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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803808
Report Date: 11/17/2025
Date Signed: 11/17/2025 02:07:58 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/09/2025 and conducted by Evaluator Elias Magdaleno
COMPLAINT CONTROL NUMBER: 21-AS-20250909132138
FACILITY NAME:COGIR OF VALLEJO HILLSFACILITY NUMBER:
486803808
ADMINISTRATOR:ALLEN, SUSANFACILITY TYPE:
740
ADDRESS:350 LOCUST DRIVETELEPHONE:
(707) 553-2698
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:80CENSUS: 47DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Jose Barajas, Executive DirectorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff is intoxicated while at work
INVESTIGATION FINDINGS:
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At approximately 1:50 PM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to deliver findings regarding the above allegation and met with Executive Director Jose Barajas.

There is an allegation of Staff is intoxicated while at work. Complaint alleged that in February 2025, Staff Member 1 (S1) was observed to be intoxicated. Complaint stated that S1’s eyes and breath indicated their intoxication. Review of records showed that S1’s job role does not provide direct care to residents. Interview conducted with S1 stated that there were a few times they showed up to work hungover. S1 also stated that they have been sober since March 2025. Community Care Licensing staff also observed that S1 did not appear to be intoxicated or smell of alcohol during their interview. Interview conducted with Vice President of Operations, stated that they interact daily with S1 and have not observed them to smell of alcohol while at work.

Continued LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 21-AS-20250909132138
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: COGIR OF VALLEJO HILLS
FACILITY NUMBER: 486803808
VISIT DATE: 11/17/2025
NARRATIVE
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Continued from LIC9099...

Interview conducted with Business Office Manager, stated that there was one incident in 2023 or 2024 where S1 showed up drunk to work but it was promptly addressed and S1 received treatment. The Department was unable to determine if S1 appeared intoxicated in the presence of facility residents. Based on record review, interviews conducted, and observations made, this allegation is Unsubstantiated. A finding that the complaint allegations are unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

No deficiencies cited, exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2