198603402-9-2-2025-28-AS-LHIS-DM7Q2Q-20251006114730

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603402
Report Date: 09/02/2025
Date Signed: 09/02/2025 01:16:32 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
08/25/2025 and conducted by Evaluator Bennette Pena

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250825213310

FACILITY NAME:	RHEMA CARE GROUP LLC - HOLLY OAK DRIVE		FACILITY NUMBER:	198603402
ADMINISTRATOR:	IRHIA, BLESSING		FACILITY TYPE:	735
ADDRESS:	1820 E HOLLY OAK DRIVE		TELEPHONE:	(626) 426-5904
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91791
CAPACITY:	4	CENSUS: 4	DATE:	09/02/2025
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	John Wilson-Ekaun - Administrator		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff caused an injury to a resident in care.
Staff yells at a resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Bennette Pena conducted the initial complaint investigation for the allegations listed above. LPA met with Petrolina Kanu, DSP I & II and Jackelyne Huizar-Juarez, DSP I & II and explained the purpose of the visit. At 10:40am, Administrator John Wilson-Ekaun arrived and assisted with the investigation.

The investigation consisted of the following: LPA toured the facility and obtained a copy of the staff & client rosters and staff in-service training for abuse/zero tolerance policy. LPA reviewed and obtained files for Client #1 (C1) such as; Face sheet (ID and Emergency Info.), Physician’s report, Individual Program Plan (IPP) (07/10/2024), Daily notes (08/20/2025) and Doctor's report (July 28, 2025). LPA interviewed Staff #1 (S1) - Staff #4 (S4), Client #3 (C3), Client #1 (C1) and Family member #1 (F1) telephonically. Interview with Client #4 (C4) was unsuccessful due to his cognitive abilities. Client #2 (C2) was out in the community, therefore not interviewed. LPA also communicated with the Service Coordinator at San Gabriel Pomona Regional Center via email prior to the visit. ****CONTINUED ON LIC 9099-C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025

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-20250825213310

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: RHEMA CARE GROUP LLC - HOLLY OAK DRIVE	FACILITY NUMBER: 198603402
	VISIT DATE: 09/02/2025

NARRATIVE

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The investigation revealed the following:

Allegation: “Staff caused an injury to a resident in care.” It is alleged that staff members hit C1 on the head resulting in a bruise on the head that has been there since June 2025. (4) out of (4) staff interviewed denied the allegation and stated they treat clients with dignity and respect. S1 and S4 stated that C1 was seen by a doctor in July for a scalp abrasion and received treatment. S1 indicated that C1 does not want to shower and has scabs on the head from scratching. All staff interviewed confirmed they are trained on abuse/zero tolerance policy and know not to hit clients. S1 also indicated that C1 has a history of fabricating stories. Documents reviewed revealed that C1 has a history of fabricating stories/allegations and C1 was treated for a scalp abrasion on July 28, 2025. Regional Center's Service Coordinator indicated that they are in the process of investigating the allegation. Therefore, there is insufficient evidence to corroborate the allegation.

Allegation: “Staff yells at a resident in care..” It is alleged that a staff member yelled at C1 to wake them up on Wed., 08/20/2025 and that this yelling happens often. (4) out of (4) staff interviewed denied the allegation and stated they do not yell at clients. On the contrary, it is sometimes family members who yell at staff. S2 stated that when F1 called C1 on the phone on 08/20/2025, there were other staff present and noises in the home from a verbal altercation between (2) clients, but they were not yelling at clients. S1 and S2 stated that sometimes, they use a louder or stern voice when redirecting clients. C3 denied the allegation and stated that no one yells at them and staff treat them with respect. During the interviews with staff, LPA observed that S1 and S2 naturally had a louder voice and tone than other staff. Regional Center's Service Coordinator indicated that they are in the process of investigating the allegation. Therefore, there is insufficient evidence to corroborate the allegation.

Based on statements and interviews conducted with staff, client, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided to Administrator John Wilson-Ekaun.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025

LIC9099 (FAS) - (06/04)

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