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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 415601080
Report Date: 11/20/2025
Date Signed: 11/20/2025 10:18:45 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/13/2025 and conducted by Evaluator Komal Curley
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20251013174433
FACILITY NAME:COGIR OF BELMONTFACILITY NUMBER:
415601080
ADMINISTRATOR:JIM SIDOTIFACILITY TYPE:
740
ADDRESS:900 SIXTH AVENUETELEPHONE:
(650) 591-2008
CITY:BELMONTSTATE: CAZIP CODE:
94002
CAPACITY:68CENSUS: 50DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Administrator, Jim SidotiTIME COMPLETED:
10:28 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff financially abused resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On November 20, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Administrator, Jim Sidoti and explained the purpose of the visit.

Regarding the allegation, staff financially abused resident, according to the reporting party, about 2-3 years ago, Resident 1’s (R1’s) wallet was stolen and unauthorized charges were made by Staff 1 (S1).

During the investigation, the Department reviewed documents. Although S1 did take R1’s wallet and financially abused R1, S1 was not employed with the facility. S1 was employed through an outside third-party agency. After the investigation, this allegation is deemed to be unfounded.

Report is reviewed with Administrator and a copy is provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Komal Curley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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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