Cogir of Rohnert Park

Right to sufficient care and qualified staff

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. A dependent resident (R1) was left sitting on the toilet for a period of approximately fifty-five (55) minutes by a caregiver; The resident requested the staff to return within thirty (30) minutes, but the staff went off shift, leaving the facility.The staff never returned to assist the resident. Resident was left waiting in the bathroom, until a visitor arrived and found them. The visitor notified staff on duty. This a risk to resident's personal rights.

87465(g) Incidental Medical and Dental Care-The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by: LPA's review of incident report, interviews with staff, and review of facility's policy. Staff failed to contact 911 for resident incident, resident hit their head. This is a health & safety risk to residents in care, as well as a personal rights risk.

HSC1569.69(a)(1)(b) Employees assisting residents with self-administration of medication; training requirements-Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: In facilities licensed to provide care for 16 or more persons, the employee shall complete 24 hours of initial training, including 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first four weeks of employment. Each employee required in paragraph (5) of subdivision (a), and who continues to assist with the self-administration of medicines, shall also complete eight hours of in-service training in each succeeding 12-month period This requirement was not met as evidenced by:Per review of records, the investigation revealed, S3 last completed required medication training hours on 11/11/2023 and 11/12/2023. This is a health & safety risk to residents' in care.

87355(e)(2)(3) Criminal Record Clearance- All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department or Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement was not met as evidenced by: Per review of Guardian, criminal record clearance database, S3 is not associated to the facility and was separated by Cogir of Rohnert Park on 12/5/2023. It was also identified that S3's fingerprint clearance was separated from North Bay Home Care agency on 10/9/2024, and separated from North Bay Home Care, INC. agency on 2/18/2025. This is a risk to the' health & safety of all residents'.

Provide resident hot water for personal care

Based on LPA's observation, LPA checked a resident bathroom sink, and the hot water was checked at 122.9 degrees Fahrenheit, which is not within regulation., the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.

First aid training requirements

Based on LPA's review of staff records], the licensee did not comply with the section cited above in [6) out of [8] staff, which poses/posed a potential health, safety or personal rights risk to persons in care.

Food handling safeguards during storage and service

Based on LPA's observation, during tour of the kitchen with the Administrator,the facility did not ensure that fruit, mayonnaise, an open box of beans, and open bags of rice were stored appropriately to protect the safety and acceptability necessary to prevent contamination, which poses an immediate health, safety or personal rights risk to persons in care.

87555 (b)(9)(23)General Food Service Requirements-Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service.All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement has not been met as evidenced by: LPA observed food prepared for residents out on a table in the dining room area for resident pick-up at dinner time; There were salads in plastic containers, drinks/juice/milk in cups w/lids, fruit bowls covered by parchment paper-wine in glasses covered by parchment paper, pie slices , all items not kept at refrigerated temperatures as needed. Hot foods will be prepared and put in containers put out for pick-up but not kept in something to retain heat as needed. Per the Administrator the food was being done earlier and served -put out on table fto have it ready when residents want to pick it up. This is a risk of resident's health & safety and/or a personal rights risk to residents in care.

H&S Code- 1569.652(c) Termination of admission agreement upon death of resident; or removal of resident’s property; refund of fees paid; notice of contract termination and refunds. A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed. This requirement has not been met based on record reviews, and interviews, The resident had all belongings removed by 7/22/21, and did not receive due refund timely per law and regulations. The refund fee was provided o the resident/responsible party on 9/9/2021. This is a personal rights risk to residents in care.