All personnel records shall be maintained at the facility. This requirement is not met as evidenced by: Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having the employye records availble during annual inspection which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 12, 2026

Plan of correction: Licensee will adhere to Title 22 at all times. As a plan of correction, the licensee will visit the Regional office by the due date and present all 5 five staff records that were not available for review during the annual evaluation. Citations will be cleared during the POC meeting.

Type of visit: Required - 1 Year

On 11/16/2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Oliver Joshua /Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (34) elderly adults ages 60 and above, of which (34) can be non-ambulatory. The facility has an approved hospice waiver for (20). The facility is located on a main street and functions as a residential building. It consists of 17 apartments, each equipped with 1 to 2 bedrooms that include closets, one full bathroom, and a combined kitchen/dining/living room area. Additionally, each apartment has a utility closet with a washer and dryer. The facility also features a multipurpose room that can be used as both a dining room and an activity area, as well as a public restroom. Outside, there are shaded seating areas for relaxation. Other amenities include a medication room, an office, and a main entrance lobby with a front desk. LPA Iniguez and the Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (5) bedrooms and (5) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 113.5°F to 115.2°F. The evaluation Report continues on the next page, LIC 809-C, providing further details of the inspection findings. During the visit, LPA Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, which was adequately maintained. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on 10/29/25. A review of (5) residents' service files and (6) staff personnel files was conducted. LPA reviewed (5) Medication Administration Records (MARs) and found no discrepancies. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. A copy of liability insurance was emailed to LPA. Facility Annual Fess current. Facility Annual Fees are not current. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -(5) staff records unavailable during annual evaluation. Note: *Citations not cleared by the due date will be a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared. * An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Oliver Joshua / Interim Administrator.the state’s words, verbatim · CDSS document, Nov 16, 2025

Type of visit: Prelicensing

On 09/26/2024, Licensing Program Analyst (LPA) Leandro conducted an announced visit to the facility for purpose of a pre-licensing evaluation. On 1/31/2024, an application was submitted to CCLD, for Initial license for a Residential Care Facility for the Elderly to serve adults ages 60 and over. The requested capacity is for 34 non-ambulatory residents of which 17 maybe bedridden. The facility is located on a main street. The facility is a residential building. The facility has: 17 apartments (each apartment has 1 to 2 bedrooms with closets, 1 full bathroom, 1 kitchen/dining/living room area, 1 utility closet with a washer and dryer), 1 multipurpose room (the room maybe used as the dining room and an activity room), 1 public restroom, outside spaces with shaded seating, 1 medication room, 1 office, and a main entrance lobby with front desk. LPA Leandro conducted a review of the Physical Plant, Apartments, Bathrooms, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation. MEDICATIONS There is a locked centralized storage area for resident medications. PHYSICAL PLANT Facility is clean, sanitary, and in good repair. Protective devices are in place to include nonslip material on rugs. Indoor and outdoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions. All window screens are clean and in good repair. Facility temperature is between 68 degrees and 85 degrees. Stairways, inclines, ramps, open porches, and areas of potential hazard are well-lit and equipped with sturdy hand railings. For facilities of 16 or more capacity there is a private office for the administrator, a reception area, and bathroom for visitors. For facilities of 16 or more capacity and facilities having separate floors or buildings without full time staff, there are signal systems in place. Fire Alarms and Smoke alarms operate properly. Carbon monoxide detectors operate properly. APARTMENTS Resident apartments are large enough to allow for easy passage and to accommodate furniture and assistive devices such as wheelchairs, walkers, or oxygen equipment. There is a dresser and closet space for each resident that includes at least two (2) drawers or eight (8) cubic feet of dresser space per resident. If applicable, resident bedrooms with security bars on windows/doors have at least one (1) window/door in the bedroom with an approved safety release to allow emergency evacuation. FOOD SERVICE Dining room is near kitchen. Refrigerator(s) and freezer(s) are clean and large enough for the storage of at least two (2) days of perishable foods. Freezer is 0 degrees Fahrenheit. Refrigerator is a maximum of 45 degrees Fahrenheit. A seven (7) day supply of non-perishable food is present. There are sufficient amounts of tableware, tables, dishes, and utensils. There are sufficient amounts of equipment for the storage, preparation, and service of food. All equipment, dishes, and utensils are clean and well maintained. All kitchen, food storage, and preparation areas are clean. RECORDS There is confidential storage of personnel records at the facility. There is confidential storage of resident records at the facility. POSTINGS Mandated postings are posted. ACTIVITIES For facilities of seven (7) or more capacity, an activities calendar is posted. There is an outdoor activity space with a shaded area and furnished for outdoor use. There is at least one common room available to residents for visitors. MISCELLANEOUS There are first-aid supplies to include sterile first-aid dressings, bandages, adhesive tapes, scissors, tweezers, thermometer, antiseptic solution, and a current first-aid manual. There is space and equipment for laundry. There is a space for clean linen storage and a separate space for soiled linen. For facilities of 16 or more capacity, there is a designated laundry space. There are two operating telephones and a videoconferencing device available to residents. Emergency lighting and supplies to include flashlights with batteries. Vehicles used to transport residents are in safe operating condition. COMPONENT III Component III presentation was completed. No plans of correction were provided. LPA will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to the applicant. An exit interview was conducted, and a hard copy of this report was left with the Administrator.the state’s words, verbatim · CDSS document, Sep 26, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 34 Census (if any clients in care): COMP II Participants: Linda Hiles (A), Phil Altman (C) Interview Method: Telephone interview On September 9, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Medication maintenance & training / Activities 3. Pre-screening residents/transportation 4. Pre Licensing Inspection readinessthe state’s words, verbatim · CDSS document, Sep 9, 2024