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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347005547
Report Date: 07/16/2025
Date Signed: 07/16/2025 12:53:49 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
07/10/2025 and conducted by Evaluator Vincent Moleski
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250710135002
FACILITY NAME:CORINA ELDERLY HOMEFACILITY NUMBER:
347005547
ADMINISTRATOR:CLARK, BEATRICEFACILITY TYPE:
740
ADDRESS:8840 KELSEY DRIVETELEPHONE:
(209) 808-9336
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY:6CENSUS: 5DATE:
07/16/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Corina DragneaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility failed to provide reimbursement for a deceased resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Vincent Moleski and Licensing Program Manager (LPM) Stephen Richardson arrived unannounced to open this complaint investigation. LPA Moleski and LPM Richardson met with operator Corina Dragnea and explained the purpose of the visit.

These allegations are determined to be UNFOUNDED because at the time of this visit and at the time the complaint was received by the California Department of Social Services (CDSS), this facility's license has been forfeited. The CDSS Community Care Licensing Division (CCLD) does not have the authority to investigate allegations made at unlicensed locations, as they are outside of departmental jurisdiction.

An exit interview was held and a copy of this report was left with Dragnea.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2025
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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