198603402-10-31-2022-28-AS-RORN-CLNMUH-20221130085509

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603402
Report Date: 10/27/2022
Date Signed: 10/31/2022 01:59:48 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
09/12/2022 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220912113005

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: 2	DATE:	10/27/2022
		UNANNOUNCED	TIME BEGAN:	10:39 AM
MET WITH:	Angela Nwaka, Lead Staff		TIME 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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This report serves as an addendum and supersedes the complaint investigation report created on 09/15/22. This addendum is written to add the census, include administrator interview, C2 interview and correct spelling and does not change the complaint investigation report findings recorded on 9/15/22

LPA Alberto Lopez conducted an unannounced complaint visit and met with Lead Staff Angela Nwaka and discussed the purpose of the visit.

The investigation consisted of interviews with Administrator, client #1-2 and staff #1-5 and review of C1 File.
Regarding Allegation, Staff member hit resident: It is alleged that S4 hit resident. Administrator and 5 of 5 staff denied allegation. C1 stated staff hit C1 because C1 told S4 he was going physically assault S4 becasue of the way S4 speaks to him. C2 could not collaborate the allegation. (Continue on 9099C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

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-20220912113005

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: 10/27/2022

NARRATIVE

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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. Administrator and 5 of 5 staff stated they did not witness allegation. C2 could not collaborate the allegation

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. Administrator and 5 of 5 staff denied the allegations. C2 could not collaborate the allegation

NOTE: During visit LPA witness C1 being disrespectful and demanding to S1 S2 and S5 in loud voice. C1 threaten to destroy home if C1 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 telling staff C1 will treat them like animals if they want to be treated like animals. C1 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: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC9099 (FAS) - (06/04)

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