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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603443
Report Date: 05/08/2025
Date Signed: 05/08/2025 09:59:05 AM

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
04/21/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250421120830
FACILITY NAME:DHASA CAREFACILITY NUMBER:
198603443
ADMINISTRATOR:DEBELA-SLEDGE, HURUBEFACILITY TYPE:
735
ADDRESS:2181 LARCHMONT STTELEPHONE:
(773) 718-0819
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:4CENSUS: 3DATE:
05/08/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Emmanuel Chukwudi Ezeani/S-1 TIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Personal Rights/ Staff sexually assaulted client in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent complaint visit to investigate the above allegation. LPA met with Emmanuel Chukwudi Ezeani/S-1 and discussed the purpose of today's visit.
On 04/22/25, LPA conducted the initial complaint visit. During this visit, LPA conducted a tour of the building and grounds and did not observe any signs of neglect, abuse or other immediate health and safety threats. LPA also reviewed Client #1 (C-1) and Client #2 (C-2) files and obtained relevant documentation.

During the course of this investigation, LPA interviewed the Facility Administrator, interviewed Staff #1 (S-1) through Staff #4 (S-4), interviewed Client #1 (C-1) through Client #3 (C-3) and contacted Pomona Police Department. LPA also attempted to make contact with San Gabriel Pomona Regional and was unsuccessful.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
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)
Page: 1 of 2
Control Number 28-AS-20250421120830
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: DHASA CARE
FACILITY NUMBER: 198603443
VISIT DATE: 05/08/2025
NARRATIVE
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Allegation: Personal Rights/ Staff sexually assaulted client in care. It has been alleged that staff sexually assaulted a client in care. Staff interviews revealed that staff do not assault (including sexually) clients in care. Interviewed staff indicated they have not witnessed nor received any complaints/concerns regarding staff mistreating, assaulting and/or isolating clients. Interviewed staff indicated they are trained in Mandated Reporting, Zero Tolerance and Client Rights. Client interviews revealed that staff do not assault (including sexually) clients in care. Interviewed clients indicated that they have not witnessed nor heard anyone complaining/having concerns regarding staff mistreating, assaulting and/or isolating clients. Interviewed clients indicated they feel safe and comfortable residing at this facility. Interviewed clients indicated that they do not have any concerns. Per interviews conducted, Pomona Police Department visited this facility on 04/20/25 to conduct a health and safety visit pertaining to this allegation. Per interviews conducted, Pomona Police Department did not open a case/investigation and only conducted a “call for service” visit as there were no health and safety concerns. Special Incident Reports for the 04/20/25 alleged incident were also sent by the Facility Administrator to Community Care Licensing and San Gabriel Pomona Regional Center. Interviews do not corroborate this allegation.

Although the allegation may have happened or are 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 conducted, appeal rights and a copy of this report was provided to Emmanuel Chukwudi Ezeani/S-1.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
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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