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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700471
Report Date: 07/24/2024
Date Signed: 07/24/2024 12:59:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2024 and conducted by Evaluator Cheyenne Ratajczak
COMPLAINT CONTROL NUMBER: 59-AS-20240328105643
FACILITY NAME:COGIR OF STOCK RANCHFACILITY NUMBER:
342700471
ADMINISTRATOR:DAVID JR., RICKYFACILITY TYPE:
740
ADDRESS:7418 STOCK RANCH RDTELEPHONE:
(916) 725-7418
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:99CENSUS: 76DATE:
07/24/2024
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH: Executive Director - Ricky DavidTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff are not meeting residents showering needs
Staff are not meeting residents needs
INVESTIGATION FINDINGS:
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On 07/24/23, Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility unannounced to deliver final findings to a complaint Community Care Licensing (CCL) received on 03/28/24. LPA met with Executive Director (ED) Ricky David and explained the purpose of the visit.

During the course of this investigation, the Department conducted interviews and records review.

Please continue to LIC 9099-C….
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne RatajczakTELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
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 59-AS-20240328105643
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: COGIR OF STOCK RANCH
FACILITY NUMBER: 342700471
VISIT DATE: 07/24/2024
NARRATIVE
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Allegation: Staff are not meeting residents showering needs 
LPA conducted interviews with four (4) staff and eight (8) residents. Resident interviews revealed that some resident’s showers do get missed while other residents stated that their showers do not get missed. One resident stated that sometimes their shower will get missed but if that happens, they will just take a shower by themself. One resident was offered to be switched to evenings to prevent missed morning showers.   
Interviews with caregivers revealed that three (3) caregivers work per shift. They are referred to as clusters. Cluster 1 and Cluster 2 are responsible for the overall needs of residents throughout that shift. Cluster 3 is responsible for showers and laundry for a handful of residents. Interviews further revealed that when someone calls out for their shift, especially the person who is cluster 3, it can be hard to make sure residents get the showers since caregivers now have to figure out who is going to assist with showers. Showers are set to be 30 minutes for each resident. Staff stated that occasionally showers take longer depending on the extent and then having to assist the resident in getting dressed. When this happens, it can set the caregiver back on showers. If AM shift misses a shower, they ask PM if they can fit it in. If not, they will ask residents if they can shower the next day.  
Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. 
 
Allegation: Staff are not meeting residents needs 
Staff interviews indicated that they are not neglecting residents, but it can take them a while to respond to a page.  Additionally, staff stated that sometimes the pagers do not work, or they are off on their timing. Staff stated that many residents will not push their call button because they know it can take a while. Resident interviews revealed that they feel like all their other needs are being met. One resident stated they understand that there are more residents than staff and that they just try to be mindful that staff may be with another resident.  
Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. 
 
Exit interview conducted a copy of the report and appeal rights were left at the facility.  
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne RatajczakTELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
LIC9099 (FAS) - (06/04)
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