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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603141
Report Date: 10/13/2025
Date Signed: 10/13/2025 10:46:14 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/08/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251008120948
FACILITY NAME:RISING HILL DEVELOPMENTAL HOMEFACILITY NUMBER:
198603141
ADMINISTRATOR:LEWIS, FELISHAFACILITY TYPE:
735
ADDRESS:1 RISING HILL RDTELEPHONE:
(909) 417-5505
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY:4CENSUS: 3DATE:
10/13/2025
UNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Chinedu Njoku, Claudia Rock and Eric HowardTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff is mismanaging client's medications.
Staff are falsifying medication logs.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Elizabeth Irra conducted an unannounced visit to investigate the above allegations. LPA was allowed entry by Chinedu Njoku. Claudia Rock (Administrator) arrived at approximately 8:05 A.M. and Eric Howard (Administrator) arrived at approximately 9:40 A.M.. The purpose of this visit was discussed.

During today's visit, LPA obtained a copy of the staff and client rosters, interviewed Staff #1 (S-1) through Staff #4 (S-4) and reviewed Client #1 (C-1) file and obtained revelant documentation. LPA attempted to interview Client #1 (C-1) and was unsuccessful. LPA was unable to interview Client #2 (C-2) and Client #3 (C-3) as both are non-verbal.

Refer to LIC 9099C for the continuation of this report.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2025
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 28-AS-20251008120948
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: RISING HILL DEVELOPMENTAL HOME
FACILITY NUMBER: 198603141
VISIT DATE: 10/13/2025
NARRATIVE
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Allegation: Staff is mismanaging client's medications. It has been alleged that clients’ medications are being thrown away. Staff interviews revealed that staff do not mismanage clients' medications (including throwing away medications). Interviewed staff indicated that medications that are no longer necessary are sent back to the pharmacy for destruction. Interviewed staff indicated that clients’ medications are administered as prescribed. Staff interviews revealed that all clients’ medications are refilled in a timely manner and have not had any issues. Interviewed staff indicated that they have not had any concerns/complaints pertaining to this matter. Interviews do not corroborate this allegation.

Allegation: Staff are falsifying medication logs. It has been alleged that staff are falsifying the clients' medication logs. Staff interviews revealed that staff do not falsify medication logs. Interviewed staff indicated that the Medication Administration Records (MARs) are initialed once the medications have been administered. Interviewed staff also indicated that staff complete a medication verification log on a daily basis to verify that medications have been administered within (1) hour of medication administration on each shift. Interviewed staff indicated that they have not had any concerns/complaints pertaining to this matter. Interviews do not corroborate this allegation.

Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.

Exit interview was conducted and a copy of this report and appeal rights were provided to Eric Howard.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2025
LIC9099 (FAS) - (06/04)
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