306006344-12-16-2025-22-AS-APAO-DQ53M8-20260107172152

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006344
Report Date: 12/16/2025
Date Signed: 12/16/2025 04:03:42 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
12/10/2025 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20251210102834

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: 84	DATE:	12/16/2025
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Cynthia Figueroa, Executive Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff do not ensure that residents' have clean bedding
Facility is malodorous
Staff do not ensure facility is clean and sanitary
Staff mishandled residents resulting in staff dropping residents
Staff do not ensure residents are provided a comfortable environment
Staff do not ensure hazardous items are inacessible to residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rose Ruppert made an uannounced visit to investigate a complaint that was received in the Regional Office. LPA was greeted and granted entry by the Concierge at 8am. LPA met with Executive Director (ED) Cynthia FIgueroa and explained the purpose of the visit.

LPA obtained the resident roster, a care staff schedule for December 2025 and a care staff roster with phone numbers. LPA also requested additional Unusual Incident Reports that were sent to the office on December 15, 2025, Resident room cleaning/linen schedules and Resident laundry schedules. LPA also reviewed three of three resident records and three of three staff records and an In-service manual.

LPA toured the Memory Care (MC) and conducted a health and safety check. Residents were observed eating breakfast and LPA interviewed three of three MC residents and nine of nine staff members. It was alleged that Staff do not ensure that residents' have clean bedding. LPA entered three of three MC resident rooms and did not detect odors and all beds were clean and made.
(Continued on LIC 9099-C)

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

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-20251210102834

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: 12/16/2025

NARRATIVE

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(Continued from LIC 9099)

LPA also entered three of three resident rooms in Assisted Living (AL). All beds were made and three of three residents interviewed shared they do not sit in soiled linens and that they do not have any issues with laundry services. If there are issues with accidents, care staff call housekeeping and sheets are laundered. Apartments are all cleaned once per week which includes laundering linens Thus this allegation is Unfounded.

It was alleged that the Facility is malodorous. LPA toured Assisted Living (AL) and Memory Care (MC) and did not detect any foul odors. LPA randomly checked six of six resident apartments and there were no odors detected. Six of six residents and nine of nine staff all denied the allegation that there were foul odors. It was also alleged that Staff do not ensure facility is clean and sanitary. Upon touring the facility LPA observed bathrooms in common areas being cleaned and the facility was clean and sanitary. Six of six residents and nine of nine staff all denied that the staff do not ensure the facility is clean and sanitary. LPA obtained housekeeping and laundering schedules and all apartments are cleaned once a week. Thus the allegations that the Facility is malodorous and that Staff do not ensure facility is clean and sanitary is Unfounded.

It was also alleged that Staff mishandled residents resulting in staff dropping residents. LPA interviewed six of six residents and nine of nine staff members who all denied this allegation. LPA reviewed Unusual Incident Reports submitted to licensing by the facility and there are no occurrences of residents being dropped. Thus, the allegation that Staff mishandled residents resulting in staff dropping residents is Unfounded.

LPA investigated the allegation that Staff do not ensure residents are provided a comfortable environment. LPA interviewed six of six residents and nine of nine staff. All residents and staff felt supported by the management and stated staff ensure that residents are provided a comfortable environment. LPA toured the facility and conducted a health and safety check and there were no issues with staff providing a comfortable environment. LPA reviewed three of three staff files and all training of staff are current. Thus, the allegation that Staff do not ensure residents are provided a comfortable environment is Unfounded.

Lastly, LPA inquired if Staff do not ensure hazardous items are inaccessible to residents. LPA toured the facility and did not encounter obstacles obstructing pathways, hazardous materials or sharps and knives that
(Continued on LIC 9099-C1)

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20251210102834

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: 12/16/2025

NARRATIVE

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(Continued from LIC 9099-C)
were accessible to residents in Assisted Living or Memory Care. LPA toured the activities area in Memory Care and noted markers were secured in a box that was inaccessible to residents. Glue sticks are rarely used but are secured in the Lifestyle Enrichment office. LPA interviewed six of six residents and nine of nine staff who all denied this allegation. Thus the allegation that Staff do not ensure hazardous items are inaccessible to residents is Unfounded.

Based on LPA's record review, observations and interviews, the allegations that: Staff do not ensure that residents' have clean bedding, Facility is malodorous, Staff do not ensure facility is clean and sanitary,
Staff mishandled residents resulting in staff dropping residents, Staff do not ensure residents are provided a comfortable environment and Staff do not ensure hazardous items are inaccessible to residents are Unfounded. The allegations are false, could not have happened, and/or are without a reasonable basis. An exit interview was conducted with Executive Director, Cynthia Figueroa, 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: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

LIC9099 (FAS) - (06/04)

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