306006344-5-14-2026-22-AS-AORZ-DU8UAU-20260519152516

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006344
Report Date: 05/14/2026
Date Signed: 05/14/2026 03:18:26 PM

Substantiated

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
03/24/2026 and conducted by Evaluator RoseMarie Ruppert

COMPLAINT CONTROL NUMBER: 22-AS-20260324113805

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: 82	DATE:	05/14/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Cynthia Figueroa, Executive Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff engages in inappropriate physical interactions with resident in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) made an unannounced visit to deliver findings for a complaint investigated by the Department. LPA was greeted and granted entry by the Concierge at 1pm. LPA met with Executive Director (ED) Cynthia Figueroa and explained the purpose of the visit.

LPA obtained the current staff roster and there are eighty-two residents in care. LPA reviewed Resident #1 (R1)'s Identification and Emergency Information, Physician's Report dated 8/20/2025, Preplacement Appraisal Information dated 8/11/2025 and R1's Plan of care, dated 8/11/2025, LPA also reviewed the file of Staff #1 (S1) which included: Personnel Record, Criminal Record Statement, Health Screening Report, Corrective Action Form and a written report from S1. S1 recently resigned and no longer is employed by the community. Brea Police Department has also conducted two welfare checks and shared with R1 that there has been no crime and police reports were not filed.

(Continued on LIC 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

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-20260324113805

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: 05/14/2026

NARRATIVE

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(Continued from LIC 9099)

The allegation that: Staff engages in inappropriate physical interactions with resident in care was investigated by the Department. Four of four residents were interviewed. One resident confirmed the allegation and three of four residents could not confirm, nor deny the allegation. Five of five staff members interviewed denied the allegation.

LPA reviewed Staff #1 (S1)'s employee file; which included Corrective Action Forms and a written statement by S1. It was brought to management's attention that S1 was offered an item by Resident #1 (R1) that was to be thrown away. The item was in need of repair and R1 did not want it to be thrown out. S1 accepted the item and hoped to refurbish it and would ask R1 questions about the item and things that went with it. Per facility Corrective Action Form, the resident's item was returned to R1 the very next day after management became aware of the situation. R1 also reported to management that S1 left a brown sock in their dresser drawer as a sign that S1 still worked at the facility.

R1 stated the staff member asked too many questions and was too comfortable with R1 and gave R1 aggressive hugs. LPA inquired if R1 shared their discomfort with the hugs but R1 did not share this with the staff member. LPA interviewed S1 who stated R1 never gave any indication that S1 was being intrusive and S1 asked R1 if R1 would accept the hug. Although R1 did not reply, S1 felt a closeness to R1 and hugged the resident. Although the resident did not verbally state their discomfort, R1 did not give verbal consent. S1 has since resigned and no longer works at the community.

Based on LPA's file review, observations and interviews, A Technical Violation will be given for CCR 87468.2(a)(8) Additional Personal Rights of Residents in Privately Operated Facilities and the allegation above is Substantiated. An exit interview was conducted with Executive Director Cynthia Figueroa, and a copy of this report and LIC 9102-TV was provided to the facility.

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026

LIC9099 (FAS) - (06/04)

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