345002946-9-23-2026-59-AS-LMUZ-DYMSHE-20261007135326

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345002946
Report Date: 09/23/2026
Date Signed: 09/23/2026 12:51:38 PM

Unfounded

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
08/14/2026 and conducted by Evaluator Cheyenne Ratajczak

COMPLAINT CONTROL NUMBER: 59-AS-20260814110749

FACILITY NAME:	CITRUS CREST CARE HOME 2		FACILITY NUMBER:	345002946
ADMINISTRATOR:	SOUMAHORO, MUAMOUDOU		FACILITY TYPE:	740
ADDRESS:	6813 MARINVALE DR		TELEPHONE:	(916) 904-0027
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95621
CAPACITY:	6	CENSUS: 4	DATE:	09/23/2026
		UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Elainemarcia Anderson		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff did not afford a resident privacy.
Staff did not abide by the admission agreement.
Staff are not properly trained on how to handle a resident.

INVESTIGATION FINDINGS:

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On 09/23/2026, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings to a complaint Community Care Licensing (CCL) received on 08/14/2026. LPA met with Staff Elainemarcia Anderson and explained the purpose of the visit. LPA went over the report with the Licensee via telephone. Licensee gave permission for staff to sign the report.

During the course of the investigation, the Department conducted interviews and record review.

Please continue to LIC9099C...

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

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 59-AS-20260814110749

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: CITRUS CREST CARE HOME 2	FACILITY NUMBER: 345002946
	VISIT DATE: 09/23/2026

NARRATIVE

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Allegation: Staff did not afford a resident privacy.
LPA interviewed residents, residents stated that are given privacy for personal visits and when requested. Staff interviews revealed they give residents privacy when requested as well as privacy with visitors.

Allegation: Staff did not abide by the admission agreement.
LPA reviewed Resident #1 (R1) admission agreement. Per R1s admission agreement it was agreed upon what R1 would pay every month. Both R1 and Licensee signed the admission agreement on 06/15/2026. There were no changes to the admission agreement at the time of move in.

Allegation: Staff are not properly trained on how to handle a resident.
Based on Resident #1 (R1)’s physical therapy plan, R1 required a Hoyer lift for assistance. Staff interviews revealed they were trained by physical therapy and the facility nurse multiple times on how to use the Hoyer lift. Staff would use the lift to assist with moving R1. Based on documentation and interviews conducted, there were no incidents with facility staff using the Hoyer lift with R1.

Based on information obtained through interviews, the Department finds the allegation to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted and a copy of the report and appeal rights were left at the facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC9099 (FAS) - (06/04)

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