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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347003472
Report Date: 07/18/2025
Date Signed: 07/18/2025 02:53:15 PM

Unsubstantiated


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
07/10/2025 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20250710115614
FACILITY NAME:CORNELIA'S RCFEFACILITY NUMBER:
347003472
ADMINISTRATOR:CORNELIA CATAFACILITY TYPE:
740
ADDRESS:5422 NORTH AVENUETELEPHONE:
(916) 489-3299
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:6CENSUS: 6DATE:
07/18/2025
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Administrator, Rodica Madaline CataTIME COMPLETED:
03:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Staff do not treat residents with dignity and respect
-Staff force feed residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Administrators, Rodica Madaline Cata and Cornelia Cata, to open a complaint investigation and deliver complaint investigation findings.
During today's visit, LPA conducted interviews. Interviews with residents (R1, R3, and R4) indicated that they have never witnessed or experienced staff yelling at residents in care. R1, R3, and R4 indicated that staff treat them with dignity and respect. R1, R3, and R4 indicated that they have never witnessed or experienced staff force feeding the residents in care. Interview with Administrator's and staff (S1) indicated that they have never witnessed staff yelling at residents. Administrator's and S1 indicated that staff are respectful to the residents. Administrator's and S1 indicated that they have never witnessed staff force feeding residents.
Based on interviews conducted and observations, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited during this visit. Exit interview conducted. A copy of the report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
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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