Complaint Investigation Report

496803807-3-28-2022-21-AS-HDBI-CD7UCE-20220405152749

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

02/22/2022 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20220222150044

Facility not providing adequate food service.

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 3/28/22, and met with the Administrator Jose Acumabig.

LPA requested resident (R1) records to review regarding the allegation listed above. The investigation revealed that resident (R1) is not a resident of the assisted living residential care facility for the elderly-license #496803807. The facility has a large portion of independent living units that are not part of the licensed RCFE/assisted living area.

Independent living residents do not receive the RCFE care services and supervision that is required as part of the RCFE license. LPA reviewed R1's lease agrrement that showed the resident was an independent resident., residing in an independent unit.

The allegations of facility not providing adequate food service, is UNFOUNDED, the Department has no jurisdiction over the "Independent Living" portion of Cogir of Rohnert Park.