502701180-9-27-2023-27-AS-KHOS-CWHGQY-20231011053330

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 502701180
Report Date: 09/27/2023
Date Signed: 09/27/2023 02:31:25 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/22/2023 and conducted by Evaluator Renee Campbell

COMPLAINT CONTROL NUMBER: 27-AS-20230922083607

FACILITY NAME:	COGIR OF TURLOCK		FACILITY NUMBER:	502701180
ADMINISTRATOR:	JOHNS, JANET		FACILITY TYPE:	740
ADDRESS:	3791 CROWELL ROAD		TELEPHONE:	(209) 664-9500
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95382
CAPACITY:	100	CENSUS: 74	DATE:	09/27/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Janet Johns, Assistant Executve Director		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff handled resident in a rough manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renee Campbell and LPA Victoria Brown arrived unannounced to conduct an investigation of the above allegation on 09/27/2023 at 9:00 am. LPA’s Campbell and Brown met with Janet Johns, Assistant Executive Director, and explained the purpose of the visit.

Regarding the Allegation, Staff handled resident in a rough manner, of the 6 staff and 4 residents interviewed, none stated that they had witnessed, experienced, or heard of any resident being treated in a rough or inappropriate manner. Based on interviews with a random amount of residents and staff the investigation revealed that there is no preponderace of evidence. Allegation is deemed UNSUBSTANTIATED.

A finding of 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. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was conducted, copy of the report provided.

Unsubstantiated

Estimated Days of Completion: 30

SUPERVISOR'S NAME: Emerita Curiel	TELEPHONE: (916) 263-4707
LICENSING EVALUATOR NAME: Renee Campbell	TELEPHONE: 916-206-6380
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

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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