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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002886
Report Date: 06/17/2026
Date Signed: 06/17/2026 10:08:30 AM

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
04/13/2026 and conducted by Evaluator Cassandra Mikkelson
COMPLAINT CONTROL NUMBER: 59-AS-20260413111022
FACILITY NAME:CITRUS CREST CARE HOME 1FACILITY NUMBER:
345002886
ADMINISTRATOR:SOUMAHORO,MUAMOUDOUFACILITY TYPE:
740
ADDRESS:6906 HENNING DRIVETELEPHONE:
(916) 728-1338
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:6CENSUS: 6DATE:
06/17/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Hyacinth MorrisTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Staff did not address resident’s fall risk
Staff yell at resident
INVESTIGATION FINDINGS:
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Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Care staff Hyacinth Morris to deliver findings for the above complaint allegation. LPA spoke with Licensee via phone to inform of visit.

During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

*** Report continued on 9099-C***
Unfounded
Estimated Days of Completion: 10
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
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-20260413111022
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 1
FACILITY NUMBER: 345002886
VISIT DATE: 06/17/2026
NARRATIVE
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Staff did not address resident’s fall risk

Records reviewed indicated that there have been no incidents or falls for resident R1 in the last three months prior to initial visit on 04/23/2026. Staff assist R1 with their care and needs in order to help prevent falls. Observations indicated that residents in care are monitored for fall risk and staff are quick to assist when residents need or request assistance. Interviews conducted indicated facility and staff have addressed resident’s fall risk and are monitoring closely along with hospice care. R1 also has physical therapy that is seeing R1 weekly for additional support. Staff encourage R1 to use walker or wheelchair when moving about the facility but sometime R1 does not which causes a fall. Therefore, the allegation staff did not address resident’s fall risk is unfounded.

Staff yell at resident

Interviews conducted with residents indicated that residents are happy with the care that is being received and staff are helpful. Interviews with staff indicated that staff sometimes have to speak in a louder voice due to resident hearing loss but they do not yell at residents. Observations indicated that staff are speaking respectfully to residents in care and only will speak in a louder voice if the resident did not hear the staff the first time. Therefore, the allegation staff yell at resident is unfounded.

Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026
LIC9099 (FAS) - (06/04)
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