Senior Care Records.

Complaint Investigation Report

Cogir of North Bay, Vallejo07/31/2023Licence 486803810

Census75
Date signed07/31/2023 10:33:09 AM
The inspector’s account

486803810-7-31-2023-21-AS-HDBI-CUBRJK-20230802130405

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/27/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230727145132

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.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction