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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603402
Report Date: 09/15/2022
Date Signed: 09/15/2022 03:10:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/12/2022 and conducted by Evaluator Alberto Lopez
COMPLAINT CONTROL NUMBER: 28-AS-20220912113005
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: DATE:
09/15/2022
UNANNOUNCEDTIME BEGAN:
10:39 AM
MET WITH:Angela Nwaka, Lead StaffTIME COMPLETED:
03:18 PM
ALLEGATION(S):
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Staff member hit resident
Staff member inappropriately touched resident
Staff failed to treat resident with dignity and respect
INVESTIGATION FINDINGS:
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LPA Alberto Lopez conducted an unannounced complaint visit and met with Lead Staff Angela Mwaka, and discussed the purpose of the visit.

The investigation consisted of interviews with Client #1 and staff #1-5
Regarding Allegation: Staff member hit resident. It is alleged that 1 staff hit resident. 5 of 5 staff denied allegation. C1 stated staff hit C1 because C1 told S4 he was going to kick his ass for speaking to C1 the way he speaks to C1

Regarding Allegation: Staff member inappropriately touched resident. It is alleged that one staff groped client while riding in the van to a medical clinic. C1 stated C1 was groped by S4 during ride to medical clinic. 5 of 5 staff stated they did not witness allegation.


Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
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-20220912113005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: RHEMA CARE GROUP LLC - HOLLY OAK DRIVE
FACILITY NUMBER: 198603402
VISIT DATE: 09/15/2022
NARRATIVE
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Regarding Allegation: Staff failed to treat resident with dignity and respect. It is alleged that staff do not treat client with dignity and respect. C1 could not come up with an example of when this may have occurred and 5 of 5 staff denied the allegations


NOTE: During visit LPA witness C1 being disrespectful and demanding to S1 S2 and S5 in loud voice. C1 threaten to destroy home if he did not get his way. C1 referred to C2 as retarded. C1 demanded to leave the home immediately in loud raised voice. C1 spilled a five-gallon bottle of water on the floor and sink and yelled at the staff that he will treat them like animals if they want to be treated like animals. He egged S5 to fight him and tossed water bottles at staff. C1 cussed at staff throughout the visit.

Although the allegation 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 allegation is unsubstantiated UNSUBSTANTIATED
NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2