198603402-5-8-2025-28-AS-RORN-DHCP7N-20250605110412

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603402
Report Date: 05/08/2025
Date Signed: 05/08/2025 12:36:27 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
05/05/2025 and conducted by Evaluator Daniel Konishi

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250505214136

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:	05/08/2025
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	John Wilson-Ekaun, Administrator		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Staff is verbally abusing a client while in care.
Staff kicked a client while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced 10-day complaint visit at the facility and met with Administrator, John Wilson-Ekaun to discuss the purpose for today's visit. The purpose of the visit is to investigate the above allegations.

The investigation consisted of the following: LPA interviewed the Administrator, Staff #1 (S1), Staff #2 (S2), Client #1 (C1) and Client #2 (C2) at the home. LPA also interviewed the Licensee, Client #3 (C3), Client #4 (C4), and Witness #1 (W1) to Witness #3 (W3) on the phone. LPA obtained copies from Client #1 (C1) file such as Physician's Report, Face Sheet, IPP (Individual Program Plan), Behavioral Quarterly Report, and Client Notes. LPA obtained copies of the client roster, staff roster, and ongoing staff training.

[Continue in LIC9099-C]

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025

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-20250505214136

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: 05/08/2025

NARRATIVE

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The investigation revealed the following: in regard to the allegation "Staff is verbally abusing a client while in care", it is alleged that the client is being verbally abused by facility staff Interviews conducted with the Licensee, Admin, and two (2) out of two (2) staff denied the allegation and stated that C1 gets verbally and physically aggressive towards staff as a way to get to the hospital and when C1 is out of P & I funds (Personal and Incidental). LPA observed C1’s IPP and Behavioral Quarterly Report which indicates C1’s behaviors of fabricating stories and false accusations. Two (2) out of four (4) clients corroborated with the allegation of verbal abuse but could not provide specific examples of the alleged abuse, nor the time and dates that the verbal abuse occurred. Based on record review, client’s notes dated 05/07/2025 indicated a client yelling at staff when asked to change clothes, fighting with another client, was in an aggressive mood throughout the day but was stable after client went back to the client’s own room. Two (2) out of four (4) clients denied the allegation. Three (3) out of three (3) witnesses denied the allegation and do not suspect any client being verbally abused by staff. LPA also reviewed ongoing staff training on zero tolerance, client rights, abuse and neglect prevention, and personnel policies. Licensee and Admin both stated that there have been no disciplinary actions issued to any staff regarding verbally abusing a client. Based on interviews conducted with facility staff, facility client, witnesses, and record review, there was not enough supportive evidence to concur with the reported allegation.

Allegation: “Staff kicked a client while in care.” It is alleged that a facility staff member kicked the client on the stomach multiple times. Interviews conducted with the Licensee, Admin, and two (2) out of two (2) staff denied the allegation and indicated that they have never kicked nor witnessed any other staff kick or hit C1 in the stomach. Four (4) out of four (4) clients denied the allegation. Per facility client notes dated 05/07/2025, C1 was not punched by another client, and instead it was reported that C1 was upset and yelling until staff intervened and deescalated the situation around 5pm. Based on record review, LPA observed C1’s IPP and Behavioral Quarterly Report which indicates C1’s behaviors of fabricating stories and false accusations. Interview with W1 also indicated that C1 has a history of fabrication and making false accusations. LPA interviewed three (3) out of three (3) witnesses denied the allegation and do not suspect staff kick or hitting any clients. LPA obtain copies of ongoing staff training on abuse and neglect prevention and zero tolerance policy. Licensee and Admin both stated that there have been no disciplinary actions issued to any staff regarding physically abusing a client. There is not enough supportive evidence to concur with the reported allegations.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250505214136

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: 05/08/2025

NARRATIVE

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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 allegations are UNSUBSTANTIATED.

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

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025

LIC9099 (FAS) - (06/04)

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