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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006344
Report Date: 01/22/2025
Date Signed: 01/22/2025 04:18:34 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/23/2024 and conducted by Evaluator Kevin Saborit-Guasch
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241023160037
FACILITY NAME:COGIR OF BREAFACILITY NUMBER:
306006344
ADMINISTRATOR:FAYE, SAMUELFACILITY TYPE:
740
ADDRESS:700 MADISON WAYTELEPHONE:
(714) 681-0105
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY:110CENSUS: 47DATE:
01/22/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kara Kneedy-Cayem, Executive Director
Denise Renella, Marketing Director
TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility did not safeguard resident's personal belongings.

Facility has surveillance cameras in the resident's room.

Facility is not in good repair.
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above. LPA was greeted and granted entry by front desk after introducing himself and stating the purpose of the visit. Executive Director Kara Kneedy-Cayem was notified via telephone as she was doing an assessment in the community and later returned to assist. Facility Marketing Director Denise Renella was present to assist.

During the initial complaint investigation visit, LPA requested and obtained the current resident census. LPA accompanied by tour conducted a tour of the two levels of the facility including the facility's memory care. LPA conducted three staff interviews including maintenance staff and reviewed resident records for five past or current residents. Additional documentation of a call to Brea Police for suspected theft and maintenance logs were also provided.

CONTINUED ON FORM LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
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 22-AS-20241023160037
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: COGIR OF BREA
FACILITY NUMBER: 306006344
VISIT DATE: 01/22/2025
NARRATIVE
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CONTINUED FROM FORM LIC9099
Regarding the allegation that Facility did not safeguard resident's personal belongings, the following has been concluded: Based on interviews and records reviewed, multiple incidents of theft or loss are alleged to have occurred on the premises. Most of the incidents came to be known to facility staff knowledge after being mentioned during the facility's residents council. Reports were made to local law enforcement and did not result in additional investigation after an officer was initially dispatched. Records review also confirmed that no cash amounts were placed into the facility's safeguarding authority. Additionally, facility staff provided LPA with a file where all theft and loss incidents were logged including: a description of the article, its estimated value, the date and time the theft or loss was discovered, if determinable, the date and time the loss or theft occurred as well as the action taken. The facility's theft and loss policy is also posted on the premises as required. All elements of the required theft and loss policy are therefore present.

Regarding the allegation that Facility has surveillance cameras in the resident's room, the following has been concluded: Based on a tour of the physical plant, LPA was able to confirm the presence of a video surveillance system operated by the licensee, restricted to the facility's common areas. A review of multiple residents' admission agreements show the following clause which implies approval prior to admission: "For security purposes, there are video cameras in some of the common areas of Cogir of Brea. These cameras are not monitored by staff. By signing this Agreement, you consent to the use of video surveillance in the common areas. In order to protect the dignity and privacy of our residents, we do not permit the use of nanny cams or other video surveillance devices in resident apartments without written approval." Individual agreements for both residents observed to have video cameras in the room reviewed and signed by respective responsible parties. No additional cameras found during a tour of a total of thirteen randomly selected units throughout the facility.

Regarding the allegation that Facility is not in good repair, the following has been concluded: Based on two tours of the facility physical plant and observation of a total of thirteen units on both levels in addition to the common areas, no outstanding items of disrepair were observed by LPA and/or facility staff. Additionally, maintenance working orders were reviewed and residents interviews conducted. No outstanding items of maintenance were identified at the time of the present visit.
Based on the evidence gathered, all three allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2