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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200376
Report Date: 09/03/2024
Date Signed: 09/03/2024 11:35:09 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/30/2023 and conducted by Evaluator Laura Hall
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20231130140842
FACILITY NAME:GREAT EXPECTATION RESIDENTIAL CARE HOMEFACILITY NUMBER:
019200376
ADMINISTRATOR:NKEMDIRIM C. UGBAJAFACILITY TYPE:
735
ADDRESS:2301 98TH AVENUETELEPHONE:
(650) 303-1191
CITY:OAKLANDSTATE: CAZIP CODE:
94603
CAPACITY:32CENSUS: 25DATE:
09/03/2024
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Nkemdirim Ugbaja, AdministratorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Staff allowing illegal contraband use.
INVESTIGATION FINDINGS:
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On 9/3/2024 at 11:20am, Licensing Program Analyst (LPA), L. Hall arrived unannounced to deliver complaint findings for the allegations above. LPA met with Nkemdirim Ugbaja, Administrator and explained the reason for the visit.

During the course of the investigation, the Department interviewed the clients, staff, obtained and reviewed records.

Allegation: staff allowing illegal contraband use.

Based on interviews with clients’, illegal drugs and smoking is not allowed in the facility. Three (3) clients interviewed stated that they had not seen any illegal drugs, drug paraphernalia or other illegal contraband inside of the facility. They also stated

Continued on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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 15-AS-20231130140842
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: GREAT EXPECTATION RESIDENTIAL CARE HOME
FACILITY NUMBER: 019200376
VISIT DATE: 09/03/2024
NARRATIVE
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Continued from LIC9099.

they had never seen any of the clients bringing in illegal contraband. Clients interviewed, also stated, illegal drugs and smoking were not allowed in the facility. C4 stated some clients (names unknown) bring in marijuana but nothing illegal. S1 stated illegal drug use is not allowed at the facility; however, he is aware that a few clients’ uses marijuana but have not seen any clients using drugs. The three (3) staff that were interviewed stated drug paraphernalia has been found in some of the client’s rooms and when found the paraphernalia is given to S1.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Laura Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2