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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803807
Report Date: 02/23/2026
Date Signed: 02/23/2026 05:31:35 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
12/09/2025 and conducted by Evaluator Dina Alviso
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20251209091547
FACILITY NAME:COGIR OF ROHNERT PARKFACILITY NUMBER:
496803807
ADMINISTRATOR:ORDING, KELLYFACILITY TYPE:
740
ADDRESS:4855 SNYDER LANETELEPHONE:
(707) 585-7878
CITY:ROHNERT PARKSTATE: CAZIP CODE:
94928
CAPACITY:75CENSUS: 42DATE:
02/23/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Omar Mendoza-AdministratorTIME COMPLETED:
05:40 PM
ALLEGATION(S):
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Medications are not provided to the residents as prescribed
Due to lack of staffing, residents needs are not getting met timely
Staff do not have required training
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 2/23/2026 at approximately 9:30am, and met with Interim Administrator, Omar Mendoza,and Tamra Richmond, Business Office Manager.

Reporting party (RP) alleges "medications are not provided to the residents as prescribed", "due to lack of staffing, residents needs are not getting met timely", and "staff do not have required training". RP did not provide specific resident names with allegations. LPA reviewed staff files, resident files, facility files, including staff schedule, and conducted interviews with staff and other related parties.

Per review of records, and interviews, the investigation revealed that the Interim Administrator is available on-site Monday and Tuesday 9am to 5pm, and Tuesday and Thursday 9am to 11am. Health & Wellness Director, and Nurses from other Cogir communities have come in as needed, to help support the facility. The licensee has hired a new Administrator who will be coming into the facility the first week of March 2026. The Health & Wellness Director was hired and started today, 2/23/26. LPA observed working on shift caregivers and a medication technician. No information obtained to support a violation had occurred.
Continued on LIC9099C..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
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-20251209091547
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 ROHNERT PARK
FACILITY NUMBER: 496803807
VISIT DATE: 02/23/2026
NARRATIVE
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The LPA reviewed nine (9) staff files, consisting of resident care associates, and medication- technicians, who are also care associates as needed. All staff had required first aid certification, and CPR certification. Staff had required training. All staff had criminal record clearance as required. LPA reviewed three (3) resident files, including care plans, incidents, and medication records. LPA reviewed three resident files, including care plans, incidents, medical records, and medication/MAR records. Medications are being provided to residents as prescribed. Staff have medication training as required. Staff have caregiver training as required. Per review of records, and interviews conducted, there was no information obtained to support alleged violations had occurred.

Based on LPAs observations, record reviews, interviews with staff, and information obtained from other related party(s) there is insufficient information to prove or disprove the allegations of "medications are not provided to the residents as prescribed", "due to lack of staffing, residents needs are not getting met timely", and "staff do not have required training". Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

No deficiencies cited.
Exit interview conducted with Omar Mendoza.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
LIC9099 (FAS) - (06/04)
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