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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006344
Report Date: 08/06/2025
Date Signed: 08/06/2025 10:43:18 AM

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
06/25/2024 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20240625101021
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: 70DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Cynthia Figueroa, Executive DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Resident is getting sick due to staff not cooking food thoroughly
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in our Regional Office. LPA met with Cynthia Figueroa, Executive Director and explained the purpose of the visit.

The Department conducted a ten day visit on August 5, 2024 regarding the allegation that residents were getting sick due to staff not cooking food thoroughly. Three of three residents were interviewed at that time who all denied the allegation.

On August 6, 2025, LPA Ruppert interviewed three of three residents during breakfast regarding food quality, if the food was cooked thoroughly and if residents got sick from food. LPA asked if food was served hot or if vegetables were hard. Three of three current residents denied the allegation.

(Continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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-20240625101021
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: 08/06/2025
NARRATIVE
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(Continued from LIC 9099)

LPA interviewed two of two staff regarding the procedure for cooking chicken and how staff determine the chicken is cooked. Dining Service Director/ Chef stated chicken is considered cooked when the food thermometer measures the temperature at 165 degrees for fifteen seconds. LPA toured the kitchen and observed line staff checking temperatures of food items being cooked.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation that the: Resident is getting sick due to staff not cooking food thoroughly is Unsubstantiated.

An exit interview was conducted with Cynthia Figueroa, Executive Director, and a copy of this report and LIC 811 was provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2