<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603402
Report Date: 09/17/2024
Date Signed: 09/17/2024 12:09:22 PM

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
09/10/2024 and conducted by Evaluator Daniel Konishi
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240910152641
FACILITY NAME:RHEMA CARE GROUP LLC - HOLLY OAK DRIVEFACILITY NUMBER:
198603402
ADMINISTRATOR:IRHIA, BLESSINGFACILITY TYPE:
735
ADDRESS:1820 E HOLLY OAK DRIVETELEPHONE:
(626) 426-5904
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY:4CENSUS: 4DATE:
09/17/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kalu Nwaka and Angela NwakaTIME COMPLETED:
12:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit a client while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Daniel Konishi and Licensing Program Manager (LPM) David Sicairos conducted an unannounced 10 day complaint visit at the facility and met with Administrator, Angela Nwaka and Licensee, Kalu Nwaka to discuss the purpose for today's visit. The purpose of the visit is to investigate the above allegation.

The investigation consisted of the following: LPA interviewed the Administrator, Licensee, Staff #1 (S1) - Staff #3 (S3). LPA also interviewed Client #1 (C1) - Client #3 (C3). Client #4 (C4) was not interviewed as they were asleep. LPA obtained copies from Client #1 (C1) file such as Physician's Report, Face Sheet, IPP, Client Notes, Hospital Discharge Paperwork, Medication List, and Special Incident Reports..

The investigation revealed the following: in regards to the allegation "Staff hit a client while in care", it is alleged that C1 was hit on the head and right abdomen by Staff #1 (S1). No other details were provided.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
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 28-AS-20240910152641
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: RHEMA CARE GROUP LLC - HOLLY OAK DRIVE
FACILITY NUMBER: 198603402
VISIT DATE: 09/17/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
All staff interviewed denied the allegation. 5 out of 5 staff interviewed indicated that they have never hit the clients in care nor have they observed any other staff members hit any clients in care. Staff interviewed indicated that on 09/06/2024, C1 arrived from Day Program in an agitated state and refused to come into the facility. Staff interviews indicated that C1 AWOLed from the facility and facility staff followed C1 from a safe distance while verbally attempting to redirect him. C1 refused to comply with staff and entered a local restaurant in which he sat on the floor and began to yell and cuss at the staff which prompted the restaurant manager to call 911. West Covina PD arrived at 5:30pm and transported C1 to the local hospital and was placed on a 5150 psych hold. Facility staff that were present during this incident indicated that they never placed their hands on C1. C1 returned to the facility on 09/12/2024 from the psych hold. C1 was interviewed during today's visit and indicated that he was actually hit by another client and not staff. C1 was unable to provide specific details or dates regarding the allegation. Per IPP dated 08/25/2022, C1 has a history of verbal aggression, fabricating stories, and physical aggression. C2 - C3 indicated that they have never been hit by staff nor have they seen staff hit any of the other clients. Witness #1 (W1) was interviewed and indicated that they have no concerns regarding the home or the care they provide.

Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegation. 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.

Exit interview held, and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2