345002909-12-23-2025-59-AS-MSEY-DQ3N5B-20260106090914

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345002909
Report Date: 12/23/2025
Date Signed: 12/23/2025 11:29:28 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/05/2025 and conducted by Evaluator Angela Hood

COMPLAINT CONTROL NUMBER: 59-AS-20251205121209

FACILITY NAME:	COGIR OF FOLSOM		FACILITY NUMBER:	345002909
ADMINISTRATOR:	CRUZ, ELIZABETH		FACILITY TYPE:	740
ADDRESS:	1801 EAST NATOMA STREET		TELEPHONE:	(916) 608-0800
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	66	CENSUS: 42	DATE:	12/23/2025
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Liz Cruz, Executive Director		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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-Facility is malodorous

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director (ED), Liz Cruz, to deliver complaint investigation findings regarding the above stated allegation.

On December 11, 2025, LPA toured the facility with the Regional Health and Wellness Director (RHWD) and the local Long-Term Care Ombudsman (LTCO). The tour included resident (R1's) room and surrounding rooms. The LPA, local LTCO, and RHWD did not observe any abnormal odors in the care home. On December 23, 2025, LPA toured the facility with the ED, which included R1's room and surrounding rooms. LPA and ED did not observe any abnormal odors in the care home.

Based on observations made, 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 is UNSUBSTANTIATED. No deficiencies are being cited.
Exit interview conducted. A copy of the report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 12/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2025

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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