331800055-9-25-2026-18-AS-JDHS-DYEUUD-20260930155323

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800055
Report Date: 09/09/2026
Date Signed: 09/25/2026 11:25:02 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/19/2026 and conducted by Evaluator Venus Mixson

COMPLAINT CONTROL NUMBER: 18-AS-20260219103733

FACILITY NAME:	COTTAGES AT HEMET		FACILITY NUMBER:	331800055
ADMINISTRATOR:	BARBARA BOGOJE		FACILITY TYPE:	740
ADDRESS:	1177 S PALM AVE		TELEPHONE:	(951) 923-2844
CITY:	HEMET	STATE: CA	ZIP CODE:	92543
CAPACITY:	110	CENSUS: 89	DATE:	09/09/2026
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	ADMINISTRATOR, BARBARA BOGOJE		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Facility overcharged resident

INVESTIGATION FINDINGS:

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On August 14, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility and met with the Executive Director, Barbara Bogoje LPA explained the reason for the visit was to provide the findings for the listed allegation. During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation.
On February 19, 2026, Community Care Licensing received a complaint alleging the Licensee overcharged a resident, it was reported that Resident # 1(R1) was overcharged due to an increase of care. It was reported that there was no notification or agreement to the increase of care by R1 or their responsible party. R1 was charged the additional fees from March 2022 to April 2022. Information obtained from interview with the Executive Director, Barbara Bogoje, advised R1 was overcharged and the Corporation refunded R1 $1,950.83, via Certified US Mail, in June of 2024. Information obtained from interviews with additional staff advised that all refunds and finances are handled through the Corporate Office and if a resident was overcharged the refund would be sent from there via US Certified mail. Information obtained from interview with Additional Witness advised that there have not been any records provided to verify there was a refund issued. LPA was not able to interview R1 or their Responsible Party, due to their passings. A review of the records confirmed that R1 was overcharged. Additionally, the review of the records reveal that the facility refunded R1 in June of 2024 and processed on July 1, 2024.
Based on information obtained from interviews and record reviews pertaining to facility overcharged resident, the evidence standard has been met. The facility shall be cited for 87507(g)(B)(3) Admission Agreements.
An exit interview was conducted. A copy of this report, along with LIC 9099-D, and appeal rights, were explained and given to Executive Director.

THIS IS AN AMENDED REPORT

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20260219103733

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: COTTAGES AT HEMET	FACILITY NUMBER: 331800055
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/09/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/14/2026 Section Cited CCR 87507(g)(B)(3)	1 2 3 4 5 6 7	87507(g)(B)(3) Admission agreements shall specify the following: Rate for additional items and services, including: A statement acknowledging any additional items and/or services that the resident refused to purchase at the time the admission agreement was signed, which shall be signed and dated by the resident or the resident’s representative, if any, and attached to the admission agreement. This requirement was not met as evidenced by: Facility overcharged R1.	1 2 3 4 5 6 7	Administrator provided proof that the additional charges were refunded. A check was sent in June 2024 and cashed on July 1, 2024.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by the Facility overcharging the resident(R1) which posses a potential Personal Rights violation.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2026

LIC9099 (FAS) - (06/04)

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