306006344-9-25-2025-22-AS-AORZ-DM9Q67-20251008115302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006344
Report Date: 09/25/2025
Date Signed: 09/25/2025 04:13:49 PM

Unfounded

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
09/10/2025 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20250910183027

FACILITY NAME:	COGIR OF BREA		FACILITY NUMBER:	306006344
ADMINISTRATOR:	FAYE, SAMUEL		FACILITY TYPE:	740
ADDRESS:	700 MADISON WAY		TELEPHONE:	(714) 681-0105
CITY:	BREA	STATE: CA	ZIP CODE:	92821
CAPACITY:	110	CENSUS: 74	DATE:	09/25/2025
		UNANNOUNCED	TIME BEGAN:	03:36 PM
MET WITH:	Cynthia Figureoa, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Staff does not ensure facility is clean and sanitized.
Staff does not ensure kitchen appliances are free of mold.
Staff do not properly store food.
Staff do not ensure food is properly cooked.
Staff does not ensure facility is free of pests.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by Concierge and met with Executive Director (ED) Cynthia Figueroa and explained the purpose of the visit.

On September 16, 2025 LPA toured the kitchen, interviewed five of five staff members and obtained copies of five of five staff member files. LPA returned on September 23rd and 25th to interview five of five additional staff members and four of four residents. Ten of ten staff members interviewed denied the above allegations. Four of four resident interviews also denied the above allegations.

LPA observed staff cleaning the kitchen on the afternoon of September 16, 2025. LPA observed sanitation buckets were in various areas of the kitchen and being used, during the inspection. Four of four staff stated the ice machine was cleaned daily and was free of mold.
(Continued on LIC 9099-C)

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20250910183027

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: 09/25/2025

NARRATIVE

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(Continued from LIC 9099)

LPA spoke with line staff regarding proper storage of food and if food was properly cooked. Kitchen staffwalked LPA and ED throughout the kitchen where LPA observed food was properly stored and labeled. LPA inquired how oatmeal was cooked and kitchen staff stated oatmeal is boiled on the stove and not made in the steam well. LPA observed refrigerator and freezer logs were kept in binders in the Director's office.

While touring the facility LPA did not observe any pest infestations. LPA asked the kitchen staff if there were issues with ants and four of four kitchen staff stated it happened one day where ants were near the maple syrup bottle on the counter. Staff immediately cleaned the syrup bottle and ants have not been observed since that day. Four of four residents to not have any issues with ants.

Based on LPA file review, interviews and observations the allegations that: Staff does not ensure facility is clean and sanitized, Staff does not ensure kitchen appliances are free of mold, Staff do not properly store food, Staff do not ensure food is properly cooked and Staff does not ensure facility is free of pests are Unfounded. The allegations are false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted with ED Figueroa and a copy of this report was provided to the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

LIC9099 (FAS) - (06/04)

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