<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502701180
Report Date: 07/15/2025
Date Signed: 07/15/2025 05:16:29 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/25/2025 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20250225091641
FACILITY NAME:COGIR OF TURLOCKFACILITY NUMBER:
502701180
ADMINISTRATOR:JOHNS, JANETFACILITY TYPE:
740
ADDRESS:3791 CROWELL ROADTELEPHONE:
(209) 664-9500
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:100CENSUS: 78DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jackie Hernandez, Administrator TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are misusing the facility's keys
Staff mishandled the residents medications
Staff is verbally abusing the residents while in care
Staff have inadequate records keeping for the residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/15/2025, LPA Campbell arrived to the facility unannounced to present findings for a complaint for the above allegations. LPA Campbell met with Jackie Hernandez and explained the purpose of the visit.

Regarding the allegation that Staff are misusing the facility's keys, when interviewed, S1 and S3 recounted that keys are kept with the caregiver during their shift. Since they keep the keys with them, they both would have no issues entering a residents room to check on them. Neither caregiver reported problems having the keys in the past or currently.

Regarding the allegation that staff mishandled the residents medications, when interviewed, Med Techs (S3 and S4) and Caregivers (S1 and S2) reported no issues. MAR for documents reviewed were found to be complete. When family members were contacted, (F1, F2 and F3) all reported no problems with medication being successfully given to family members.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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 27-AS-20250225091641
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: COGIR OF TURLOCK
FACILITY NUMBER: 502701180
VISIT DATE: 07/15/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Regarding the allegation that staff is verbally abusing the residents while in care. Of the four staff interviewed (S1 to S4), none reported observing staff verbally abusing residents. S4 stated that she always urges patience when speaking with residents. Family members contacted (F1 to F3) communicated no concerns regarding staff not being respectful towards their parents and/or family members

Regarding the allegation that staff have inadequate record keeping for the residents, the complainant
claimed that staff falsified documents. Documents (MAR) reviewed were complete and accurate and staff (S1, S2, S3 and S4) reported they were able to successfully complete documentation daily for crossover.

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore this allegation is UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of the report was given to Jackie Hernandez.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2