079200997-3-25-2025-15-AS-KHOS-DFAP24-20250331105520

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200997
Report Date: 03/20/2025
Date Signed: 03/25/2025 11:21:12 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
02/21/2025 and conducted by Evaluator Luisa Fontanilla

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20250221151301

FACILITY NAME:	FAM CARE HOMES, LLC		FACILITY NUMBER:	079200997
ADMINISTRATOR:	OKPARA, CHIOMA ABIGAIL		FACILITY TYPE:	740
ADDRESS:	1502 PEPPERTREE PLACE		TELEPHONE:	(925) 481-4397
CITY:	PITTSBURG	STATE: CA	ZIP CODE:	94565
CAPACITY:	6	CENSUS: 3	DATE:	03/20/2025
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Ikechi Ohale		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Facility staff interfered with Ombudsman Program

INVESTIGATION FINDINGS:

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On this day at around 10:40 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct interviews and deliver finding of the above allegation. LPA met with staff Ikechi Ohale and explained the purpose of the visit. LPA spoke with the Administrator on the phone and informed her about the purpose of the visit. The Administrator requested that the report be sent to her email to sign and will send back the signed copy to LPA.

On 2/25/2025, LPA conducted 10-day investigation and interviewed the Administrator over the phone.

continuation on Lic 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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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Control Number 15-AS-20250221151301

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: 03/20/2025

NARRATIVE

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Based on interview conducted on 2/25/2025, the Administrator denied the allegation “Facility staff interfered with Ombudsman Program.” The Administrator states that the facility does not provide the Licensing 9020 to anybody but Licensing because the document contains confidential information about the residents.

During one of the Ombudsman visits, S1 did not provide Lic 9020 to the Ombudsman but assisted during the visit by showing the residents in the rooms as requested. The Administrator denied staff interfering with the visit.

On 3/3/2025, pre investigation was conducted with the Reporting Party (RP) who confirmed with LPA that the document requested was the Lic 9020.

On 3/20/2025, LPA interviewed 3 of 3 residents. Resident 1 (R1) states R1 has met with the Ombudsman once. Resident 2 (R2) does not remember meeting the Ombudsman. Resident 3 (R3) provided LPA with information that are not relevant to the questions asked.

On 3/20/2025, LPA interviewed S1. S1 confirmed with LPA that S1 did not provide the roster due to the confidential information in the document. S1 denied interfering with the visit. S1 states S1 was showing the Ombudsman the residents in the room.

Based on interviews conducted, the above allegation is 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.

There is no deficiency noted.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Luisa Fontanilla
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC9099 (FAS) - (06/04)

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