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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002909
Report Date: 07/08/2026
Date Signed: 07/08/2026 04:18:40 PM

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
03/24/2026 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20260324152048
FACILITY NAME:COGIR OF FOLSOMFACILITY NUMBER:
345002909
ADMINISTRATOR:CRUZ, ELIZABETHFACILITY TYPE:
740
ADDRESS:1801 EAST NATOMA STREETTELEPHONE:
(916) 608-0800
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:66CENSUS: 42DATE:
07/08/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Liz Cruz, Executive DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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-Facility is in financial distress.
-Staff does not treat residents with dignity and respect.
-Staff does not ensure residents receive adequate food service.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director, Liz Cruz, to deliver complaint investigation findings regarding the above stated allegations.

During the course of the investigation, LPA conducted interviews, obtained documentation pertinent to the investigation, and made observations.



*******************************************Continued on LIC9099-C*****************************************************
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
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 59-AS-20260324152048
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: COGIR OF FOLSOM
FACILITY NUMBER: 345002909
VISIT DATE: 07/08/2026
NARRATIVE
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LPA obtained food delivery service invoices from the facility that indicated food was delivered on March 4, 2026, March 11, 2026, March 25, 2026, April 1, 2026, April 2, 2026, April 8, 2026, April 13, 2026, April 15, 2026, April 16, 2026, and April 22, 2026. During facility visits on April 23, 2026 and June 18, 2026, LPA observed the facility to have the required two-day perishable and seven-day nonperishable food supply on hand. LPA also observed a variety of food options for residents. LPA obtained facility food menus dated March 22, 2026-April 25, 2026. According to the weekly food menus, the facility offers a variety of food options for residents for breakfast, lunch, and dinner. Interviews with staff indicated that, if residents are still hungry during mealtime, residents are offered more food. Interviews with staff also indicated that they provide snacks to residents throughout the day. Interviews with residents (R1, R2, R3, and R4) indicated that they are getting plenty of food to eat. Interviews with residents indicated that there are a variety of food options and that snacks are provided as well.

Interviews with staff (S1, S2, and S3) indicated that they have never witnessed staff treating residents with a lack of dignity or respect. Interviews with R1, R2, R3, and R4 indicated that staff treat them well. Interviews with residents indicated that they are being treated with dignity and respect by staff at the care home.

Based on interviews conducted, documentation obtained, and observations, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2