Cogir Of Brea

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are under the influence of alcohol while caring and supervising residents.

Licensing Program Analyst (LPA) Rose Ruppert made an unannouced visit at 1pm to investigate a complaint received in our Regional Office. LPA was greeted and granted entry by Concierge and met with Executive Director (ED) Cynthia Figueroa and explained the purpose of the visit. It was alleged that: Staff are under the influence of alcohol while caring and supervising residents. LPA interviewed four of four residents and ten of ten staff. Four of four residents denied observing a staff under the influence and two of ten staff confirmed the allegation. LPA conducted a health and safety check on residents in care and toured the facility. LPA reviewed five of five staff files regarding training and spoke to ED regarding the facility Drug and Alcohol Policy. ED reviewed this policy at the All-Staff meeting regarding the procedure on reporting and documenting any drug or alcohol use in the workplace. Although the allegation may have happened or is valid, there is not a preponderance of evidenthe state’s words, verbatim · CDSS document, Sep 25, 2025 · control 22-AS-20250910183027

Allegation investigated: Staff does not ensure facility is clean and sanitized. Staff does not ensure kitchen appliances are free of mold. Staff do not properly store food. Staff do not ensure food is properly cooked. Staff does not ensure facility is free of pests.

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by Concierge and met with Executive Director (ED) Cynthia Figueroa and explained the purpose of the visit. On September 16, 2025 LPA toured the kitchen, interviewed five of five staff members and obtained copies of five of five staff member files. LPA returned on September 23rd and 25th to interview five of five additional staff members and four of four residents. Ten of ten staff members interviewed denied the above allegations. Four of four resident interviews also denied the above allegations. LPA observed staff cleaning the kitchen on the afternoon of September 16, 2025. LPA observed sanitation buckets were in various areas of the kitchen and being used, during the inspection. Four of four staff stated the ice machine was cleaned daily and was free of mold. (Continued on LIC 9099-C) Unfoundedthe state’s words, verbatim · CDSS document, Sep 25, 2025 · control 22-AS-20250910183027

Allegation investigated: Staff did not ensure the residents emergency pull and button was properly operating Staff did not ensure the resident's outlets were properly operating Staff mishandled a resident's medication

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint investigation conducted by the Department. LPA was greeted and granted entry and met with Cynthia Figueroa, Executive Director (ED). It was alleged Staff did not ensure the resident's emergency pull button was properly operating and Staff did not ensure the resident’s outlets were properly operating due to Resident #1 (R1)’s pull cord and outlets not working. R1 moved into the facility on December 15, 2024. Upon moving into the facility, interviews conducted with R1’s family reported outlets were observed to be in working order but the call button and emergency pull cord was not working. The issue was brought to the facility maintenance director’s attention and R1 was offered to move rooms due to the emergency pull cord and call button not working. R1 was not moved into another room until January 4, 2025 which was eleven days later. (Continued on LIC 9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Aug 21, 2025 · control 22-AS-20250310123459

Allegation investigated: Staff did not properly maintain a resident's bathroom while in care

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint investigation conducted by the Department. LPA was greeted and granted entry and met with Cynthia Figueroa, Executive Director (ED). It was alleged that Staff did not properly maintain a resident's bathroom while in care due to Resident #1 (R1)’s toilet having traces of feces along the exterior of the toilet. Per photographs obtained dated December 26, 2024 & December 31, 2024, traces of feces appear to be observed along the outer edge of the toilet seat lid and rim. On January 01, 2025, photographs obtained show urine on the upper tank of R1’s toilet. Witness interviewed reported R1’s bathroom floor was sticky and appeared to have R1’s footprint on the tile. Per R1’s admission agreement dated December 9, 2024 R1’s room is to be cleaned once a week. LPA interviewed two of two facility housekeepers who reported resident rooms are cleaned once a week, however, they will clean the rothe state’s words, verbatim · CDSS document, Aug 21, 2025 · control 22-AS-20250310123459

Allegation investigated: Staff did not meet a resident's incontinence needs Staff did not have planned activities for the residents Staff mishandled a resident's personal belongings Resident sustained an unexplained injury while in care Staff did not properly report incidents involving a resident Staff did not ensure a resident was properly fed while in care Staff did not have adequate record keeping of a resident

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility to deliver findings from a complaint received in the Regional Office. LPA was greeted and granted entry and met with Cynthia Figueroa, Executive Director (ED) and explained the purpose of the visit. Resident 1 (R1) moved into the facility on December 15, 2024. Per Physician’s Report dated December 12, 2024, R1 has a diagnosis of Alzheimer’s Disease. R1 is frequently disoriented and required repeated verbal prompts and redirection. R1 also received hospice services upon admission. On January 11, 2025, R1 was sent out to the hospital, due to a fall, and never returned to the community. Family removed belongings on January 11, 2025. It was alleged that Staff did not meet a resident’s incontinence needs. Per physician’s report dated December 12, 2024 it is noted R1 has bladder and bowel impairment and wears pull-ups. R1 is unable to care for own toileting needs. LPA reviewed the initial Needs and Servicethe state’s words, verbatim · CDSS document, Aug 15, 2025 · control 22-AS-20250310123459

Allegation investigated: Resident is getting sick due to staff not cooking food thoroughly

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in our Regional Office. LPA met with Cynthia Figueroa, Executive Director and explained the purpose of the visit. The Department conducted a ten day visit on August 5, 2024 regarding the allegation that residents were getting sick due to staff not cooking food thoroughly. Three of three residents were interviewed at that time who all denied the allegation. On August 6, 2025, LPA Ruppert interviewed three of three residents during breakfast regarding food quality, if the food was cooked thoroughly and if residents got sick from food. LPA asked if food was served hot or if vegetables were hard. Three of three current residents denied the allegation. (Continued on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 6, 2025 · control 22-AS-20240625101021

Allegation investigated: Staff handled resident in a rough manner Staff are not providing adequate food service to residents Staff inappropriately attended a resident council meeting Staff are not providing activities for residents

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate and deliver findings from a complaint received in the Regional Office. LPA met with Executive Director (ED) Cynthia Figueroa and explained the purpose of the visit. LPA obtained the following documents: Resident #1 (R1)'s: Identification and Emergency Form, Physician's Report, Appraisal and Needs and Services Plans. LPA also requested a resident roster and obtained the August 2025 Memory Care "Revere" Calendar. LPA interviewed three of three residents regarding the allegations listed above and attempted to contact their respective responsible parties. The Department also interviewed six of six staff members. Based on record review, observations and interviews the Department has determined the following: (Continued on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 6, 2025 · control 22-AS-20240603152039

Allegation investigated: Facility fails to provide a safe environment for its residents Facility staff is not following dietary orders Alcohol is being served to residents with a dementia diagnosis Facility staff does not safeguard the residents' personal information Climate control is not operational Facility is admitting residents requiring a higher level of care and supervision Transportation services included in the admission agreement are not being provided to the residents

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility regarding a complaint received in the Regional Office. LPA was greeted and granted entry by the concierge and met with Executive Director (ED) Cynthia Figueroa and explained the purpose of the visit. LPA reviewed the following documents: Resident roster from October 2024, Personnel Report (LIC 500) dated October 15, 2024, and Kitchen Staff Schedule from 10/7-10/27/2024. LPA reviewed seven of seven resident files which include: Resident Dietary Orders/Food Preferences Form, Identification and Emergency Information, Physician's Report, and Admissions Agreement. Additional documents obtained and reviewed were: October 2024 Activities Calendar, October 2024 Transportation Calendar, and Bus Repair invoice. The Department interviewed thirteen of thirteen staff members, which include the former Chef and the current Chef at the facility. LPA also interviewed four of four alert residents. (Continued on LIC 90the state’s words, verbatim · CDSS document, Jul 31, 2025 · control 22-AS-20241011144206

Allegation investigated: Facility staff is insufficient to provide care and supervision to memory care residents Kitchen staff is insufficient to provide meal services Food service is insufficient in both quantity and quality

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility regarding a complaint received in the Regional Office. LPA was greeted and granted entry by the concierge and met with Executive Director (ED) Cynthia Figueroa and explained the purpose of the visit. LPA reviewed the following documents: Resident roster from October 2024, Personnel Report (LIC 500) dated October 15, 2024, and Kitchen Staff Schedule from 10/7-10/27/2024. LPA reviewed seven of seven resident files which include: Resident Dietary Orders/Food Preferences Form, Identification and Emergency Information, Physician's Report, and Admissions Agreement. Additional documents obtained and reviewed were: October 2024 Activities Calendar, October 2024 Transportation Calendar, and Bus Repair invoice. The allegation that: Facility staff is insufficient to provide care and supervision to memory care residents was Substantiated on May 13, 2025 with Complaint Control Number:22-AS-20250509094345. (Continthe state’s words, verbatim · CDSS document, Jul 31, 2025 · control 22-AS-20241011144206

Allegation investigated: Facility left resident unattended for an extended period of time Facility did not provide care and supervision resulting in multiple falls

LIcensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in our Regional Office. LPA met with Cynthia Figueroa, Executive Director (ED) and explained the purpose of the visit. LPA came to investigate the allegations that: Facility left resident unattended for an extended period of time and Facility did not provide care and supervision resulting in multiple falls. LPA obtained and reviewed the following: Resident Roster, Care Staff schedule from 6/29-7/31/2025, Copy of Unusual Incident Report faxed to Regional Office on July 19, 2025 and facility policy for Alert Charting. LPA obtained the following from Resident #1's file: Identification and Emergency Information Form, Preappraisal Information, Physician's Report dated 2/06/2025 and Appraisal and Service Plans from 5/13/2025 and Admissions Agreement. (Continued on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 22, 2025 · control 22-AS-20250721114004

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are mismanaging residents medications

Licensing Program Analysts (LPAs) Hanna Gough and Rose Ruppert conducted an unannounced visit to deliver findings. LPAs met with Executive Director (ED), Cynthia Figueroa. It was alleged staff are mismanaging residents medications due to Resident #6’ (R6)s narcotics not being destroyed in a timely manner and that destruction protocols were not being followed. Furthermore, it was reported residents bubble packed medications were stored and mixed together. During LPA’s visit on April 24, 2025, LPA Ruppert reviewed facility medications which appeared to be in order meaning bubble packed medications were not being stored and mixed together and Narcotics were logged and initialed on facility narcotics logs. Narcotic logs were obtained for all facility narcotics dated March 27, 2025, through April 24, 2025. Interviews conducted with four of four facility med techs confirmed that bubble packed medications may (Continued on LIC 9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Jun 18, 2025 · control 22-AS-20250416144122

Allegation investigated: Staff are not following infectious protocols for residents Staff are not meeting residents showering needs Staff are falsifying residents LIC 602's Staff are not providing a comfortable environment

Licensing Program Analysts (LPAs) Hanna Gough and Rose Ruppert conducted an unannounced visit to deliver findings. LPAs met with Executive Director (ED), Cynthia Figueroa. It was alleged staff are not following infectious protocols for residents due to resident 1 (R1) not being quarantined after being diagnosed with scabies. On April 14, 2025, R1 was seen by Physician due to R1 having an itchy rash. The After Visit Summary stated the following, “We did not see scabies mites when we scraped some of the skin flakes…however given scabies is fairly common and easy to treat we will go ahead and treat presumptively for scabies…” Interviews with ten of ten staff reported the facility follows infection control protocols and that R1 was placed in isolation and their clothing and linens were cleaned separate from other residents to avoid spreading. LPA interviewed two facility housekeepers who confirmed R1’s room was deep cleaned after R1 was cleared from isolation. On April 23, 2025 R1 was assethe state’s words, verbatim · CDSS document, Jun 18, 2025 · control 22-AS-20250416144122

Allegation investigated: Staff did not conduct proper appraisal to place residents in memory care Staff does not have job training or experience in the job assigned to them

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint filed in our Regional Office on May 9, 2025. It was alleged staff did not conduct proper appraisals to place residents in memory care due to facility moving Resident #1 (R1) and Resident #2 (R2) to facility memory care. Per R1’s physician report dated April 04, 2025, R1 has a diagnosis of dementia. Per interviews conducted with facility staff, five of five staff reported R1 was refusing showers causing concerns for R1’s hygiene. In addition, staff reported concerns that R1 would leave the facility without informing anyone and on one occasion accidently ran over their dog using their motorized scooter. Based on R1’s changing behaviors, the facility conducted a re-assessment on May 15, 2025. Based on needs and service plan reviewed, R1 was assessed to have occasional disorientation to person place time or situation. In addition, it was determined R1 requires redirection and remindinthe state’s words, verbatim · CDSS document, Jun 10, 2025 · control 22-AS-20250509094345

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility is understaffed to provide services necessary to meet resident needs

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to continue an investigation of a complaint received in our Regional Office. LPA was greeted and granted entry and met with Regional Vice President of Operations (RVPO) Whitney Blake. At 8:15am on May 12, 2025, LPA toured the facility and visited Memory Care. LPA observed one caregiver for Memory Care (MC) with nine residents, one Med Tech covering both Assisted Living (AL) and MC and one caregiver designated for AL with forty-three residents for the morning shift. One caregiver was assisting the culinary department. LPA interviewed seven residents and nineteen staff members. All nineteen of nineteen staff members, from various departments, confirmed the care department was short-staffed. LPA obtained a copy of the resident and staff rosters, the April and May care staff schedules, and payroll documentation from March 21 through May 12, 2025. (Continued on LIC 9099-C) Substantiatedthe state’s words, verbatim · CDSS document, May 13, 2025 · control 22-AS-20250509094345

Allegation investigated: -Resident files do not have the required documentation -Staff files do not have the required documentation -Staff do not have criminal record clearance -Staff do not have the required qualifications -Staff do not respond to residents' calls for assistance in a timely manner -Facility staff are not providing adequate food service

Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegations. LPA arrive at facility was greeted and granted entry by receptionist. LPA spoke with Phil Altman, SVP of Operations and explained the purpose of the visit. Findings are based upon this investigation which included resident file review, staff file review, tour of the physical plant of the facility and interviews conducted. It is alleged resident files do not have the required documentation. LPA Martinez reviewed 10% of the resident census files. Files reviewed reflected that it was observed the records reviewed had all required documentation on file per title 22 requirements. Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 20, 2025 · control 22-AS-20250115150043

Allegation investigated: Staff did not provide adequate supervision, resulting in a resident sustaining multiple injuries.

LPA Joseph Alejandre made an unannounced visit to deliver the findings of the complaint investigation into the allegation listed above. LPA met with Phil Altman, Senior Vice President of Operations and Lakeisha Phillips, Regional Director of Health and Wellness During the course of the investigation, Department staff inspected the facility, interviewed AD, witnesses, and staff, and obtained and reviewed records, including resident roster, staff roster, staff schedule, Resident 1’s (R1) physician’s report dated August 15, 2023, R1’s facility initial assessment dated August 23, 2023, R1’s Admission Agreement dated August 25, 2023, R1’s service plan dated August 29, 2023, R1’s Medication Administration Record (MAR) for R1 for April 2024, R1’s facility assessment dated May 2, 2024, R1’s service plan dated May 2, 2024, R1’s facility progress notes dated February 25, 2024 to May 15, 2024, R1’s incident reports from April 25, 2024 and April 29, 2024, R1’s Kaiser Permanente records dated Aprilthe state’s words, verbatim · CDSS document, Mar 20, 2025 · control 22-AS-20240502115044

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility is not in good repair Facility is understaffed

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a complaint investigation. LPA was greeted and granted entry into the facility by Executive Director Kara Kneedy-Cayem and explained the reason for the visit. The Department received a complaint on 01/31/2025 and LPA Mendivil conducted the initial 10 day visit on 02/10/2025. LPA Mendivil obtained copies of pertinent documents such as staff schedule and service documentation. LPA also interviewed staff and residents. Regarding the allegations, facility is not in good repair and facility is understaffed, the investigation revealed the following: It was alleged an elevator in the facility was not operational. Based on interviews with Executive Director Kara , it was reported that the facility has 2 elevators. The first elevator is located in the front of the building near the mail room and the second elevator is located in the back of the bulding. It was reported the second elevator was non othe state’s words, verbatim · CDSS document, Feb 10, 2025 · control 22-AS-20250131142108

Allegation investigated: Facility did not safeguard resident's personal belongings. Facility has surveillance cameras in the resident's room. Facility is not in good repair.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above. LPA was greeted and granted entry by front desk after introducing himself and stating the purpose of the visit. Executive Director Kara Kneedy-Cayem was notified via telephone as she was doing an assessment in the community and later returned to assist. Facility Marketing Director Denise Renella was present to assist. During the initial complaint investigation visit, LPA requested and obtained the current resident census. LPA accompanied by tour conducted a tour of the two levels of the facility including the facility's memory care. LPA conducted three staff interviews including maintenance staff and reviewed resident records for five past or current residents. Additional documentation of a call to Brea Police for suspected theft and maintenance logs were also provided. CONTINUED ON FORM LIC9099the state’s words, verbatim · CDSS document, Jan 22, 2025 · control 22-AS-20241023160037

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not ensure that client is adequately fed Staff do not ensure that client's hygiene needs are met Staff do not keep client's room clean or sanitary

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility and to deliver the findings. LPA De Perio explained the purpose of today's visit, and was greeted by Community Relations Director – Charles Luetto. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that staff do not ensure that client is adequately fed. 4 out of the 4 resident interviews conducted, did not corroborate with the allegation. 3 out of the 4 resident interviews specified that if a resident does not come down to eat, then staff will knock on their door to remind them, or will bring food to their room. 3 out of the 3 staff interviews conducted, also did not corroborate with the allegation by stating that staff will remind and encourage residents to go to the dining room to eat, however, if a resident refuses in wanting to eat, then staff will not force thethe state’s words, verbatim · CDSS document, Jan 30, 2024 · control 22-AS-20240124122534