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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200997
Report Date: 04/21/2023
Date Signed: 04/21/2023 10:38:50 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
04/18/2023 and conducted by Evaluator Laura Hall
COMPLAINT CONTROL NUMBER: 15-AS-20230418130210
FACILITY NAME:FAM CARE HOMES, LLCFACILITY NUMBER:
079200997
ADMINISTRATOR:OKPARA, CHIOMA ABIGAILFACILITY TYPE:
740
ADDRESS:1502 PEPPERTREE PLACETELEPHONE:
(925) 481-4397
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:6CENSUS: 1DATE:
04/21/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Abigail Okpara, AdministratorTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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9
Licensee is refusing Ombudsman to conduct facility visits.
INVESTIGATION FINDINGS:
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On 4/21/2023 at 9:30AM, Licensing Program Analysts (LPAs), L. Hall and L. Alexander arrived unannounced to conduct the 10-day initial visit and deliver complaint findings for the allegation above. LPA met with Abigail Okpara, Administrator and explained the reason for the visit.

During the course of the investigation LPA interviewed Administrator, RP, and a witness via email. LPA also collected facility's sign-in sheets. During interview the witness stated the ombudsman was not let entry into the facility on 8/5/2022. LPA reviewed sign-in sheet and observered signatures from ombudsmans on 4/8/22, 7/25/22, and 3/7/2023. S1 stated that she understands the ombudsman has entry into the facility at any time and she will continue to let them inside.

Continued on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Laura HallTELEPHONE: (510) 622-2024
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023
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-20230418130210
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: FAM CARE HOMES, LLC
FACILITY NUMBER: 079200997
VISIT DATE: 04/21/2023
NARRATIVE
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Continued from LIC9099.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore this allegation is UNSUBSTANTIATED.

Exit interview conducted. A copy of this report provided.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Laura HallTELEPHONE: (510) 622-2024
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2