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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609804
Report Date: 03/11/2025
Date Signed: 03/11/2025 01:33:42 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/06/2025 and conducted by Evaluator Huma Rahimi
COMPLAINT CONTROL NUMBER: 31-AS-20250306093032
FACILITY NAME:ALLIANCE ADULT RESIDENTIAL HOMES INCFACILITY NUMBER:
197609804
ADMINISTRATOR:WAKABI, MOSES DFACILITY TYPE:
735
ADDRESS:7821 HESPERIA AVENUETELEPHONE:
(747) 254-4154
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:4CENSUS: 4DATE:
03/11/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Moses Wakabi, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff yelled at resident while in care.
INVESTIGATION FINDINGS:
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At 9:15 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced initial complaint visit. LPA met with staff, Patrick Mugenyi, and Administrator was contacted via telephone. Administrator arrived shortly after. LPA explained the reason for the visit. The Administrator left the facility and designated the staff to sign today's report.

During course of the investigation, interviews and record review were made. At 9:20 AM, LPA requested client and staff roster. At 9:25 AM, LPA requested copies of pertinent information which include, but not limited to Physician’s Report, Admission Agreement, Appraisal Needs and Services Plan, etc., relevant to the investigation. At approximately 9:30 AM, LPA conducted a physical plant tour. Between 9:40 AM – 10:45 AM, LPA conducted an interview with the Administrator, four (4) staff, and one (1) out of four (4) clients who were available.
Continue on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
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)
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Control Number 31-AS-20250306093032
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ALLIANCE ADULT RESIDENTIAL HOMES INC
FACILITY NUMBER: 197609804
VISIT DATE: 03/11/2025
NARRATIVE
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Staff yelled at resident while in care:
It was reported that on 02/28/2025 staff yelled at Client #1 (C1) because C1 refused to eat a cup noodle that the staff prepared for C1. To investigate this allegation LPA conducted interviews with the Administrator and four (4) staff and all parties interviewed denied the allegation. LPA was informed that all staff working at the facility are trained and well aware of C1's condition to not yell as it only escalates the situation to worse. Furthermore, LPA conducted an interview with one (1) out of four (4) clients and he/she denied ever being yelled at or witnessing any staff yelling at C1 on 02/28/2025.

Based on information obtained through interviews, this allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Huma Rahimi
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)
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