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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200376
Report Date: 03/11/2025
Date Signed: 03/11/2025 12:28:22 PM

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
03/04/2025 and conducted by Evaluator Gregory Clark
COMPLAINT CONTROL NUMBER: 15-AS-20250304132036
FACILITY NAME:GREAT EXPECTATION RESIDENTIAL CARE HOMEFACILITY NUMBER:
019200376
ADMINISTRATOR:NKEMDIRIM C. UGBAJAFACILITY TYPE:
735
ADDRESS:2301 98TH AVENUETELEPHONE:
(650) 888-9596
CITY:OAKLANDSTATE: CAZIP CODE:
94603
CAPACITY:32CENSUS: 29DATE:
03/11/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Nkemdirim " Ken" Ugbaja, AdministratorTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff did not prevent client from leaving the facility unassisted
INVESTIGATION FINDINGS:
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On 3/11/25, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegations above. LPA met with Nkemdirim "Ken" Ugbaja, Administrator and explained the purpose of the visit.

During the course of the investigation LPA interviewed S1 and reviewed R1's file.

S1 stated that the facility is not a locked facility, and residents can "come and go as they please." S1 also stated that he only accepts individuals that have been determined by their physician’s report as able to leave the facility unassisted.

***report continues on LIC 90999C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
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-20250304132036
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: 03/11/2025
NARRATIVE
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***report continues from LIC9099***

Review of R1’s file revealed that R1 was admitted to the facility on 4/12/13. R1’s physicians report stated that R1 is able to leave the facility unassisted. LPA also observed R1 was reported missing on 2/19/25 and the LIC624 and police report was in R1's file.

This agency has investigated the complaint alleging staff did not prevent client from leaving the facility unassisted. We have found that the complaint was unsubstantiated. 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, a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2