<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002946
Report Date: 09/23/2026
Date Signed: 09/23/2026 12:54:28 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-20260814112917
FACILITY NAME:CITRUS CREST CARE HOME 2FACILITY NUMBER:
345002946
ADMINISTRATOR:SOUMAHORO, MUAMOUDOUFACILITY TYPE:
740
ADDRESS:6813 MARINVALE DRTELEPHONE:
(916) 904-0027
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:6CENSUS: 4DATE:
09/23/2026
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Elainemarcia AndersonTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not allow resident to return to the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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.

Allegation: Staff did not allow resident to return to the facility- Unfounded 
R1 was ready to be released from the hospital on 08/14/2026. Based on interviews conducted, R1 chose not to return to the facility after their hospital discharge and the licensee was willing to accept R1 back. Documentation found the licensee provided R1 a refund in the amount of $838.49. 
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.
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)
Page: 1 of 1